Crisis Response Planning May Aid PTSD Treatment Outcomes

Benefits include declines in existing suicidal ideation and fewer new-onset suicidal ideations

By Lori Solomon HealthDay Reporter

FRIDAY, Feb. 23, 2024 (HealthDay News) — Crisis response planning (CRP) is associated with reductions in suicidal ideation among military personnel and veterans receiving outpatient treatment for posttraumatic stress disorder (PTSD), according to a study published online in the March issue of the Journal of Anxiety Disorders.

Craig J. Bryan, Psy.D., from The Ohio State University in Columbus, and colleagues randomly assigned 157 U.S. military personnel and veterans to receive CRP or self-guided safety planning (SP) prior to beginning massed cognitive processing therapy for PTSD.

The researchers found that at baseline, 32.5 percent of participants endorsed suicidal ideation. Reductions in the severity of suicidal ideation were significantly larger and faster in CRP. Among participants denying suicidal ideation at baseline, fewer CRP participants reported new-onset suicidal ideation during follow-up (8.5 versus 11.9 percent of SP participants; odds ratio, 0.69; 95 percent confidence interval, 0.19 to 2.52). Both groups saw significant declines in PTSD symptoms over time.

“CRP is a low-cost and effective strategy for managing suicide risk among patients with PTSD,” the authors write. “Future studies should not only seek to replicate these findings but also determine if the integration of CRP into other diagnosis-specific treatments can similarly reduce suicidal ideation and suicide attempts across patient subgroups and clinical settings.”

Several authors disclosed ties to industry.

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