RecruitingNot ApplicableNCT07238192

Augmenting Massed Cognitive Processing Therapy (CPT) to Prevent Suicide Risk Among Patients With PTSD

Sponsor

Ohio State University

Enrollment

190 participants

Start Date

Jan 28, 2026

Study Type

INTERVENTIONAL

Conditions

Suicidal Ideation Posttraumatic Stress Disorder (PTSD)Suicide Attempt

Summary

The purpose of this research is to see if Crisis Response Planning (CRP), a brief strategy designed to help people cope effectively with emotional crises, combined with Cognitive Processing Therapy (CPT), a talk treatment for posttraumatic stress disorder (PTSD), will reduce suicidal thoughts and behaviors.

Eligibility

Min Age: 18 Years

Inclusion Criteria5

Active duty service member or veteran aged 18 or older eligible for military medical care.
Able to read, write, and speak English.
Meeting diagnostic criteria for PTSD or subthreshold PTSD (i.e., meeting diagnostic threshold for 3 of 4 symptom criteria within the past month) on the Clinician Administered PTSD Scale for DSM-5 (CAPS-5).
Active suicidal ideation within the past week as assessed by scoring ≥ 1 on Scale for Suicidal Ideation (SSI) item 4 (i.e., active suicidal ideation within the past month) or report an interrupted, aborted, or actual suicide attempt within the preceding month on the Self-Injurious Thoughts and Behaviors Interview-Revised (SITBI-R).
Regular use of an iPhone or Android smartphone.

Exclusion Criteria4

Inability to comprehend and complete the consent and baseline screening questionnaires.
Current suicide or homicide risk meriting crisis intervention.
Serious mental health symptoms, such as mania, psychosis, alcohol or substance use disorders warranting immediate clinical attention based on interviewer assessment and clinical judgement.
Currently engaged in evidence-based psychotherapy for PTSD (e.g., Cognitive Processing Therapy, Prolonged Exposure Therapy, Written Exposure Therapy).

Interventions

BEHAVIORALCognitive Processing Therapy

Regardless of which assignment, participants will receive 10 sessions of Cognitive Processing Therapy (CPT) delivered daily Monday through Friday over two consecutive weeks. In CPT treatment participants will complete symptom checklists and learn a variety of skills to help with symptoms of PTSD.