Implementing Computerized Cognitive Behavioral Therapies for Suicide Prevention and Depression Among At-Risk Rural and Urban Veterans
VA Eastern Colorado Health Care System
Summary
This study plans to learn more about the use of one of two self-guided online cognitive behavioral therapy courses. One is focused on symptoms of depression and one is focused on history of suicidal thoughts and behaviors.
Description
Based on previous work with other computerized CBT (cCBT) interventions (e.g., cCBT-D), which has found that cCBT has similar effectiveness to traditional CBT, members of the team along with Veterans Health Administration (VHA) leaders have developed computerized cCBT-SP and cCBT-D courses that will be ready for safety, feasibility, and acceptability testing. If proven to be feasible, safe, and effective, these courses could be made available to all Veterans, at no cost to users.
Eligibility
- Age range
- 18–65 years
- Sex
- All
- Healthy volunteers
- Yes
Cohort A - cCBT-SP Program Inclusion Criteria: 1. Veterans between the ages of 18 and 65 2. Currently living in Colorado, New York, Montana, Texas, or Utah who have accessed VA Care 3. Recent suicidal ideation (past month; C-SSRS Screener -Yes to Item 2) and history of lifetime suicidal behavior (lifetime, C-SSRS Screener - Yes to Item 6) 4. Reliable access to a computer/tablet and the internet 5. Ability to provide informed consent Exclusion Criteria: 1. Active alcohol or substance use disorder, excluding Cannabis dependence, as determined by screening or electronic medical record 2. Iden…
Interventions
- Behavioralc-CBT for Suicide Prevention
Online c-CBT for SP The computerized Cognitive Behavioral Therapy for Suicide Prevention (cCBT-SP) course is comprised of 12 online sessions and is augmented by use of a companion workbook.
- Behavioralc-CBT or Depression
The computerized Cognitive Behavioral Therapy for Depression (cCBT-D) course is comprised of 12 online sessions and is augmented by use of a companion workbook.
Location
- Eastern Colorado Health Care SystemAurora, Colorado