Computerized Cognitive Behavioral Therapies for Suicide Prevention and Depression

Launched by VA EASTERN COLORADO HEALTH CARE SYSTEM · Apr 16, 2024

Keywords

ClinConnect Summary

This clinical trial is studying two online therapy programs designed to help veterans who are dealing with feelings of depression or have had thoughts of suicide. The goal is to understand how these self-guided courses can support veterans in improving their mental health. One program focuses specifically on reducing suicidal thoughts and behaviors, while the other helps manage symptoms of depression. The study is currently looking for participants who are veterans between the ages of 18 and 65, living in Colorado, New York, Montana, Texas, or Utah, and who have accessed care through the Veterans Affairs (VA) system.

To join the trial, participants need to have recent thoughts about suicide or mild to moderate depression, depending on which program they qualify for. They should also have reliable access to a computer or tablet and the internet. Those with certain severe mental health conditions, such as active substance use disorders or severe cognitive impairment, will not be eligible. Participants can expect to take part in an online program that they can complete at their own pace, with the hope of improving their mental health and well-being. This trial represents an important step in finding effective ways to support veterans facing these challenges.

Gender

ALL

Eligibility criteria

• • 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. Identification of active psychosis or bipolar disorder, as determined via screening or electronic medical record
• • 3. Severe cognitive impairment, as determined by screening or electronic medical record
• • 4. Currently enrolled in/participating in another mental health-related intervention research study
• • Cohort B - cCBT-D 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. Mild to moderate depressive symptoms, as determined by the PHQ-9, (score of 5-14)
• • 4. Reliable access to a computer/tablet and the internet
• • 5. Ability to provide informed consent
• Exclusion Criteria:
• • 1. PHQ-9 score below 4 or 15 and above
• • 2. Active alcohol or substance use disorder, excluding Cannabis dependence, as determined by screening or electronic medical record
• • 3. Identification of active psychosis or bipolar disorder, as determined via screening or electronic medical record
• • 4. Severe cognitive impairment, as determined by screening or electronic medical record
• • 5. Currently enrolled in/participating in other intervention research study