National Center for Veterans Studies, The University of Utah, Salt Lake City, Utah.
Department of Psychiatry, The University of Utah, Salt Lake City, Utah.
J Clin Psychol. 2020 May;76(5):852-864. doi: 10.1002/jclp.22920. Epub 2020 Jan 11.
Posttraumatic stress disorder (PTSD) and suicidal thoughts and behaviors are common in military members and veterans and produce anxiety for many clinicians. Although there are separate interventions for PTSD and elevated suicide risk, there is not much guidance on how to integrate these approaches. Crisis response planning (CRP) is an evidence-based tool used to prevent suicide attempts that can easily be integrated into trauma-focused therapies for patients with PTSD.
Given the high frequency of suicidal thoughts among patients with PTSD, the current paper discusses how CRP can be integrated into trauma-focused therapy. A clinical case example is provided to demonstrate how the CRP can be integrated into cognitive processing therapy for a suicidal veteran diagnosed with PTSD.
Using CRP within a cognitive processing therapy treatment program reduced both PTSD and suicidal ideation.
Suicide specific treatments can be integrated effectively into trauma-focused treatments.
创伤后应激障碍(PTSD)和自杀念头与行为在军人和退伍军人中很常见,这给许多临床医生带来了焦虑。虽然 PTSD 和自杀风险升高有单独的干预措施,但关于如何整合这些方法的指导并不多。危机反应计划(CRP)是一种预防自杀企图的循证工具,它可以很容易地整合到 PTSD 患者的创伤聚焦治疗中。
鉴于 PTSD 患者自杀念头的频率很高,目前的论文讨论了如何将 CRP 整合到创伤聚焦治疗中。提供了一个临床案例示例,以演示如何将 CRP 整合到认知加工疗法中,以治疗患有 PTSD 的有自杀倾向的退伍军人。
在认知加工疗法治疗方案中使用 CRP 降低了 PTSD 和自杀意念。
可以将特定于自杀的治疗方法有效地整合到创伤聚焦治疗中。