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Trajectories and Predictors of Suicidal Ideation in Psychological and Pharmacological Treatments for PTSD

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2021, Master of Arts, Case Western Reserve University, Psychology.
Posttraumatic stress disorder (PTSD) is a significant risk factor for suicidal ideation (SI). Psychological and pharmacological interventions reduce PTSD and SI, but the trajectory of SI over time has not been examined. Understanding these trajectories and their predictors, including negative cognitions, guilt, and treatment choice, may assist clinicians in personalizing care to each individual. Participants (N = 200) were recruited for a larger randomized control trial comparing prolonged exposure and sertraline for PTSD. Growth mixture modeling was utilized to examine trajectories and predictors of SI change. A three-class solution was found to have optimal fit for SI: (1) absent, stable; (2) present, decreasing; and (3) present, stable. Greater negative cognitions were predictive of worse trajectories of SI, while other predictors were not significant. Clinically, this suggests that providers should pay special attention to negative cognitions when working with individuals seeking treatment for PTSD who experience mild to moderate SI.
Norah Feeny, PhD (Committee Chair)
James Overholser, PhD (Committee Member)
Julie Exline, PhD (Committee Member)
52 p.

Recommended Citations

Citations

  • Benhamou, K. S. (2021). Trajectories and Predictors of Suicidal Ideation in Psychological and Pharmacological Treatments for PTSD [Master's thesis, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1607542983079418

    APA Style (7th edition)

  • Benhamou, Kathy. Trajectories and Predictors of Suicidal Ideation in Psychological and Pharmacological Treatments for PTSD. 2021. Case Western Reserve University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1607542983079418.

    MLA Style (8th edition)

  • Benhamou, Kathy. "Trajectories and Predictors of Suicidal Ideation in Psychological and Pharmacological Treatments for PTSD." Master's thesis, Case Western Reserve University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=case1607542983079418

    Chicago Manual of Style (17th edition)