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To help soldiers in acute suicidal crises (recent suicide attempts with intent to die or serious ideation), the U.S. Army has used brief cognitive-behavioral therapy (BCBT). Now, investigators in the Army have studied the cost-effectiveness of BCBT by analyzing data from an Army epidemiologic survey and a randomized trial that compared BCBT plus treatment as usual (TAU) to TAU alone in 152 soldiers (NEJM JW Psychiatry Apr 2015 and Am J Psychiatry 2015; 172:441).
BCBT does not usually address suicidality, underlying diagnoses, and long-term psychological issues. Instead, it focuses on cognitive and emotional aspects of the acute crisis, encouraging the development of a crisis response plan, and helping patients to regulate emotions and negati…