Written Exposure Therapy for Suicide Prevention

This study is testing a new type of therapy called Written Exposure Therapy for Suicide Prevention (WET-SP) to help military service members who have been admitted to the hospital for suicidal thoughts or behaviors. WET-SP involves five sessions where you write about a stressful experience. The study will compare WET-SP to usual care (TAU), which includes psychiatric stabilization, medication management, and group therapy. Researchers want to see if WET-SP can reduce suicidal thoughts over 30 weeks. You might be able to join if you are an active duty military service member, veteran, or beneficiary admitted to Carl R. Darnall Army Medical Center for suicidal thoughts, a suicide plan, or a suicide attempt, and have elevated levels of suicidal ideation (thoughts of suicide). The current recruitment status is unclear.

Study design
This interventional study plans to enroll 160 participants. It compares two approaches: WET-SP and usual care (TAU).
What's involved
If you are in the WET-SP group, you will have five therapy sessions; the first lasts about one hour, and the others are about 40 minutes each, including a 30-minute writing exercise. If you are in the TAU group, you will receive daily care including psychiatric stabilization, nurse case management, medication management, and psychoeducation groups.
Compensation
Not stated in the trial record.
Follow-up
Your suicidal ideation will be measured at 10 weeks, 20 weeks, and 30 weeks after starting the study.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05878795

Written Exposure Therapy for Suicide Prevention

Recruiting
NAAges 18+InterventionalPrevention
Boston University
~160 participants
Updated 2026-05-29 on ClinicalTrials.gov
What's tested:WET-SPTAU

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Suicidal ideation (SI)
Measured over Baseline, 10 weeks
+2 more outcomes measured
Suicide, Attempted
Suicide Threat

NCT05878795

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • University of Texas Health Center San Antonio

    San Antonio, Texasstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Brian P Marx, PhD · PRINCIPAL_INVESTIGATOR · Dept of Psychiatry, Chobanian & Avedisian BU School of Medicine and VA Boston Healthcare System

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Eligibility criteria

Inclusion

Current active duty military service member, veteran, and beneficiaries
Admitted to Carl R. Darnall Army Medical Center (CRDAMC) for suicidal thoughts, a suicide plan, or a suicide attempt
Elevated levels of suicidal ideation severity in the past two weeks, as indicated by a score \>= 3 on the Depressive Symptom Index-Suicidality Subscale (DSI-SS)
Ability to read, write, and speak English

Exclusion

Active psychosis as the priority of care for hospitalization
Moderate or greater cognitive impairment (as determined by the inability to comprehend the baseline screening questionnaires)
Unable to provide informed consent
  • Change in Suicidal ideation (SI)Baseline, 10 weeks

    Measured by the Depressive Symptom Index-Suicidality Subscale (DSI-SS) which is a four-item self-report focusing on frequency and intensity of suicidal thoughts and urges during the past 2 weeks. Each item is scored on a 4-point Likert scale ranging from 0 to 3. Total scores can range from 0 to 12, with higher scores representing increased severity of suicidal ideation.

  • SI at 20 weeks20 weeks

    Measured by the Depressive Symptom Index-Suicidality Subscale (DSI-SS) which is a four-item self-report focusing on frequency and intensity of suicidal thoughts and urges during the past 2 weeks. Each item is scored on a 4-point Likert scale ranging from 0 to 3. Total scores can range from 0 to 12, with higher scores representing increased severity of suicidal ideation.

  • SI at 30 weeks30 weeks

    Measured by the Depressive Symptom Index-Suicidality Subscale (DSI-SS) which is a four-item self-report focusing on frequency and intensity of suicidal thoughts and urges during the past 2 weeks. Each item is scored on a 4-point Likert scale ranging from 0 to 3. Total scores can range from 0 to 12, with higher scores representing increased severity of suicidal ideation.