New hope for veterans: therapy combo targets PTSD and suicide risk
NCT ID NCT05974631
First seen Jun 26, 2026 · Last updated Jul 17, 2026 · Updated 3 times
Summary
This study compares two treatments for veterans with PTSD who are at high risk for suicide. One group receives Dialectical Behavior Therapy (DBT) plus a special PTSD exposure protocol, while the other gets standard prolonged exposure therapy with suicide risk management. The goal is to see which approach better reduces self-harm and PTSD symptoms. The trial will also look at how easy or hard it is to use these treatments in VA clinics.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dialectical Behavior Therapy (DBT) combined with DBT Prolonged Exposure protocol
- What this could lead to
- If successful, this could provide a proven treatment option for veterans with PTSD who are at high risk for suicide, potentially reducing suicide attempts and PTSD symptoms.
- What could go wrong
- This is a relatively small trial (125 participants) and results may not apply to all veterans. The therapy is intensive and may not be feasible in all VA settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 125 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Aug 2028
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * PTSD * Recent and repeated self-directed violence * Current suicidal ideation * Emotion dysregulation * Veteran eligible for VHA mental health care at participating site * Willing to participate in all study activities Exclusion Criteria: * Unable to maintain safety independently * Currently engaged in and/or recent (past year) history of receiving a sufficient dose of DBT or PE * Plan to move away or be unavailable for \>4 weeks in the next 18 months * Unable to sufficiently comprehend study procedures due to lack of English proficiency or moderate to severe cognitive impairment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Durham VA Medical Center, Durham, NC
RECRUITINGDurham, North Carolina, 27705-3875, United States
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Minneapolis VA Health Care System, Minneapolis, MN
RECRUITINGMinneapolis, Minnesota, 55417-2309, United States
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South Texas Health Care System, San Antonio, TX
RECRUITINGSan Antonio, Texas, 78229-4404, United States
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VA Puget Sound Health Care System Seattle Division, Seattle, WA
RECRUITINGSeattle, Washington, 98108-1532, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can reassuring cues help military personnel with PTSD read emotions?
- Can talk therapies quiet the trauma of violence?
- Could pausing psychiatric pills boost PTSD therapy?
- Can emotional patterns reveal the true nature of teen trauma?
- Beta-Blocker may rewrite traumatic memories in PTSD
- Zapping the Brain's fear hub: a new hope for PTSD?