Addressing chronic pain and suicide risk using Mindfulness-Based Cognitive Therapy: Rationale, design and baseline...

Area of Science:

• Psychiatry
• Clinical Psychology
• Public Health

Background:

• Chronic pain and suicide risk are significant public health issues, particularly affecting veterans.
• Existing interventions often do not address both chronic pain and suicide risk concurrently.
• Mindfulness-Based Cognitive Therapy for Pain and Suicide (MBCT-P/S) is a novel integrated approach.

Purpose of the Study:

• To assess the feasibility and treatment acceptability of MBCT-P/S in a veteran population.
• To provide an overview of the rationale, design, and baseline characteristics of a randomized clinical trial.

Main Methods:

• A refined version of MBCT-P/S was developed using an evidence-based consensus method.
• Seventy-six veterans with chronic pain and suicidal ideation were recruited and randomized to MBCT-P/S or Health Education.
• Participants completed baseline assessments, with follow-up assessments planned at 1, 3, and 6 months.

Main Results:

• Baseline data indicated a diverse veteran sample with severe clinical profiles.
• Recruitment proceeded faster than anticipated, suggesting feasibility.
• Study retention and therapist fidelity to MBCT-P/S will be assessed.

Conclusions:

• The study provides critical insights for a larger efficacy trial of MBCT-P/S.
• Data will inform the impact of MBCT-P/S on pain and suicide risk outcomes in veterans.
• This research supports the development of targeted interventions for complex veteran health needs.