{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T19:54:58Z","timestamp":1788378898427,"version":"build-2803163510"},"reference-count":91,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100020960","name":"Military Suicide Research Consortium","doi-asserted-by":"publisher","award":["W81XWH-16-2-0004"],"award-info":[{"award-number":["W81XWH-16-2-0004"]}],"id":[{"id":"10.13039\/100020960","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007723","name":"Oxford University Press","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007723","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Improving public health approaches to suicide prevention requires scalable evidence-based interventions that can be easily disseminated. Given empirical data supporting the association between insomnia and suicide risk, internet-delivered insomnia interventions are promising candidates to meet this need. The purpose of this study was to examine whether an unguided internet-delivered cognitive-behavioral therapy for insomnia (iCBT-I) improved insomnia severity, suicidal ideation (SI), and suicide risk correlates (depression, post-traumatic stress disorder, anxiety, hostility, belongingness, hopelessness, agitation, irritability, concentration) in a sample of veterans. Secondary data analysis of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans (n = 50) with clinically significant insomnia and elevated SI drawn from a larger randomized controlled trial (RCT) of an iCBT-I, Sleep Healthy Using the Internet (SHUTi). Two-sample t-tests or Wilcoxon rank sum tests were used to evaluate between-group differences (SHUTi vs. Insomnia Education Website control) in symptom improvement from baseline to post-intervention. SHUTi participants experienced a significant improvement in insomnia severity (P &amp;lt; .001; d = \u22121.08) and a non-significant with small (subthreshold medium) effect size reduction of SI (P = .17, d = 0.40), compared to control participants. Significant improvement in hopelessness was observed (medium effect size), with non-significant small to medium effect size reductions in most remaining suicide risk correlates. Self-administered iCBT-I was associated with improvements in insomnia severity in veterans at elevated risk for suicide. These preliminary findings suggest that SI and suicide risk correlates may improve following an iCBT-I intervention, demonstrating the need for future well-powered iCBT-I RCTs targeted for populations at elevated suicide risk.<\/jats:p>","DOI":"10.1093\/tbm\/ibae032","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T13:45:03Z","timestamp":1718199903000},"page":"673-683","source":"Crossref","is-referenced-by-count":12,"title":["Impact of an internet-based insomnia intervention on suicidal ideation and associated correlates in veterans at elevated suicide risk"],"prefix":"10.1093","volume":"14","author":[{"given":"Sarra","family":"Nazem","sequence":"first","affiliation":[{"name":"Dissemination and Training Division, National Center for PTSD , Palo Alto, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengnan","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Icahn School of Medicine , New York, NY ,","place":["USA"]},{"name":"General Medical Research (GMR), James J. Peters VA Medical Center , Bronx, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean M","family":"Barnes","sequence":"additional","affiliation":[{"name":"VA Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) , Aurora, CO ,","place":["USA"]},{"name":"Department of Psychiatry, University of Colorado School of Medicine , Aurora, CO ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey L","family":"Monteith","sequence":"additional","affiliation":[{"name":"VA Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) , Aurora, CO ,","place":["USA"]},{"name":"Department of Psychiatry, University of Colorado School of Medicine , Aurora, CO ,","place":["USA"]},{"name":"Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine , Aurora, Co ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha A","family":"Hostetter","sequence":"additional","affiliation":[{"name":"VA Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) , Aurora, CO ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeri E","family":"Forster","sequence":"additional","affiliation":[{"name":"VA Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) , Aurora, CO ,","place":["USA"]},{"name":"Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine , Aurora, Co ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2629-214X","authenticated-orcid":false,"given":"Lisa A","family":"Brenner","sequence":"additional","affiliation":[{"name":"VA Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC) , Aurora, CO ,","place":["USA"]},{"name":"Department of Psychiatry, University of Colorado School of Medicine , Aurora, CO ,","place":["USA"]},{"name":"Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine , Aurora, Co ,","place":["USA"]},{"name":"Department of Neurology, University of Colorado School of Medicine , Aurora, CO ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanga","family":"Galfalvy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Columbia University , New York, NY ,","place":["USA"]},{"name":"Department of Biostatistics, Columbia University , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0920-6956","authenticated-orcid":false,"given":"Fatemeh","family":"Haghighi","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Icahn School of Medicine , New York, NY ,","place":["USA"]},{"name":"General Medical Research (GMR), James J. 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