iiinova — where your digital self keeps evolving

Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/04/2025

I’ve been surprised by how often I’m asked to run new analyses from clinical trials that include variables or groupings that were not originally reported. Aside from the time commitment involved in that, it seems problematic to include findings from new and otherwise unreported analyses.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/04/2025

I estimate that I receive 4-6 requests per year now related to meta-analyses that ask for some sort of reanalysis. I’m okay with simple things like “hey can you tell us what the r value is for men separate from women in this one study you did?”

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/04/2025

I can think of many instances where the information provided in a meta analysis cannot be traced back to the original publication. How often are “ghost findings” included in meta-analyses?

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/04/2025

A question I’ve wondered about this: if the original study can only meet inclusion criteria by running analyses that were not previously conducted or don’t flow naturally from the original study aims, is it appropriate to include in a meta-analysis?

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/04/2025

Every email I receive from meta-analysis researchers: “Hi, I’d like to include your study in my meta-analysis. I just need you to do everything in a completely different way. I will not pay you nor will you receive credit for your time and effort. Thanks for supporting science!”

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 10/02/2025

It’s been really difficult to get the MH field to see how risk-benefit ratios change when interventions initially developed for higher acuity clinical contexts are subsequently implemented in lower acuity settings.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 09/01/2025

This same article could be written about Workday.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 07/01/2025

We have 5 (yes 5!) postdoc joining the STRIVE team next year!!! 🎉🥂

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Reposted by Craig Bryan, PsyD, ABPP

Candice Odgers @candiceodgers.bsky.social · 19/12/2024

New CDC data again shows that “Linking smartphones and social media to youth well-being distracts us from the real difficulties faced by young people” Exactly. Excellent summary of why in the San Francisco Chronicle by Mike Males. www.sfchronicle.com/opinion/open...

sfchronicle.com

Why the latest CDC teen mental health report is a politically inconvenient bombshell for crusading California pols

The report reveals that teens’ use of social media is more complicated than the simplistic campaigns to restrict access recognize.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 28/12/2023

CRP’s advantage held at 6 and 12 months although this advantage was not statistically significant. CRP also had around 50% fewer suicide attempts than safety planning. Overall results support the superiority of CRP vs safety planning. This is the second RCT to support CRP’s effectiveness.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 28/12/2023

🚨 New Paper 🚨 We randomized veterans with PTSD to crisis response planning (CRP) or safety planning during massed PTSD therapy. Results support the superiority of CRP for suicide risk reduction. Sig diff emerged at week 1 & were maintained at treatment end. www.sciencedirect.com/science/arti...

sciencedirect.com

Crisis response planning rapidly reduces suicidal ideation among U.S. military veterans receiving ma...

Posttraumatic stress disorder (PTSD) is common among U.S. military veterans and is associated with increased risk of suicidal thoughts and behaviors. …

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 08/12/2023

The latter. The rationale is that the big gains have already been made so the effect sizes going forward will be much smaller by default. I think it reflects a bias that views larger effect sizes as more impactful.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 08/12/2023

I should note that I’m making this point not only as someone proposing tx refinements but also as a fellow reviewer who has rebutted this perspective more than once.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 08/12/2023

The rationale presented is often that the treatment is already better than something else with a much larger effect size, so any refinements by default will have smaller effect sizes, which is viewed as having low impact.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 08/12/2023

This issue is especially pronounced in suicide prevention. I’m stunned by how often reviewers discount efforts to make an effective tx even more effective. It’s akin to saying “20% of patients attempting suicide in tx is okay. Trying to reduce that to 10% isn’t meaningful.”

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 08/12/2023

The obsession of grant reviewers with “innovation” and “impact” directly impedes advances in MH/psych treatments. If you propose to take a good tx and improve it somehow, reviewers will unfailingly say “so what?” or “why bother?” As a result, we end up with lots of ok but not great txs.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/12/2023

Randomly reflecting on the show Barry and marveling over Bill Hader’s range from dry comedic to intense dramatic.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 25/11/2023

Only a few states and territories remaining to visit.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 16/11/2023

Me: okay, here you go. University: rejected. The amount charged doesn’t match our calculations of exchange rates. Me: 🤷🏻‍♂️ that’s what I paid. University: we’re only going to reimburse you 99.999% of your voucher total. Me: Ok…. So you spent hundreds of dollars to save <$10. Cool cool cool.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 16/11/2023

Latest adventures in university travel reimbursements: Attended an international conference. ~1/3 of the credit charges I selected the USD option to account for exchange rates. University: Rejected. We need credit card statements to confirm the amounts on the receipt are what you actually paid.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 11/11/2023

Veterans are leading the drive to encourage a culture of responsible firearm ownership. apnews.com/article/gun-...

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 01/11/2023

It’s been a few years since that happened to me. I do wonder how that happens.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 01/11/2023

Did anyone by chance give you a sock?

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 27/10/2023

Thanks @ploederl.bsky.social. We’ve been doing massed therapy for several years now and it’s been a total game changer for patients.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 26/10/2023

This is a satisfying thread. Thank you for your service.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 18/10/2023

Integrating crisis response planning into massed CPT led to faster reductions in suicidal ideation and 50% fewer suicide attempts vs. massed CPT with usual care safety planning.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 16/10/2023

I’m not gonna lie. We have the best team ever at OSU.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 12/10/2023

To be fair, at least half of those top 5% are in the top 1%.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 09/10/2023

The ease with which MH professionals cavalierly dilute effective therapies, expecting them to still work, instead of preserving their integrity is a major issue we have yet to grapple with seriously as a discipline.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/10/2023

A way I’ve tried to frame this is that treatments like chemo can be quite effective in people with sever cancer. That doesn’t mean we should give chemo to all people as a universal cancer prevention effort. That would harm way more people than it benefits. I suspect MH txs are similar.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/10/2023

We rationalize their use because they are “based on” or “informed by” some evidence based practice. But we’ve changed them so much that they are arguably no longer the original thing.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 06/10/2023

I agree that the iatrogenesis probably stems from departure from the original protocol. This is what’s been tough about this issue: “adaptations” like these are very very common but we dismiss the harms they can carry bc we inappropriately classify them as “evidence based.”

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 05/10/2023

Something beneficial for those with sever conditions could be harmful for those without that condition. Ive found it very hard to convince MH professionals to accept the possibility that our activities and procedures can carry risks and even be harmful under some conditions.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 05/10/2023

The suicide prevention community has largely dismissed these findings. The study you posted would seem to converge with the view of iatrogenesis. I think similar harm is happening with universal screening. Here again, the suicide prev field by and large refuses to consider the possibility of harm.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 05/10/2023

Have you seen this study by Greg Simon? Also found DBT-based online programs increased self-harm. jamanetwork.com/journals/jam...

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 29/09/2023

Wrapping up #SuicidePreventionMonth, we held our first team mtg at The Ohio State University’s STRIVE HQ today to develop a new online BCBT training platform.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 29/09/2023

Are there any suicide researchers needing invite codes to switch over?

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Reposted by Craig Bryan, PsyD, ABPP

Kelly L. Green, PhD @kellylgreenphd.bsky.social · 28/09/2023

So I haven't seen a suicidology round-up post yet. I will try to tag folks I have found so far (apologies in advance to anyone I miss!). #SuicidePrevention people, check in here and share so we can find each other! ⬇️

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 21/09/2023

That’s absolutely correct. Include good notes to help other researchers reproduce the findings. In no way is this advice related to me forgetting why I ran the analysis this particular way 6 months from now when responding to reviewer comments. 😁

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 16/09/2023

Many online submission portals have an option to withdraw a manuscript.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 02/09/2023

🗣️This craft project didn’t use a hammer. Is this craft even good? Hammers are really useful tools to create high quality crafts! There’s really no excuse to ever build a craft without using a hammer. 💁🏻‍♂️Depends on the craft. Hammers aren’t necessary for every craft. 🗣️Why are you against hammers?

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 30/08/2023

Results suggest implementing universal suicide risk screening in low acuity settings like primary care could work against suicide prevention efforts.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 30/08/2023

🚨New Paper Does suicide risk screening improve the identification of primary care patients who will attempt suicide versus depression screening alone? Not necessarily. In this study, we found that SI screening was much less effective. www.jointcommissionjournal.com/article/S155...

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 30/08/2023

I realize it provides a public forum to post the study’s methods but it’s often just a copy and paste from the IRB documents.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 30/08/2023

As someone who routinely pre registers my clinical trials, I also don’t see how prereg is meaningfully different from a study’s IRB protocol.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 30/08/2023

I think preregistration plays an important role for some studies (eg, clinical trials) but it may not be necessary for all types of studies.

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Craig Bryan, PsyD, ABPP @craigjbryan.bsky.social · 17/08/2023

Thanks much. I hope our forthcoming papers are informative, too.

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