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DepressionDecember 2025Summary reviewed May 2026

What the SUMMIT Trial Found — Behavioral Therapy for Perinatal Suicide Thoughts

This analysis of the 1,230-person SUMMIT trial looked at suicide thoughts during a brief 6-8 session behavioral activation therapy for pregnant and postpartum people with depression. Suicide thoughts dropped 25% with each added session and 80% by 3 months.

What the trial was testing

The SUMMIT enrolled 1,230 patients with depression. The study was sponsored by Mount Sinai Hospital, Canada and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

Researchers followed patients through treatment and into recovery, tracking the outcomes that mattered most for the disease being studied.

What the results showed

80% lower odds of suicidal thoughts at 3 months after brief behavioral therapy.

JAMA Psychiatry · 2025 · NCT04153864

These findings — that of endorsing suicide thoughts at 3 months after brief behavioral activation therapy — were published in the JAMA Psychiatry and represent the headline result of the study.

Researchers tracked outcomes across 1,230 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with depression, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

Behavioral activation therapy is widely available through trained therapists and can often be delivered by non-specialist providers. Many insurance plans cover psychotherapy. Postpartum mental health is a medical emergency — call 988 if in crisis. Ask your obstetrician or primary care doctor for a referral.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.