Effect of Problem-Solving Therapy on Depressed Low-Income Homebound Older Adults’ Death/Suicidal Ideation and Hopelessness

Choi, Namkee G.; Marti, C. Nathan; Conwell, Yeates

doi:10.1111/sltb.12195

- Add this to...
- Twitter
- Facebook
- Google Bookmarks
- LinkedIn

Effect of Problem-Solving Therapy on Depressed Low-Income Homebound Older Adults’ Death/Suicidal Ideation and Hopelessness

Published Date:

Oct 12 2015

Publisher's site:

http://dx.doi.org/10.1111/sltb.12195 New Site Icon

Source:

Suicide Life Threat Behav. 46(3):323-336.

[PDF-503.15 KB]

Details:

Personal Authors:

Choi, Namkee G. ; Marti, C. Nathan ; Conwell, Yeates ;

Keywords:

[+]

Pubmed ID:

26456016

Pubmed Central ID:

PMC4829492

Description:

Previous study findings of psychotherapy's effect on suicide prevention have been inconsistent. This study reports the results of secondary analyses of outcome data from a short-term depression treatment on reducing death/suicidal ideation among 158 low-income homebound adults aged 50+. The treatment, in-person or telehealth problem-solving therapy (PST), compared with telephone support call, has been found effective in reducing depressive symptoms and disability among participants. Compared with support call participants, tele-PST participants, but not in-person PST participants, exhibited lower ideation ratings across the follow-up period. Effect sizes at 36 weeks were 0.31 for tele-PST and 0.17 for in-person PST. Hopelessness mediated the effect of tele-PST but not in-person PST; however, in-person PST also alleviated hopelessness, which led to lower ideation. Clinical implications of the findings are discussed.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

R34 MH083872/MH/NIMH NIH HHS/United States
U01 CE001942/CE/NCIPC CDC HHS/United States

Supporting Files:

	nihms715061.nxml	application/octet-stream
	nihms715061f1.gif	image/gif
	nihms715061f1.jpg	image/jpeg
	nihms715061f2.gif	image/gif
	nihms715061f2.jpg	image/jpeg
	nihms715061f3.gif	image/gif
	nihms715061f3.jpg	image/jpeg

No Related Documents.

You May Also Like:

Issues in Research on Aging and Suicide

Personal Author:

Van Orden, Kimberly A.; Conwell, Yeates;

Published:

Jul 15 2015

Source:

Aging Ment Health. 20(2):240-251.

Description:

Late-life suicide is a complex clinical and public health problem.|In this article, some of the key complexities inherent in studying late-life suicide are discussed in the service of promoting high-quality late-life suicide prevention science.|We di...

File Type:

[PDF - 128.41 KB]
Preventing suicide : a technical package of policies, programs, and practice

Personal Author:

Stone, Deborah M.; Holland, Kristin M.; Bartholow, Bradford N.; Crosby, Alex E.; Davis, Shane P.; Wilkins, Natalie;

Corporate Author:

National Center for Injury Prevention and Control (U.S.). Division of Violence Prevention.

Published:

2017

Description:

This technical package represents a select group of strategies based on the best available evidence to help communities and states sharpen their focus on prevention activities with the greatest potential to prevent suicide. These strategies include: ...

File Type:

[PDF - 4.93 MB]
Suicide Prevention

Personal Author:

Stone, Deborah M.; Crosby, Alex E.;

Published:

Oct 16 2014

Source:

Am J Lifestyle Med. 8(6):404-420.

Description:

Suicide is a public health problem affecting people across the lifespan. It is currently the 10th leading cause of death, with rates having remained relatively flat for the past century. This article summarizes the problem of suicide and suicidal beh...

File Type:

[PDF - 152.10 KB]
Youth suicide prevention programs : a resource guide

Personal Author:

O'Carroll, Patrick W.; Mercy, James A.;

Corporate Author:

National Center for Injury Prevention and Control (U.S.)

Published:

September 1992

Description:

Given the continued high rates of suicide among adolescents and young adults (15-24 years of age), it is more urgent than ever that we apply our limited resources for prevention in the most effective manner possible. To that end, we developed this re...

File Type:

[PDF - 246.15 MB]
Association of Poor Subjective Sleep Quality With Risk for Death by Suicide During a 10-Year Period

Personal Author:

Bernert, Rebecca A.; Turvey, Carolyn L.; Conwell, Yeates; Joiner, Thomas E.;

Published:

Oct 2014

Source:

JAMA Psychiatry. 2014; 71(10):1129-1137.

Description:

IMPORTANCE : Older adults have high rates of sleep disturbance, die by suicide at disproportionately higher rates compared with other age groups, and tend to visit their physician in the weeks preceding suicide death. To our knowledge, to date, no st...

File Type:

[PDF - 240.63 KB]