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Effect of Problem-Solving Therapy on Depressed Low-Income Homebound Older Adults’ Death/Suicidal Ideation and Hopelessness
  • Published Date:
    Oct 12 2015
  • Source:
    Suicide Life Threat Behav. 46(3):323-336.


Public Access Version Available on: June 01, 2017 information icon
Please check back on the date listed above.
Details:
  • Pubmed ID:
    26456016
  • Pubmed Central ID:
    PMC4829492
  • Funding:
    R34 MH083872/MH/NIMH NIH HHS/United States
    U01 CE001942/CE/NCIPC CDC HHS/United States
  • Document Type:
  • Collection(s):
  • 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.

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