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

Details

• Alternative Title:
  Suicide Life Threat Behav
• Personal Author:
  Choi, Namkee G. ; Marti, C. Nathan ; Conwell, Yeates
• 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.
• Keywords:
  Adult Aged Depression Female Homebound Older Adults Homebound Persons Hopelessness Humans Male Middle Aged Poverty Problem Solving Psychotherapy Suicidal Ideation Suicide Prevention Tele-delivered Problem-solving Therapy Treatment Outcome

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• Source:
  Suicide Life Threat Behav. 46(3):323-336
• Pubmed ID:
  26456016
• Pubmed Central ID:
  PMC4829492
• Document Type:
  Journal Article
• Funding:
  R34 MH083872/MH/NIMH NIH HHSUnited States/ ; U01 CE001942/CE/NCIPC CDC HHSUnited States/
• Volume:
  46
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2c2b9e984ea3a46926aec1237854f60c48944cd2129201520faed62802f99b18
• Download URL:
  https://stacks.cdc.gov/view/cdc/42104/cdc_42104_DS1.pdf
• File Type:
  [PDF - 503.15 KB ]