Julie Lutz1, R Scott Mackin2, Marcela C Otero3, Ruth Morin4, David Bickford5, Duygu Tosun6, Derek D Satre7, Christine E Gould8, J Craig Nelson5, Sherry A Beaudreau3. 1. Department of Psychiatry, Center for the Study and Prevention of Suicide, University of Rochester Medical Center (JL), Rochester, NY; Sierra Pacific Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System (JL, MCO, SAB), Palo Alto, CA. Electronic address: Julie_lutz@urmc.rochester.edu. 2. Department of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA; San Francisco Veteran's Administration Medical Center (RSM, RM), San Francisco, CA. 3. Sierra Pacific Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System (JL, MCO, SAB), Palo Alto, CA; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine (MCO, CEG, SAB), Stanford, CA. 4. San Francisco Veteran's Administration Medical Center (RSM, RM), San Francisco, CA. 5. Department of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA. 6. Department of Radiology and Biomedical Imaging, University of California San Francisco (DT), San Francisco, CA. 7. Department of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA; Division of Research, Kaiser Permanente Northern California (DDS), Oakland, CA. 8. Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine (MCO, CEG, SAB), Stanford, CA; Geriatric Research, Education, and Clinical Center, VA Palo Alto Health Care System (CEG), Palo Alto, CA.
Abstract
OBJECTIVE: To evaluate the association between changes in functional disability and suicide ideation among older adults following psychotherapy for depression. METHODS: Sixty-five participants (65-91 years old, 72% White, and 66% female) with depression completed 12 sessions of problem solving therapy (PST) and completed measures of disability (WHO Disability Assessment Schedule 2.0) and suicide ideation (Geriatric Suicide Ideation Scale [GSIS]) at baseline and post-treatment. RESULTS: Hierarchical linear regressions found that reductions in functional disability were associated with overall reductions in suicide ideation on the GSIS (F[4,60] = 4.06, p < 0.01), particularly with the Loss of Worth GSIS subscale (F[4,60] = 7.86, p < 0.001, ΔR2 = 0.140). CONCLUSIONS: Results suggest decreased functional disability following depression treatment is associated with decreased suicide ideation, especially thoughts regarding loss of worth. These results highlight the potential for treatments that reduce functional disability (e.g., PST) to reduce risk of suicide among older adults.
OBJECTIVE: To evaluate the association between changes in functional disability and suicide ideation among older adults following psychotherapy for depression. METHODS: Sixty-five participants (65-91 years old, 72% White, and 66% female) with depression completed 12 sessions of problem solving therapy (PST) and completed measures of disability (WHO Disability Assessment Schedule 2.0) and suicide ideation (Geriatric Suicide Ideation Scale [GSIS]) at baseline and post-treatment. RESULTS: Hierarchical linear regressions found that reductions in functional disability were associated with overall reductions in suicide ideation on the GSIS (F[4,60] = 4.06, p < 0.01), particularly with the Loss of Worth GSIS subscale (F[4,60] = 7.86, p < 0.001, ΔR2 = 0.140). CONCLUSIONS: Results suggest decreased functional disability following depression treatment is associated with decreased suicide ideation, especially thoughts regarding loss of worth. These results highlight the potential for treatments that reduce functional disability (e.g., PST) to reduce risk of suicide among older adults.
Authors: Kimberly A Van Orden; Tracy K Witte; Kelly C Cukrowicz; Scott R Braithwaite; Edward A Selby; Thomas E Joiner Journal: Psychol Rev Date: 2010-04 Impact factor: 8.934
Authors: David Bickford; Ruth T Morin; Cara Woodworth; Elizabeth Verduzco; Maryam Khan; Emily Burns; J Craig Nelson; R Scott Mackin Journal: Aging Ment Health Date: 2019-12-06 Impact factor: 3.658