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Clinical Trial
. 2015 Jan;23(1):87-98.
doi: 10.1016/j.jagp.2014.03.010. Epub 2014 Mar 29.

Adapting interpersonal psychotherapy for older adults at risk for suicide

Marnin J Heisel  1 , Nancy L Talbot  2 , Deborah A King  3 , Xin M Tu  2 , Paul R Duberstein  2
Affiliations
Clinical Trial

Adapting interpersonal psychotherapy for older adults at risk for suicide

Marnin J Heisel et al. Am J Geriatr Psychiatry. 2015 Jan.

Abstract

Objective: To pilot a psychological intervention adapted for older adults at risk for suicide.

Design: A focused, uncontrolled, pre-to-post-treatment psychotherapy trial. All eligible participants were offered the study intervention.

Setting: Outpatient mental health care provided in the psychiatry department of an academic medical center in a mid-sized Canadian city.

Participants: Seventeen English-speaking adults 60 years or older, at risk for suicide by virtue of current suicide ideation, death ideation, and/or recent self-injury.

Intervention: A 16-session course of Interpersonal Psychotherapy (IPT) adapted for older adults at risk for suicide who were receiving medication and/or other standard psychiatric treatment for underlying mood disorders.

Measurements: Participants completed a demographics form, screens for cognitive impairment and alcohol misuse, a semi-structured diagnostic interview, and measures of primary (suicide ideation and death ideation) and secondary study outcomes (depressive symptom severity, social adjustment and support, psychological well-being), and psychotherapy process measures.

Results: Participants experienced significant reductions in suicide ideation, death ideation, and depressive symptom severity, and significant improvement in perceived meaning in life, social adjustment, perceived social support, and other psychological well-being variables.

Conclusions: Study participants experienced enhanced psychological well-being and reduced symptoms of depression and suicide ideation over the course of IPT adapted for older adults at risk for suicide. Larger, controlled trials are needed to further evaluate the impact of this novel intervention and to test methods for translating and integrating focused interventions into standard clinical care with at-risk older adults.

Keywords: IPT; Interpersonal Psychotherapy; meaning in life; psychological well-being; psychotherapy; suicide; suicide ideation; treatment.

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References

    1. Conwell Y, Heisel MJ. The elderly. In: Simon RI, Hales RE, editors. The American Psychiatric Publishing Textbook of Suicide Assessment and Management. Second Edition. Author; Arlington, VA: 2012. pp. 367–388.
    1. National Center for Injury Prevention and Control WISQARS Fatal Injury Reports, National and Regional. 1999-2010 Available at: http://webappa.cdc.gov/sasweb/ncipc/mortrate10_us.html.
    1. Canadian Coalition for Senior's Mental Health . National Guidelines for Seniors’ Mental Health: The Assessment of Suicide Risk and Prevention of Suicide. CCSMH; Toronto: 2006.
    1. Heisel MJ, Duberstein PR. Suicide Prevention in Older Adults. Clin Psychol-Sci Pr. 2005;12:242–259.
    1. Areán PA, Alvidres J, Barrera A, Robinson GS, Hicks S. Would older medical patients use psychological services? The Gerontologist. 2002;42:392–398. - PubMed

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