Evidence map›Paper›PMID 24840611›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2015

Adapting interpersonal psychotherapy for older adults at risk for suicide.

Marnin J Heisel, Nancy L Talbot, Deborah A King, Xin M Tu, Paul R Duberstein

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Problem-Solving Therapy Reduces Suicidal Ideation In Depressed Older Adults with Executive Dysfunction.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Suicide in late life: A viewpoint.Preventive medicine · 2021
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. The development of the social health scale for the elderly.Health and quality of life outcomes · 2018
    Article
  15. Cognitive Reappraisal Intervention for Suicide Prevention (CRISP) for Middle-Aged and Older Adults Hospitalized for Suicidality.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Marnin J HeiselDepartments of Psychiatry and of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada; Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY. Electronic address: Marnin.Heisel@lhsc.on.ca.
Nancy L TalbotCenter for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Deborah A KingCenter for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY; Veterans Health Administration VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, NY.
Xin M TuCenter for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Paul R DubersteinCenter for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY.
University of Rochester · USWestern University · CA

Funding

LLD Course & Treatment Decisions: Psychosocial InfluencesK24MH072712 · NIMH · UNIVERSITY OF ROCHESTER · PI DUBERSTEIN, PAUL R · 2006 to 2010
$722k
CIHRNIMH NIH HHS K24 MH072712NIMH NIH HHS K24MH072712
6 · The paper itself

Abstract

objectiveTo pilot a psychological intervention adapted for older adults at risk for suicide.

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

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

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

interventionA 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.

resultsParticipants 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.

conclusionsStudy 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.

Indexed as

Interpersonal RelationsSuicidal IdeationAgedAged, 80 and overDepressionHumansMaleMiddle AgedPersonal SatisfactionPilot ProjectsPsychotherapyRisk FactorsSocial AdjustmentSocial SupportSuicideSuicide PreventionInterpersonal PsychotherapyIPTmeaning in lifepsychological well-beingpsychotherapysuicidesuicide ideationtreatment

Identifiers

PMID24840611
PMCPMC4211998
OpenAlexW1977224890

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.