Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2016
Problem-Solving Therapy Reduces Suicidal Ideation In Depressed Older Adults with Executive Dysfunction.
Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00052091 (PST in Geriatric Depression With Executive Dysfunction), which is not on this map. Cited by 31 papers.
What it found
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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.
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.
PST in Geriatric Depression With Executive Dysfunction
Who cites it
31 citing papers in PubMed, 101 citations in OpenAlex.
- Beyond maintaining safety: Examining the benefit of emotion-centered problem solving therapy added to safety planning for reducing late life suicide risk.Contemporary clinical trials · 2023Trial
- Association of depressive disorders and dementia with mortality among older people with hip fracture.BMC geriatrics · 2023Trial
- Ethical and methodological challenges slowing progress in primary care-based suicide prevention: Illustrations from a randomized controlled trial and guidance for future research.Journal of psychiatric research · 2022Trial
- Modifiable predictors of suicidal ideation during psychotherapy for late-life major depression. A machine learning approach.Translational psychiatry · 2021Trial
- Improving late life depression and cognitive control through the use of therapeutic video game technology: A proof-of-concept randomized trial.Depression and anxiety · 2017Trial
- Predicting Next-Day Passive Suicidal Ideation in At-Risk Youth.Suicide & life-threatening behavior · 2026Article
- Problem-solving therapy for suicide prevention outcomes in the VA's suicide prevention 2.0 clinical telehealth program.Journal of behavioral medicine · 2026Article
- Understanding suicide risk in mild cognitive impairment: a systematic review of suicide epidemiology in older adults.Annals of general psychiatry · 2026Review
- Suicide prevention in primary health care among socially vulnerable populations: a narrative review.Frontiers in public health · 2026Review
- Attempted suicide short intervention program for older adults 65+ (ASSIP-OA): a study protocol for a multicentre randomised controlled trial.BMC psychiatry · 2025Article
- Adherence and efficacy outcomes in young Australians with suicidal ideation using a self-management app and digital engagement strategy compared with a sham app: a three-arm randomised controlled trial.EClinicalMedicine · 2025Article
- Advances in the assessment and study of suicide in late-life depression.Frontiers in psychiatry · 2025Review
- Brief psychological intervention for suicide prevention based on problem-solving applied in different formats to people over 50 years old: protocol for a randomized controlled trial.BMC psychiatry · 2024Article
- Impairment in recognition memory may be associated with near-term risk for suicide attempt in a high-risk sample.Journal of affective disorders · 2024Article
- Depressive symptom complexes of community-dwelling older adults: a latent network model.Molecular psychiatry · 2022Article
- Suicide in late life: A viewpoint.Preventive medicine · 2021Article
- Late Life Depression: The Essentials and the Essential Distinctions.Focus (American Psychiatric Publishing) · 2021Article
- Problem-Solving Therapy Effects on Suicidal Ideation: The Role of Reduction in Functional Disability.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- An integrative collaborative care model for people with mental illness and physical comorbidities.International journal of mental health systems · 2020Article
- Predictors of serious suicidal behavior in late-life depression.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveTo test the hypothesis that Problem Solving Therapy (PST) is more effective than Supportive Therapy (ST) in reducing suicidal ideation in older adults with major depression and executive dysfunction. We further explored whether patient characteristics, such as age, sex, and additional cognitive impairment load (e.g., memory impairments) were related to changes in suicidal ideation over time.
designSecondary data analysis using data from a randomized clinical trial allocating participants to PST or ST at 1:1 ratio. Raters were blind to patients' assignments.
settingUniversity medical centers.
participants221 people aged 65 years old and older with major depression determined by Structured Clinical Interview for DSM-III-R diagnosis and executive dysfunction as defined by a score of 33 or less on the Initiation-Perseveration Score of the Mattis Dementia Rating Scale or a Stroop Interference Task score of 25 or less.
interventions12 weekly sessions of PST or ST.
main outcome measuresThe suicide item of the Hamilton Depression Rating Scale.
resultsOf the 221 participants, 61% reported suicidal ideation (SI). The ST group had a lower rate of improvement in SI after 12 weeks (44.6%) than did the PST group (60.4%, Fisher's exact test p = 0.031). Logistic regression showed significantly greater reductions in SI in elders who received PST at both 12 weeks (OR: .50, Z = -2.16, p = 0.031) and 36 weeks (OR: 0.5, Z = -1.96, p = 0.05) after treatment.
conclusionsPST is a promising intervention for older adults who are at risk for suicide. ClinicalTrials.gov Identifier: NCT00052091.
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What OpenQuestion holds
Registered trials
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.