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Improvements in Functional Disability After Psychotherapy for Depression Are Associated With Reduced Suicide Ideation
Julie Lutz1, R Scott Mackin2, Marcela C Otero3
1Department 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.
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.
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