HOME >> MEDICINE >> NEWS
'Care managers' help depressed elderly reduce suicidal thoughts

An intervention that includes staffing doctors' offices with depression care managers helps depressed elderly patients reduce suicidal thoughts, a study funded by NIH's National Institute of Mental Health (NIMH) has found. Martha Bruce, Ph.D., Cornell University, Charles Reynolds, III, M.D., University of Pittsburgh, and colleagues report on the outcome of the intervention in three major Eastern U.S. metropolitan areas in the March 3, 2004 Journal of the American Medical Association.

Older Americans comprise 13 percent of the population but account for 18 percent of all suicides. The major risk factor for suicide in late life is major depression.

"Since most older Americans who kill themselves have seen their doctor within a month of the event, effectively treating depression in primary care is a preventive intervention that can save lives," noted NIMH Director Thomas Insel, M.D.

Reynolds and colleagues set out to demonstrate that by educating physicians and improving treatment up to guideline standards, a social worker, nurse or masters-level psychologist assigned to assist in depression management can significantly improve clinical outcomes. The "depression care managers" were assigned to 10 randomly selected primary care practices in greater Philadelphia, Pittsburgh and New York City. Each practice was paired with a similar practice, which served as a control by providing its "usual care" in the study, called PROSPECT (Prevention of Suicide in Primary care Elderly: Collaborative Trial).

In initial screenings over two years, about 12 percent of the primary care patients tested positive for depression. From these, 598, mostly females and two-thirds with major depression, were recruited into the study.

The care managers applied structured treatment guidelines: First, they offered patients the serotonin selective reuptake inhibitor (SSRI) or another antidepressant if clinically warranted. If a patient didn't want medica
'"/>

Contact: Jules Asher
NIMHpress@nih.gov
301-443-4536
NIH/National Institute of Mental Health
2-Mar-2004


Page: 1 2

Related medicine news :

1. Study shows Joslins Care Ambassador program helps kids with diabetes better manage the disease
2. Overweight, boozy and depressed: Why we need healthy new years resolutions
3. Exercise helps heart attack patients who are depressed, without social support
4. Ads with supersized actors leave men depressed, unhappy with their muscles, UCF study shows
5. Severity of depressed mood affects stroke risk
6. Primary-care based program reduces thoughts of suicide among older depressed patients
7. Bupropion triples quit rates among women and formerly depressed smokers, study shows
8. An SSRI antidepressant is safe and effective for depressed, hospitalized heart patients
9. Stanford study shows now-familiar medications at core of better outlook for depressed patients
10. Husbands of fibromylagia sufferers in slightly poorer health, more depressed than other men
11. Infants of depressed mothers show atypical brain activity

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/31/2020)... ... August 31, 2020 , ... ... both directly with persons with autism and other developmental disabilities, as well as ... intervention, parent education, adolescents with autism, school consultation, and staff development. She joined ...
(Date:8/28/2020)... ... 2020 , ... Ernst & Young LLP (EY US) today ... The Year® 2020 Florida Award finalist. Now in its 34th year, the Entrepreneur ... and prosperity as they build and sustain successful businesses that transform our world. ...
(Date:8/28/2020)... DOWNERS GROVE, Ill. (PRWEB) , ... August 28, ... ... to COVID-19, The Nourished Group set out to continue helping the ... , attendees can discover new gluten-free products, get coupons, enter giveaways, chat with ...
(Date:8/28/2020)... LOS ANGELES (PRWEB) , ... August 28, 2020 ... ... reports on international observations that strongly suggest that obese individuals are at an ... obese people are any more likely to catch COVID-19; however, because the same ...
(Date:8/27/2020)... , ... August 27, 2020 , ... ... partner with Evolution Labs to provide their students with Suite360:Mental Health and Prevention, ... Mental Health, Substance Abuse and Child Trafficking Prevention. , Florida schools and districts ...
Breaking Medicine News(10 mins):
(Date:8/31/2020)... SEATTLE (PRWEB) , ... August 31, 2020 , ... ... technology research and advisory guide, has named Cloudticity a Gold winner in the ... are industry and peer recogniti o ns from Network Products Guide ...
(Date:8/27/2020)... ... August 27, 2020 , ... InfoMC, ... the successful completion of their 2020 System and Organizational Controls (SOC) 1® Type ... assessment and MARS-E compliance assessment. These achievements reflect their long-standing commitment to privacy, ...
(Date:8/27/2020)... ... 27, 2020 , ... Trella Health, the leading source of ... cloud CRM, marketing automation, and contact center solutions for senior living communities and ... Trella’s performance intelligence data and insights into Enquire’s CRM solution to serve as ...
Breaking Medicine Technology:
Cached News: