HOME >> MEDICINE >> NEWS
Primary-care based program reduces thoughts of suicide among older depressed patients

An intervention that includes interaction with a depression care manager reduces levels of depression and thoughts of suicide among older patients with depression, according to a study in the March 3 issue of The Journal of the American Medical Association (JAMA).

Older Americans comprise about 13 percent of the U.S. population, yet account for 18 percent of all suicide deaths, according to background information in the article. Depression is the strongest risk factor for late-life suicide and for suicide's precursor, suicidal ideation (thoughts of suicide). The majority of older adults who die by suicide have seen a primary care physician in preceding months. Recent national reports emphasize the public health need for intervention trials to reduce the risk for suicide in late life.

Martha L. Bruce, Ph.D., M.P.H., of Weill Medical College of Cornell University, White Plains, N.Y., and colleagues conducted a study to test the impact of a primary care-based intervention on reducing depression and major risk factors for suicide in older patients. The randomized trial, known as PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial), was conducted at 20 primary care practices in New York City, Philadelphia, and Pittsburgh regions, May 1999 through August 2001. The trial included a two-stage, age-stratified (60-74; 75 years and older) depression screening of randomly sampled patients; enrollment included patients who screened positive and a random sample of screened negative patients. This analysis included patients with a depression diagnosis (N=598).

The intervention focused on two major components of care. First was physician knowledge, addressed by a clinical algorithm for treating geriatric depression in a primary care setting. The second was treatment management, put into practice by depression care managers. The intervention was compared with usual care after the physicians were educated about treatment guidelin
'"/>

Contact: Craig Dunhoff
412-624-2607
JAMA and Archives Journals
2-Mar-2004


Page: 1 2

Related medicine news :

1. Community-based care beats standard clinic in lowering heart
2. School-based smoking prevention programs ineffective
3. Mayo Clinic develops first genomic-based test to predict stroke from ruptured brain aneurysm
4. NYUS Duster cautions against FDA approval of race-based pharmaceutical
5. Influenza vaccination programmes for children in USA and Canada based on little evidence
6. Web-based tool to help clinicians make schizophrenia treatment decisions
7. Home-based treatment as effective as hospital-based treatment for hand eczema
8. UGA researchers receive NIH contract to create a stem cell-based drug assay for SMA
9. Broad-based vaccination of wild mice could help reduce lyme disease risk in humans
10. Novel p53 gene-based therapy boosts immune system and reduces tumor size
11. No link found between pneumonitis in breast cancer patients and taxane-based chemotherapies

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


(Date:2/19/2019)... ... February 19, 2019 , ... The American ... (CMAC). Originally developed and launched by the Center for Case Management in 2000, ... management administrators, managers, supervisors and leaders. , “I created the CMAC credential ...
(Date:2/19/2019)... Mass. (PRWEB) , ... February 19, 2019 , ... ... the impact of weight stigma in pregnant and postpartum women, a team led ... during pregnancy and early postpartum often show increased depressive symptoms, greater weight gain ...
(Date:2/19/2019)... ... February 19, 2019 , ... ... delivery technologies and development solutions for drugs, biologics and consumer health products, ... at the annual US Bioassay Conference of the BioPharmaceutical Emerging Best Practices ...
(Date:2/19/2019)... ... February 19, 2019 , ... Tap water ... based in The Villages FL proudly serving over 3,500 satisfied customers. I’m looking ... the greater Jacksonville area selling and installing our popular Water Filtration Systems," says ...
(Date:2/19/2019)... , ... February 19, 2019 , ... ... Clover Creek Cultivation LLC , a newly-licensed cannabis cultivation and manufacturing company ... and ethanol extraction, distillation, and ISO-7 product formulation, while Clover Creek is poised ...
Breaking Medicine News(10 mins):
(Date:2/22/2019)... ... February 22, 2019 , ... On Thursday, Feb. 14, Dutch Bros Coffee and its customers celebrated ... million meals for local food banks in seven states. , “To provide quality food for ... Bros. “Being a part of this special day is an honor.” , Dutch Bros donated ...
(Date:2/19/2019)... S.C. (PRWEB) , ... February 20, 2019 , ... ... Missing College Courses: Important Information That Is Nearly Never Covered in a University or ... each of his book’s 36 chapters is not covered in undergraduate courses of a ...
(Date:2/19/2019)... ... February 19, 2019 , ... ... Job Syndrome by providing the scientific community with additional opportunities to further research ... as Chief Scientific Officer of the Foundation’s Scientific Advisory Board and the addition ...
Breaking Medicine Technology:
Cached News: