title: A clinical audit of changes in suicide ideas with internet treatment for depression.
abstract: OBJECTIVE
  To examine reductions in suicidal ideation among a sample of patients who were prescribed an internet cognitive behavior therapy (iCBT) course for depression.
  
  
  METHODS
  Effectiveness study within a quality assurance framework.
  
  
  METHODS
  Primary care.
  
  
  METHODS
  299 patients who were prescribed an iCBT course for depression by primary care clinicians.
  
  
  METHODS
  Six lesson, fully automated cognitive behaviour therapy course delivered over the internet.
  
  
  METHODS
  suicidal ideation as measured by question 9 on the Patient Health Questionnaire (PHQ-9).
  
  
  RESULTS
  Suicidal ideation was common (54%) among primary care patients prescribed iCBT treatment for depression but dropped to 30% post-treatment despite minimal clinician contact and the absence of an intervention focused on suicidal ideation. This reduction in suicidal ideation was evident regardless of sex and age.
  
  
  CONCLUSIONS
  The findings do not support the exclusion of patients with significant suicidal ideation.
authors.affiliation: Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, Darlinghurst,  New South Wales, Australia.
authors.forename: Sarah
authors.initials: S
authors.lastname: Watts
authors.forename: Jill M
authors.initials: JM
authors.lastname: Newby
authors.forename: Louise
authors.initials: L
authors.lastname: Mewton
authors.forename: Gavin
authors.initials: G
authors.lastname: Andrews