Adapting interpersonal psychotherapy for older adults at risk for suicide.
OBJECTIVE
To pilot a psychological intervention adapted for older adults at risk for suicide.


METHODS
A focused, uncontrolled, pre-to-post-treatment psychotherapy trial. All eligible participants were offered the study intervention.


METHODS
Outpatient mental health care provided in the psychiatry department of an academic medical center in a mid-sized Canadian city.


METHODS
Seventeen English-speaking adults 60 years or older, at risk for suicide by virtue of current suicide ideation, death ideation, and/or recent self-injury.


METHODS
A 16-session course of Interpersonal Psychotherapy (IPT) adapted for older adults at risk for suicide who were receiving medication and/or other standard psychiatric treatment for underlying mood disorders.


METHODS
Participants completed a demographics form, screens for cognitive impairment and alcohol misuse, a semi-structured diagnostic interview, and measures of primary (suicide ideation and death ideation) and secondary study outcomes (depressive symptom severity, social adjustment and support, psychological well-being), and psychotherapy process measures.


RESULTS
Participants experienced significant reductions in suicide ideation, death ideation, and depressive symptom severity, and significant improvement in perceived meaning in life, social adjustment, perceived social support, and other psychological well-being variables.


CONCLUSIONS
Study participants experienced enhanced psychological well-being and reduced symptoms of depression and suicide ideation over the course of IPT adapted for older adults at risk for suicide. Larger, controlled trials are needed to further evaluate the impact of this novel intervention and to test methods for translating and integrating focused interventions into standard clinical care with at-risk older adults.
Departments of Psychiatry and of Epidemiology & Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada; Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY. Electronic address: Marnin.Heisel@lhsc.on.ca.
Marnin J
MJ
Heisel
Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Nancy L
NL
Talbot
Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY; Veterans Health Administration VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, NY.
Deborah A
DA
King
Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Xin M
XM
Tu
Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Paul R
PR
Duberstein
D000368:Aged; D000369:Aged, 80 and over; D003863:Depression / Q000523:psychology / Q000628:therapy; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D010865:Pilot Projects; D011613:Psychotherapy / Q000379:methods*; D012307:Risk Factors; D012917:Social Adjustment; D012944:Social Support; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D016896:Treatment Outcome; D000092864:Suicide Prevention
IPT; Interpersonal Psychotherapy; meaning in life; psychological well-being; psychotherapy; suicide; suicide ideation; treatment