title: Effect of Problem-Solving Therapy on Depressed Low-Income Homebound Older Adults' Death/Suicidal Ideation and Hopelessness.
abstract: Previous study findings of psychotherapy's effect on suicide prevention have been inconsistent. This study reports the results of secondary analyses of outcome data from a short-term depression treatment on reducing death/suicidal ideation among 158 low-income homebound adults aged 50+. The treatment, in-person or telehealth problem-solving therapy (PST), compared with telephone support call, has been found effective in reducing depressive symptoms and disability among participants. Compared with support call participants, tele-PST participants, but not in-person PST participants, exhibited lower ideation ratings across the follow-up period. Effect sizes at 36 weeks were 0.31 for tele-PST and 0.17 for in-person PST. Hopelessness mediated the effect of tele-PST but not in-person PST; however, in-person PST also alleviated hopelessness, which led to lower ideation. Clinical implications of the findings are discussed.
authors.affiliation: School of Social Work, The University of Texas at Austin, Austin, TX, USA.
authors.forename: Namkee G
authors.initials: NG
authors.lastname: Choi
authors.affiliation: School of Social Work, The University of Texas at Austin, Austin, TX, USA.
authors.forename: C Nathan
authors.initials: CN
authors.lastname: Marti
authors.affiliation: Department of Psychiatry, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Yeates
authors.initials: Y
authors.lastname: Conwell
mesh_terms: D000328:Adult; D000368:Aged; D003863:Depression; D005260:Female; D018577:Homebound Persons / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011203:Poverty; D011340:Problem Solving; D011613:Psychotherapy / Q000379:methods*; D059020:Suicidal Ideation; D016896:Treatment Outcome; D000092864:Suicide Prevention