title: Using the Interpersonal Theory of Suicide to Inform Interpersonal Psychotherapy with a Suicidal Older Adult.
abstract: Older adults in the U.S. and many countries around the world die by suicide at elevated rates compared to younger adults. However, relatively little is known about psychotherapeutic approaches to managing and treating suicide risk among older adults. The patient in this case presented with elevated suicide risk and was treated with Interpersonal Psychotherapy (IPT) informed by the Interpersonal Theory of Suicide. This theoretical model proposes that thwarted belongingness and perceived burdensomeness are causes of suicide ideation. IPT guides therapists to look for one of four interpersonal stressors that may be present in a client's life - grief, role transitions, interpersonal disputes, and interpersonal sensitivity (i.e., skills deficits). The Interpersonal Theory provides a rationale for choosing one problem focus over another. Specifically, the problem area that allows the therapist and patient to target and ameliorate thwarted belongingness and/or perceived burdensomeness is selected. The positive outcome of reduced suicide risk in this case illustrates how targeting the constructs of thwarted belongingness and perceived burdensomeness with Interpersonal Psychotherapy may help older adults resolve suicide ideation and prevent recurrences of suicidal crises.
authors.affiliation: University of Rochester School of Medicine and Dentistry (URSMD), Department of Psychiatry.
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Van Orden
authors.affiliation: University of Rochester School of Medicine and Dentistry (URSMD), Department of Psychiatry.
authors.forename: Nancy
authors.initials: N
authors.lastname: Talbot
authors.affiliation: University of Rochester School of Medicine and Dentistry (URSMD), Department of Psychiatry.
authors.forename: Deborah
authors.initials: D
authors.lastname: King
keywords: Interpersonal Psychotherapy; Interpersonal Theory of Suicide; older adults; suicidal ideation; suicide