Department of Psychiatry, Center for the Study and Prevention of Suicide, University of Rochester Medical Center (JL), Rochester, NY; Sierra Pacific Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System (JL, MCO, SAB), Palo Alto, CA.
Department of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA; San Francisco Veteran's Administration Medical Center (RSM, RM), San Francisco, CA.
Am J Geriatr Psychiatry. 2021 Jun;29(6):557-561. doi: 10.1016/j.jagp.2020.09.021. Epub 2020 Oct 7.
To evaluate the association between changes in functional disability and suicide ideation among older adults following psychotherapy for depression.
Sixty-five participants (65-91 years old, 72% White, and 66% female) with depression completed 12 sessions of problem solving therapy (PST) and completed measures of disability (WHO Disability Assessment Schedule 2.0) and suicide ideation (Geriatric Suicide Ideation Scale [GSIS]) at baseline and post-treatment.
Hierarchical linear regressions found that reductions in functional disability were associated with overall reductions in suicide ideation on the GSIS (F[4,60] = 4.06, p < 0.01), particularly with the Loss of Worth GSIS subscale (F[4,60] = 7.86, p < 0.001, ΔR = 0.140).
Results suggest decreased functional disability following depression treatment is associated with decreased suicide ideation, especially thoughts regarding loss of worth. These results highlight the potential for treatments that reduce functional disability (e.g., PST) to reduce risk of suicide among older adults.
评估老年抑郁症患者接受心理治疗后，功能障碍的变化与自杀意念之间的关系。
65 名参与者（年龄 65-91 岁，72%为白人，66%为女性）患有抑郁症，他们完成了 12 节问题解决疗法（PST），并在基线和治疗后完成了残疾（世界卫生组织残疾评估表 2.0）和自杀意念（老年自杀意念量表 [GSIS]）的测量。
分层线性回归发现，功能障碍的减少与 GSIS 上自杀意念的总体减少相关（F[4,60] = 4.06，p < 0.01），特别是与丧失价值感的 GSIS 子量表相关（F[4,60] = 7.86，p < 0.001，ΔR = 0.140）。
研究结果表明，抑郁症治疗后功能障碍的减少与自杀意念的减少有关，尤其是与丧失价值感有关的想法。这些结果强调了减少功能障碍的治疗方法（例如 PST）有可能降低老年人的自杀风险。
