Adapting Interpersonal Psychotherapy for Older Adults at Risk for Suicide
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Objective To pilot a psychological intervention adapted for older adults at risk for suicide.Design A focused, uncontrolled, pre-to-post-treatment psychotherapy trial. All eligible participants were offered the study intervention.Setting Outpatient mental health care provided in the psychiatry department of an academic medical center in a mid-sized Canadian city.Participants 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.Intervention 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.Measurements 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.
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Findings from a pilot study of a 16-session course of interpersonal psychotherapy adapted for older adults found reduced suicidal ideation post-treatment.
“In addition, findings from a pilot study of a 16-session course of interpersonal psychotherapy adapted for older adults found reduced suicidal ideation post-treatment 278 .”
From Suicide and suicide risk (2019) · cites this paper as [278]
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Chapter 1. Therapeutic Modalities and Their Use in Older Adults
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- Authors
- Heisel, M. J., Talbot, N. L., King, D. A., Tu, X. M., & Duberstein, P. R.
- Affiliations
- Western University (CA)
- University of Rochester Medicine (US)
- Veterans Health Administration (US)
- Corresponding author
- Heisel, Marnin J.
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 23
- Issue
- 1
- Pages
- 87-98
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC4211998
- OpenAlex
- W1977224890
- Cited by
- 96
- References
- 74
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 6 · 2023: 3 · 2022: 16 · 2021: 12 · 2020: 6 · 2019: 10 · 2018: 7 · 2017: 9 · 2016: 7 · 2015: 8 · 2014: 2
- FWCI
- 10.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Foundation for Suicide Prevention
- Young Investigator award
- Canadian Institutes for Health Research
- United States Public Health Service (K24MH072712)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- interpersonal psychotherapy, older adults, suicide risk, suicidal ideation, death ideation, self-harm, depression, mood disorders, psychotherapy adaptation, psychological well-being, social support, meaning in life, social adaptation
- MeSH terms
- Suicide Prevention, Aged, Aged, 80 and over, Depression, Humans, Interpersonal Relations, Male, Middle Aged, Personal Satisfaction, Pilot Projects, Psychotherapy, Risk Factors, Social Adjustment, Social Support, Suicide, Treatment Outcome, Suicidal Ideation
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