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Cited by 72Suicide and Self-Harm StudiesPsychotherapy Techniques and ApplicationsPersonality Disorders and Psychopathology

Adapting interpersonal psychotherapy for older adults at risk for suicide: Preliminary findings

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Heisel, Marnin J., Duberstein, Paul R., Talbot, Nancy L., King, Deborah A., Tu, Xin M.·2009·Professional Psychology: Research and Practice
DOI 10.1037/a0014731PMC PMC2889497
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Abstract

We report preliminary findings of the first ever study testing a 16-week course of Interpersonal Psychotherapy (IPT) modified for older outpatients at elevated risk for suicide. Participants were referred from inpatient and outpatient medicine and mental health services. Psychotherapy sessions took place in a therapist's office in a teaching hospital. Twelve adults 60 years or older (M=70.5, SD=6.1) with current thoughts of suicide (suicide ideation) or a wish to die (death ideation) or with recent self-injurious behavior were recruited into weekly sessions of IPT; one was subsequently excluded due to severe cognitive impairment. Participants completed measures of suicide ideation, death ideation, and depressive symptom severity at pre-treatment, mid-treatment, post-treatment, and at 3-month follow-up periods, and measures of therapeutic process variables. Preliminary findings of this uncontrolled pre-post-treatment study support the feasibility of recruiting and retaining older adults at-risk for suicide into psychotherapy research and suggest that adapted IPT is tolerable and safe. Findings indicate a substantial reduction in participant suicide ideation, death ideation, and depressive symptoms; controlled trials are needed to further evaluate these findings. We discuss implications for clinical care with at-risk older adults.

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Research works printed but not linked: 3

  1. First MB Spitzer RL Gibbon M Williams JBW 1997 Structured clinical interview for DSM-IV Axis I disorders-patient edition (SCID-I/P, Version 2.0, 4/97 revision) Biometrics Research Department, New York State Psychiatric Institute New York
  2. Horvath AO Greenberg LS 1989 Development and validation of the Working Alliance Inventory Journal of Counseling Psychology 36 223 233
  3. Pearson JL Stanley B King C Fisher C 2001 Issues to consider in intervention research with persons at high risk for suicidality National Institute of Mental Health Published online at www.nimh.nih.gov/suicideresearch/highrisksuicide.cfm 11765091

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Authors
Heisel, M. J., Duberstein, P. R., Talbot, N. L., King, D. A., & Tu, X. M.
Affiliations
  • Western University (CA)
  • University of Rochester Medicine (US)
ORCID
Venue
Professional Psychology: Research and Practice
Publisher
American Psychological Association (APA)
Published
2009-04
Volume
40
Issue
2
Pages
156-164
ISSN
  • 0735-7028 (ISSN-L)
  • 1939-1323
DOI
10.1037/a0014731
PMC
PMC2889497
OpenAlex
W2017911490
Cited by
72
References
58
Citations by year
2026: 1 · 2023: 1 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 5 · 2012: 8
FWCI
5.32
Type
journal article
Language
en
Open access
Locations
  • Professional Psychology Research and Practice (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (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, psychotherapy adaptation, feasibility, cognitive impairment

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