Reducing Suicidal Ideation and Depression in Older Primary Care Patients: 24-Month Outcomes of the PROSPECT Study

摘要: Objective: The Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) evaluated the impact a care management intervention on suicidal ideation and depression older primary patients. This is first report outcomes over 2-year period. Method: Study participants were patients 60 years age or (N=599) with major minor selected after screening 9,072 randomly identified 20 practices assigned to provide either PROSPECT usual care. consisted services 15 trained managers, who offered algorithm-based recommendations physicians helped treatment adherence 24 months. Results: Compared receiving care, those had higher likelihood antidepressants and/or psychotherapy (84.9%–89% versus 49%–62%) 2.2 times greater decline Treatment response occurre...