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- W2767149734 abstract "Adult suicide rates in the US have increased gradually from 2006–2014. Among different age groups, older adults have been a vulnerable group to suicide and the highest risk group is white males 85 years of age or older. Major depression, cognitive impairment and suicidal ideation are risk factors for suicide in older adults. We will present the prevalence, course and correlates of suicidal ideation during two home-delivered psychosocial treatments [Problem Adaptation Therapy (PATH) vs. Supportive Therapy for Cognitively Impaired Older Adults (ST-CI)] in older adults with major depression, cognitive impairment, ranging from mild cognitive deficits to moderate dementia, and disability. PATH utilizes a problem solving approach, environmental adaptations and compensatory strategies to bypass the patients’ cognitive, behavioral and functional limitations, and selectively engages caregiver to participate in treatment. ST-CI focuses on non-specific therapeutic factors such as providing a supportive environment, fostering empathy, and emphasizing positive experiences. We will also present a brief case study. At study entry, 43% of subjects had suicidal ideation, with most reporting life-weariness or fleeting thought of suicide. PATH and ST-CI had comparable reduction in suicidal ideation over the course of 12 weeks. In a subgroup analysis of pharmacotherapy resistant patients (n=35), PATH participants had significantly greater reduction in suicidal ideation than ST-CI participants. Baseline correlates of suicidal ideation include social support and executive dysfunction. Finally, improved emotion regulation was a mechanism of action through which these two home-delivered psychosocial interventions reduced suicidal ideation. Suicidal ideation is highly prevalent in older adults with major depression and cognitive impairment. Even though both psychosocial interventions reduced suicidal ideation over the course of 12 weeks, PATH was more efficacious than ST-CI in reducing suicidal ideation in pharmacotherapy resistant patients." @default.
- W2767149734 created "2017-11-10" @default.
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- W2767149734 date "2017-07-01" @default.
- W2767149734 modified "2023-09-27" @default.
- W2767149734 title "[P4-369]: SUICIDAL IDEATION IN OLDER ADULTS WITH DEPRESSION AND COGNITIVE IMPAIRMENT" @default.
- W2767149734 doi "https://doi.org/10.1016/j.jalz.2017.06.2240" @default.
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