A clinical audit of changes in suicide ideas with internet treatment for depression.
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ABSTRACT: Objectives
To examine reductions in suicidal ideation among a sample of patients who were prescribed an internet cognitive behavior therapy (iCBT) course for depression.Design
Effectiveness study within a quality assurance framework.Setting
Primary care.Participants
299 patients who were prescribed an iCBT course for depression by primary care clinicians.Intervention
Six lesson, fully automated cognitive behaviour therapy course delivered over the internet.Primary outcome
suicidal ideation as measured by question 9 on the Patient Health Questionnaire (PHQ-9).Results
Suicidal ideation was common (54%) among primary care patients prescribed iCBT treatment for depression but dropped to 30% post-treatment despite minimal clinician contact and the absence of an intervention focused on suicidal ideation. This reduction in suicidal ideation was evident regardless of sex and age.Conclusions
The findings do not support the exclusion of patients with significant suicidal ideation.
SUBMITTER: Watts S
PROVIDER: S-EPMC3467611 | biostudies-literature | 2012
REPOSITORIES: biostudies-literature
Publications
A clinical audit of changes in suicide ideas with internet treatment for depression.
Watts Sarah S Newby Jill M JM Mewton Louise L Andrews Gavin G
BMJ open 20120913 5
<h4>Objectives</h4>To examine reductions in suicidal ideation among a sample of patients who were prescribed an internet cognitive behavior therapy (iCBT) course for depression.<h4>Design</h4>Effectiveness study within a quality assurance framework.<h4>Setting</h4>Primary care.<h4>Participants</h4>299 patients who were prescribed an iCBT course for depression by primary care clinicians.<h4>Intervention</h4>Six lesson, fully automated cognitive behaviour therapy course delivered over the internet ...[more]
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