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Centre for Policy on Ageing | |
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Reducing suicidal ideation in home health care
— results from the CAREPATH depression care management trial | | Author(s) | Matthew C Lohman, Patrick J Raue, Rebecca L Greenberg, Martha L Bruce |
| Journal title | International Journal of Geriatric Psychiatry, vol 31, no 7, July 2016 |
| Publisher | Wiley Blackwell, July 2016 |
| Pages | pp 708-715 |
| Source | www.orangejournal.org |
| Keywords | Depression ; Living in the community ; Suicide ; Reduction ; Preventative medicine ; Home care services ; Evaluation. |
| Annotation | The study evaluated the effectiveness of a depression care management intervention in reducing suicidal ideation (SI) among home health patients. Data come from the cluster-randomised effectiveness trial of the Depression Care for Patients at Home (Depression CAREPATH), an intervention that integrates depression care management into the routine nursing visits of Medicare home health patients screening positive for depression. Patients were interviewed at baseline, three, six and 12-month follow-up. SI was measured using the Hamilton Rating Scale for Depression item. The study compared likelihood of any level of SI between intervention and usual care patients using longitudinal logistic mixed-effects models. A total of 306 eligible patients enrolled in the trial. Among them, 70 patients (22.9%) reported SI at baseline. Among patients with SI, patients under the care of nurses randomised to CAREPATH were less likely to report SI over the study period, with 63.6% of usual care versus 31.3% of CAREPATH participants continuing to report SI after one year. Baseline major depression, greater perceived burdensomeness and greater functional disability were associated with greater likelihood of SI. Overall SI was reported in more than 10% of Medicare home health patients. The Depression CAREPATH intervention was associated with a reduction in patients reporting SI at one year, compared to enhanced usual care. Given relative low burden on nursing staff, depression care management may be an important component of routine home health practices producing long-term reduction in SI among high-risk patients. (JL). |
| Accession Number | CPA-160624201 A |
| Classmark | ENR: K4: EV: 5YD: LK2: NH: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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