Ignite Creation Date:
2024-05-05 @ 11:21 AM
Last Modification Date:
2024-10-26 @ 9:01 AM
Study NCT ID:
NCT00000367
Status:
COMPLETED
Last Update Posted:
2013-10-29
First Post:
1999-11-02
Brief Title:
Prevention of Suicide in the Elderly
Sponsor:
Weill Medical College of Cornell University
Organization:
Weill Medical College of Cornell University
Study Overview
Official Title:
None
Status:
COMPLETED
Status Verified Date:
2013-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to design a program to prevent suicide in elderly patients by educating patients their families and physicians on depression and suicidal thoughts
A program to prevent suicide in elderly patients needs to be developed Since elderly patients frequently have doctors visits it may be best to have a suicide prevention program based in the patients doctors office
When an older person visits a primary care physician heshe will check for signs of depression including thoughts of suicide The doctor will speak to the patient about depression and how to recognize it If the individual is diagnosed with depression the doctor will offer treatment During this study the information the doctor collects will be used to evaluate the effectiveness of the program The study will last for 2 years
Eligibility for this study is age of at least 60 years and diagnosis of depression Depression required for 920 of the 1200 patients 280 patients should have no symptoms of depression
A program to prevent suicide in elderly patients needs to be developed Since elderly patients frequently have doctors visits it may be best to have a suicide prevention program based in the patients doctors office
When an older person visits a primary care physician heshe will check for signs of depression including thoughts of suicide The doctor will speak to the patient about depression and how to recognize it If the individual is diagnosed with depression the doctor will offer treatment During this study the information the doctor collects will be used to evaluate the effectiveness of the program The study will last for 2 years
Eligibility for this study is age of at least 60 years and diagnosis of depression Depression required for 920 of the 1200 patients 280 patients should have no symptoms of depression
Detailed Description:
To investigate the effectiveness of an intervention aimed at improving the recognition of suicidal ideation and depression in elderly patients and facilitating the implementation of a treatment algorithm based on the AHCPR Agency for Health Care Policy and Research guidelines To implement procedures aimed at educating patients families and physicians on depression and suicidal ideation
There is a need to test models of depression recognition and treatment to prevent and reduce suicidal behavior in older patients in primary care settings Elderly suicide most frequently occurs in the context of mild to moderate depression In primary care patients suicidal ideation is a risk factor for suicide and has been identified almost exclusively in patients with depressive symptoms and signs Since most suicide victims are seen by their primary care physicians within a few weeks prior to their death intervening at the doctors office may be life-saving
The intervention is offered in 6 primary care practices from 3 geographic areas metropolitan and suburban New York Philadelphia and Pittsburgh and its impact is contrasted to that of 6 comparable practices offering usual care Patients are selected through an age-stratified two-stage sampling design and followed for 2 years The group consists of 1200 subjects and is comprised of patients with depressive symptoms and signs and a random sample of patients without significant depressive symptomatology Depression Specialists DS collaborate with physicians and help them increase recognition offer timely and appropriately-targeted treatment recommendations and encourage patients to adhere to treatment Beyond direct systematic clinical assessment of patients information is obtained on health services utilization from practice-based medical records and on cause of death from death certificates Data are also collected to document the impact of intervention on patient care and on physician knowledge attitudes and satisfaction and test hypotheses derived from preliminary studies of the three Intervention Research Centers IRCs Cornell University of Pennsylvania and University of Pittsburgh where the study will be conducted
There is a need to test models of depression recognition and treatment to prevent and reduce suicidal behavior in older patients in primary care settings Elderly suicide most frequently occurs in the context of mild to moderate depression In primary care patients suicidal ideation is a risk factor for suicide and has been identified almost exclusively in patients with depressive symptoms and signs Since most suicide victims are seen by their primary care physicians within a few weeks prior to their death intervening at the doctors office may be life-saving
The intervention is offered in 6 primary care practices from 3 geographic areas metropolitan and suburban New York Philadelphia and Pittsburgh and its impact is contrasted to that of 6 comparable practices offering usual care Patients are selected through an age-stratified two-stage sampling design and followed for 2 years The group consists of 1200 subjects and is comprised of patients with depressive symptoms and signs and a random sample of patients without significant depressive symptomatology Depression Specialists DS collaborate with physicians and help them increase recognition offer timely and appropriately-targeted treatment recommendations and encourage patients to adhere to treatment Beyond direct systematic clinical assessment of patients information is obtained on health services utilization from practice-based medical records and on cause of death from death certificates Data are also collected to document the impact of intervention on patient care and on physician knowledge attitudes and satisfaction and test hypotheses derived from preliminary studies of the three Intervention Research Centers IRCs Cornell University of Pennsylvania and University of Pittsburgh where the study will be conducted
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01MH059366 | NIH | None | None |
| DSIR AT-P | US NIH GrantContract | None | httpsreporternihgovquickSearchR01MH059366 |