The Effect of Targeted and Tailored Patient Depression Engagement Interventions on Patient–Physician Discussion of Suicidal Thoughts: A Randomized Control Trial

Shah, Ruby; Franks, Peter; Jerant, Anthony F; Feldman, Mitchell D.; Duberstein, Paul R.; Garcia, Erik Fernandez y; Hinton, Ladson; Strohecker, Lorrie; Kravitz, Richard L.

doi:10.1007/s11606-014-2843-8

Cited by 20 publications

(18 citation statements)

References 34 publications

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“…For example, advances in information technology could be used in connection with automated practice audits (Almeida et al., 2012 ) and for the facilitation of client-provider communication and decision-making (Duberstein & Wittink, 2015 ). A recent intervention study demonstrated increased clinician inquiry about suicide when older adults completed a brief computerized survey in the waiting room (Shah et al., 2014 ). More research is needed on whether eliciting and responding to older adults’ psychological needs in the context of medical care reduces the risk of suicidal behaviour and improves other health outcomes (Duberstein & Wittink, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

Fässberg

Cheung

Canetto

et al. 2015

Aging & Mental Health

Self Cite

299

194

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Objectives: To conduct a systematic review of studies that examined associations between physical illness/functional disability and suicidal behaviour (including ideation, nonfatal and fatal suicidal behaviour) among individuals aged 65 and older. Method: Articles published through November 2014 were identified through electronic searches using the ERIC, Google Scholar, PsycINFO, PubMed, and Scopus databases. Search terms used were suicid* or death wishes or deliberate self-harm. Studies about suicidal behaviour in individuals aged 65 and older with physical illness/functional disabilities were included in the review. Results: Sixty-five articles (across 61 independent samples) met inclusion criteria. Results from 59 quantitative studies conducted in four continents suggest that suicidal behaviour is associated with functional disability and numerous specific conditions including malignant diseases, neurological disorders, pain, COPD, liver disease, male genital disorders, and arthritis/arthrosis. Six qualitative studies from three continents contextualized these findings, providing insights into the subjective experiences of suicidal individuals. Implications for interventions and future research are discussed. Conclusion: Functional disability, as well as a number of specific physical illnesses, was shown to be associated with suicidal behaviour in older adults. We need to learn more about what at-risk, physically ill patients want, and need, to inform prevention efforts for older adults.

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Section: Discussionmentioning

confidence: 99%

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

Fässberg

Cheung

Canetto

et al. 2015

Aging & Mental Health

Self Cite

299

194

View full text Add to dashboard Cite

show abstract

“…This project recognises patient, family and caregiver engagement as a key health system improvement strategy. Research has found evidence of impacts of engagement on healthcare services 20 and patient outcomes, 21 22 as well as benefits of engagement for participants. 23 Nonetheless, there is a recognition of a need for a greater understanding of the theoretical underpinnings of engagement 20 and of the best methods by which engagement can be achieved.…”

Section: Discussionmentioning

confidence: 99%

Choosing Healthcare Options by Involving Canada's Elderly: a protocol for the CHOICE realist synthesis project on engaging older persons in healthcare decision-making

et al. 2015

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IntroductionWhile patient and citizen engagement has been recognised as a crucial element in healthcare reform, limited attention has been paid to how best to engage seniors—the fastest growing segment of the population and the largest users of the healthcare system. To improve the healthcare services for this population, seniors and their families need to be engaged as active partners in healthcare decision-making, research and planning. This synthesis aims to understand the underlying context and mechanisms needed to achieve meaningful engagement of older adults in healthcare decision-making, research and planning.Methods and analysisThe CHOICE Knowledge Synthesis Project: Choosing Healthcare Options by Involving Canada's Elderly aims to address this issue by synthesising current knowledge on patient, family, and caregiver engagement. A realist synthesis will support us to learn from other patient and citizen engagement initiatives, from previous research, and from seniors, families and caregivers themselves. The synthesis will guide development or adaptation of a framework, leading to the development of best practice guidelines and recommendations for engagement of older people and their families and caregivers in clinical decision-making, healthcare delivery, planning and research.Ethics and disseminationThe components of this protocol involving consultation with patients or caregivers have received ethics clearance from the University of Waterloo, Office of Research Ethics (ORE#19094). After completion of the project, we will amalgamate the information collected into a knowledge synthesis report which will include best practice guidelines and recommendations for patient, family and caregiver engagement in clinical and health system planning and research contexts.ResultsWill be further disseminated to citizens, clinicians, researchers and policymakers with the help of our partners.Trial registration numberCRD42015024749.

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“…We recently showed that having patients complete a brief (median use time 5 min) interactive multimedia computer program (IMCP) while waiting to see their doctor led to increased clinician inquiry about suicidal thoughts, without disturbing workflow. 15 Rather than simply informing patients that they are symptomatic, the individually tailored IMCP was designed to activate patients with suggestive symptoms to consider the possibility that they might be depressed, and to motivate them to raise discussion of depression during the linked visit, thereby "opening the door" for the providers to inquire about suicide. One likely advantage of tailored IMCPs over simple "screening" is less vulnerablility to focalism bias, the diversion of patient and clinician attention from relevant contextual issues.…”

Section: Optimistic Humanism Engineeredmentioning

confidence: 99%

Suicide Prevention in Primary Care: Optimistic Humanism Imagined and Engineered

Duberstein

Jerant

2014

J GEN INTERN MED

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The Effect of Targeted and Tailored Patient Depression Engagement Interventions on Patient–Physician Discussion of Suicidal Thoughts: A Randomized Control Trial

Abstract: Exposure of patients with at least moderate depressive symptoms to an individually tailored intervention designed to increase patient engagement in depression care led to increased PCP discussion of suicidal thoughts.

Cited by 20 publications

References 34 publications

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

A systematic review of physical illness, functional disability, and suicidal behaviour among older adults

Choosing Healthcare Options by Involving Canada's Elderly: a protocol for the CHOICE realist synthesis project on engaging older persons in healthcare decision-making

Suicide Prevention in Primary Care: Optimistic Humanism Imagined and Engineered

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