A clinical audit of changes in suicide ideas with internet treatment for depression.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 22983787.
- Also identified by DOI 10.1136/bmjopen-2012-001558 and PMC identifier 3467611.
- Licence recorded as CC BY-NC.
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Abstract
To examine reductions in suicidal ideation among a sample of patients who were prescribed an internet cognitive behavior therapy (iCBT) course for depression. Effectiveness study within a quality assurance framework. Primary care. 299 patients who were prescribed an iCBT course for depression by primary care clinicians. Six lesson, fully automated cognitive behaviour therapy course delivered over the internet. suicidal ideation as measured by question 9 on the Patient Health Questionnaire (PHQ-9). 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. The findings do not support the exclusion of patients with significant suicidal ideation.