Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT)

Weill Cornell Medicine (WCM)

Status and phase

Completed

Phase 4

Conditions

Suicide, Attempted

Depression

Treatments

Behavioral: treatment guidelines and depression care management

Study type

Interventional

Funder types

Other

Industry

NIH

Identifiers

NCT00279682

R01MH059381 (U.S. NIH Grant/Contract)

R01MH059380 (U.S. NIH Grant/Contract)

R01MH059366 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study was to determine the effect of a primary care intervention on reducing suicidal ideation and depression in older patients.

Full description

Suicide rates are highest in late life; the majority of older adults who die by suicide have seen a primary care physician in preceding months. Depression is the strongest risk factor for late-life suicide and for suicide's precursor, suicidal ideation.

The aim of the study was to determine the extent to which an intervention taht combined treatment guidelines with care management reduced rates of depression and suicide ideation in older primary care patients. The study randomized 20 primary care practices from New York City, Philadelphia, and Pittsburgh regions into intervention or usual car. The used a two-stage sampling design that resulted in a representative sample with an oversample of depressed patients (total n=1238 subjects including 598 with a depression diagnosis and 640 with no depression diagnosis). Patients were assessed at baseline, 4, 8, 12, 18 and 24 months.

Sex

All

Ages

60+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

upcoming appointment with primary care clinician

Exclusion criteria