Therapeutics
IMPACT collaborative care programme reduces suicide ideation in depressed older adults
Unutzer J, Tang LQ, Oishi S, et al. Reducing suicidal ideation in depressed older primary care patients. J Am Geriatr Soc 2006;54:1550–6.[CrossRef][Medline]
Q Does the IMPACT collaborative care intervention improve later-life depression?
| The first 150 words of the full text of this article appear below. |
Design:
Randomised controlled trial.
Allocation:
Unclear.
Blinding:
Single blind (outcome assessors blinded).
Follow-up period:
Two years (1 year intervention period and 1 year follow-up).
Setting:
Eighteen primary care clinics, USA; time period not stated.
Patients:
1801 older adults (aged 60 years or over) with DSM-IV major depression, dysthymia, or both. Exclusions: acute suicide risk, ongoing alcohol abuse, severe cognitive dysfunction, or history of bipolar disorder or psychosis.
Intervention:
Improving Mood: Promoting Access to Collaborative Treatment (IMPACT) for Late-Life Depression in Primary Care (1-year collaborative care programme in which a specially trained depression care manager supported primary care clinicians, and provided initial assessment, education about treatments, and telephone support for participants—see http://impact-uw.org for more information) or usual care.
Outcomes:
Suicide ideation (assessed using one suicide ideation item from the Hopkins Symptoms Checklist).
Patient follow-up:
96.2% completed 1 year, 93.5% completed 2 years; 100% included in intention to treat analyses.
The IMPACT
University of York, York, UK
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Suicide (psychiatry)
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General practice / family medicine
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Depressive disorder
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Bipolar disorder
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Neurology
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