A clinical audit of changes in suicide ideas with internet treatment for depression. Issue 5 (13th September 2012)

• Record Type: Journal Article
• Authors: Watts, Sarah; Newby, Jill M; Mewton, Louise; Andrews, Gavin
• Is Part Of: BMJ open. Volume 2:Issue 5(2012)
• Publication Date: 2012-09-13
• Subjects: Mental Health -- Primary Care -- Psychiatry; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2012-001558
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objectives: To examine reductions in suicidal ideation among a sample of patients who were prescribed an internet cognitive behavior therapy (iCBT) course for depression. Design: Effectiveness study within a quality assurance framework. Setting: Primary care. Participants: 299 patients who were prescribed an iCBT course for depression by primary care clinicians. Intervention: Six lesson, fully automated cognitive behaviour therapy course delivered over the internet. Primary outcome: suicidal ideation as measured by question 9 on the Patient Health Questionnaire (PHQ-9). Results: 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. Conclusions: The findings do not support the exclusion of patients with significant suicidal ideation.