{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T19:25:26Z","timestamp":1793993126747,"version":"4.8.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2006,9,8]],"date-time":"2006-09-08T00:00:00Z","timestamp":1157673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:p>\n                    <jats:bold>OBJECTIVES:<\/jats:bold>\n                    To determine the effect of a primary care\u2013based collaborative care program for depression on suicidal ideation in older adults.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DESIGN:<\/jats:bold>\n                    Randomized, controlled trial.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>SETTING:<\/jats:bold>\n                    Eighteen diverse primary care clinics.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>PARTICIPANTS:<\/jats:bold>\n                    One thousand eight hundred one adults aged 60 and older with major depression or dysthymia.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>INTERVENTION:<\/jats:bold>\n                    Participants randomized to collaborative care had access to a depression care manager who supported antidepressant medication management prescribed by their primary care physician and offered a course of Problem Solving Treatment in Primary Care for 12 months. Participants in the control arm received care as usual.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>MEASUREMENTS:<\/jats:bold>\n                    Participants had independent assessments of depression and suicidal ideation at baseline and 3, 6, 12, 18, and 24 months. Depression was assessed using the Structured Clinical Interview for the\n                    <jats:italic>Diagnostic and Statistical Manual of Mental Disorders, 4th Edition<\/jats:italic>\n                    (SCID). Suicidal ideation was determined using the SCID and the Hopkins Symptoms Checklist.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS:<\/jats:bold>\n                    At baseline, 139 (15.3%) intervention subjects and 119 (13.3%) controls reported thoughts of suicide. Intervention subjects had significantly lower rates of suicidal ideation than controls at 6 months (7.5% vs 12.1%) and 12 months (9.8% vs 15.5%) and even after intervention resources were no longer available at 18 months (8.0% vs 13.3%) and 24 months (10.1% vs 13.9%). There were no completed suicides in either group. Information on suicide attempts or hospitalization for suicidal ideation was not available.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSION:<\/jats:bold>\n                    Primary care\u2013based collaborative care programs for depression represent one strategy to reduce suicidal ideation and potentially the risk of suicide in older primary care patients.\n                  <\/jats:p>","DOI":"10.1111\/j.1532-5415.2006.00882.x","type":"journal-article","created":{"date-parts":[[2006,9,8]],"date-time":"2006-09-08T04:43:34Z","timestamp":1157690614000},"page":"1550-1556","source":"Crossref","is-referenced-by-count":142,"title":["Reducing Suicidal Ideation in Depressed Older Primary Care Patients"],"prefix":"10.1111","volume":"54","author":[{"given":"J\u00fcrgen","family":"Un\u00fctzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingqi","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Oishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Katon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"John W.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enid","family":"Hunkeler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh","family":"Hendrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth H.B.","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Levine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Grypma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Steffens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Fields","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Langston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the IMPACT Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,9,8]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"1","article-title":"Deaths","volume":"52","author":"Arias E","year":"2003","journal-title":"Final Data for 2001"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(02)01347-1"},{"key":"e_1_2_6_4_2","volume-title":"Reducing Suicide: A National Imperative","author":"Goldsmith SK","year":"2002"},{"key":"e_1_2_6_5_2","volume-title":"U.S. Public Health Service","author":"United States Public Health Service.","year":"2001"},{"key":"e_1_2_6_6_2","first-page":"517","article-title":"Caring for mental illness in the United States","volume":"11","author":"Klap R","year":"2003","journal-title":"A focus on older adults"},{"key":"e_1_2_6_7_2","first-page":"2836","article-title":"Collaborative care management of late\u2010life depression in the primary care setting","volume":"288","author":"Un\u00fctzer J","year":"2002","journal-title":"A randomized controlled trial"},{"key":"e_1_2_6_8_2","first-page":"1081","article-title":"Reducing suicidal ideation and depressive symptoms in depressed older primary care patients","volume":"291","author":"Bruce ML","year":"2004","journal-title":"A randomized controlled trial"},{"key":"e_1_2_6_9_2","volume-title":"Structured Clinical Interview for DSM\u2010IV Axis I Disorders (SCID). 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