@article{ref1,
title="Cognitive behaviour therapy via the internet for depression: a useful strategy to reduce suicidal ideation",
journal="Journal of affective disorders",
year="2014",
author="Mewton, Louise and Andrews, Gavin",
volume="170C",
number="",
pages="78-84",
abstract="BACKGROUND: Depression is a major risk factor for suicide. Given the strong association between depression and suicide, treatment for depression should be a fundamental component of suicide prevention. Currently it is not. This study aims to demonstrate the usefulness of internet-delivered cognitive behavioural therapy (iCBT) for depression as a means of reducing suicide ideation. <br><br>METHODS: The sample comprised 484 patients who were prescribed iCBT for depression by their primary care physician. The outcomes of interest were major depression, as indexed by the PHQ-8, and suicidal ideation as measured by question 9 of the PHQ-9. Marginal models were used to appropriately analyse available data without biasing parameter estimates. <br><br>RESULTS: Following iCBT for depression, suicidal ideation and depression decreased in parallel over time. The prevalence of suicidal ideation reduced from 50% at baseline to 27% after treatment, whilst the prevalence of major depression reduced from 70% to 30%. Depression scores and suicidal ideation decreased after treatment regardless of demographic or clinical variables of interest. LIMITATIONS: This is a naturalistic study; randomisation and scientific control were not possible. <br><br>CONCLUSIONS: The current study demonstrates the usefulness of iCBT for depression as a means of reducing suicidal ideation which can be implemented on a large scale without enacting major structural change at the societal level. These findings need to be replicated in randomised controlled trials.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2014.08.038",
url="http://dx.doi.org/10.1016/j.jad.2014.08.038"
}