TY  - JOUR
PY  - 2012//
TI  - A clinical audit of changes in suicide ideas with internet treatment for depression
JO  - BMJ open
A1  - Watts, Sarah
A1  - Newby, Jill M.
A1  - Mewton, Louise
A1  - Andrews, Gavin
SP  - online
EP  - online
VL  - 2
IS  - 5
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2012-001558
ID  - ref1
ER  -