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Reducing Suicide Risk in Older Veterans with Mental Health Disorders using Problem Solving Therapy

Organization VETERANS ADMIN PALO ALTO HEALTH CARE SYSLocation PALO ALTO, UNITED STATESPosted 1 Apr 2021Deadline 31 Mar 2026 ⚠️
VANIHUS FederalResearch GrantFY202521+ years oldActive Follow-upAddressAdultAdult HumanAfter CareAfter-TreatmentAftercareAlcohol Chemical ClassAlcoholsAmentiaAnxiety DisordersAudiotapeAwardBehavior Conditioning TherapyBehavior ModificationBehavior TherapyBehavior TreatmentBehavioral Conditioning TherapyBehavioral ModificationBehavioral TherapyBehavioral TreatmentBipolar Affective PsychosisBipolar DisorderBorderline Personality DisorderCannot see a futureCessation of lifeClinicalClinical Practice GuidelineClinical TrialsCognitiveColorColumbidaeCommunitiesConditioning TherapyCraniocerebral InjuriesCraniocerebral TraumaDSM-5DSM-VDSM5DataData AnalysesData AnalysisDeathDementiaDepressive SyndromesDepressive disorderDiagnostic and Statistical Manual of Mental Disorders, 5th editionDiagnostic and Statistical Manual of Mental Disorders-VDisability AssessmentDisability DeterminationDisability EvaluationDistressDovesEducational process of instructingElderlyEligibilityEligibility DeterminationEmotionalEnrollmentEnsureEvidence based interventionEvidence based practiceEvidence based programExclusionExecutive DysfunctionExecutive Function DeficitExecutive ImpairmentFeedbackFeelingFeeling hopelessFeeling suicidalFeels there is no futureFutureGeneral PopulationGeneral PublicGoalsHead InjuriesHead TraumaHistoryHourInfrastructureInterventionLiving WillsLoss of hope for the futureManic-Depressive PsychosisMediatingMediatorMedicalMental DepressionMental Health ServicesMental Hygiene ServicesMental disordersMental health disordersModelingNegative about the futureNo hope for the futureOutcomePTSDParticipantPatientsPigeonsPost-Traumatic NeurosesPost-Traumatic Stress DisordersPosttraumatic NeurosesPreventionProblem SolvingProtocolProtocol ScreeningProtocols documentationPsychiatric DiseasePsychiatric DisorderPsychotherapyPublishingQualitative MethodsRandomizedRandomized, Controlled TrialsRecommendationRecording of previous eventsRegistriesReportingResearchResearch DesignRiskRisk FactorsRoleSAMHSASafetyScheduleServicesSeveritiesSiteStudy TypeSubstance Abuse and Mental Health Services AdministrationSubstance Use DisorderSuggestionSuicidal thoughtsSuicideSuicide attemptSuicide precautionSuicide preventionSupportive TherapySupportive careSymptomsTeachingTerminal DiseaseTerminal IllnessTestingTrainingTraining and InfrastructureTreatment outcomeUnconsciousUnconscious StateUnconsciousnessUnited States Substance Abuse and Mental Health Services AdministrationVeteransWHODASWorkWorld Health Organization Disability Assessment Scheduleactive controlactive followupadulthoodadvanced ageage groupagedbehavior interventionbehavioral interventionbipolar affective disorderbipolar diseasebipolar illnessbipolar mood disordercare as usualclinical practice and guidelinesconsciousness lossdata interpretationdemographicsdepressiondetermine efficacydiagnostic criteriadirect applicationdisabilityefficacious therapyefficacious treatmentefficacy analysisefficacy assessmentefficacy determinationefficacy evaluationefficacy examinationenrollevaluate efficacyevidence baseexamine efficacyexecutive controlexecutive functionfatal attemptfatal suicidefeelingsfollow upfollow-upfollowed upfollowupfunctional disabilitygeriatrichistorieshopelessnessimprovedintent to dielate in lifelate lifeliving willmanic depressive disordermanic depressive illnessmental health caremental illnessnon fatal attemptnonfatal attemptolder adultolder adulthoodoptimismparticipant safetypositive attitudepost treatmentpost-trauma stress disorderposttrauma stress disorderprevent suicidalityprevent suicideprimary care clinicproblem solving therapypsychiatric co-morbiditypsychiatric comorbiditypsychiatric illnesspsychological disorderpsychotic symptomsqualitative reasoningrandomisationrandomizationrandomized control trialrandomly assignedrecruitreduce suicidalityreduce suicidereducing suicidalityreducing suicideresponseresponse to therapyresponse to treatmentsatisfactionsecondary analysissenior citizenskillssocial rolestress bufferingstress managementstudy designsubject safetysubstance use and disordersuicidal attemptsuicidal behaviorsuicidal ideationsuicidal risksuicidal thinkingsuicidality preventionsuicide behaviorsuicide ideationsuicide interventionsuicide ratesuicide risksuicidesterminal declinetherapeutic responsetherapy responsethoughts about suicidetraumatic neurosistreatment as usualtreatment effecttreatment responsetreatment responsivenessusual care

Applications closed.

Description preview

The proposed randomized control trial will examine the efficacy of a brief behavioral treatment for reducing
suicidal ideation and for increasing reasons for living in older Veterans at risk for suicide. Two common issues

in older adults, functional disability and executive dysfunction, increase suicide risk and will be examined as

moderators and…

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