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Cognitive therapy and interpersonal psychotherapy reduce suicidal ideation independent from their effect on depression

Depression and Anxiety Mar 29, 2021

van Bentum JS, van Bronswijk SC, Sijbrandij M, et al. - Psychological interventions specifically aimed at lowering suicidality may be beneficial as per clinical guidelines, so researchers investigated how two depression treatments, cognitive therapy (CT) and interpersonal psychotherapy (IPT), affect suicidal ideation (SI), as well as determined the temporal correlations between depression and SI over the course of therapy. From a large randomized controlled trial, they included 91 adult (18–65) depressed outpatients who were treated with CT (n = 37) and IPT (n = 54) and scored at least ≥ 1 on the Beck Depression Inventory II (BDI‐II) suicide item. A significant decrease in SI was observed during treatment and there appeared no differential effects between the two intervention groups. Outcomes suggest a direct correlation of both depression treatments with SI. A unidirectional temporal association was observed between SI and depression with SI prognosticating future depressive symptoms during treatment. Most benefits may be obtained when treating SI first.

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