Category: Aging and Older Adults

Symposium

Suicide Prevention Intervention for Hospitalized Middle-Age and Older Adults

Friday, November 17
1:45 PM - 3:15 PM
Location: Cobalt 501, Level 5, Cobalt Level

Keywords: Aging / Older Adults | Suicide | Emotion Regulation
Presentation Type: Symposium

ABSTRACT: Suicide rates have gradually increased from 2000 to 2015 and suicide rates for middle-aged and older adults are alarmingly high. The suicide rates are even higher for patients hospitalized following acute suicidal ideation or attempt during the early post-discharge period, especially within the first 3-months after discharge. Randomized controlled trials (RCTs) of psychotherapies or psychosocial interventions aimed at reducing suicide risk after a suicide-related hospitalization for middle-aged adults are sparse. This presentation will present recent data on suicide rates for hospitalized middle-aged and older adults and describe the rationale, and development of a novel psychosocial intervention designed to reduce suicide risk in middle-aged and older adults (50-90 years old) who have been discharged after a suicide-related hospitalization (i.e. for suicidal ideation or suicide attempt).


The intervention focuses on improving cognitive reappraisal, a well-documented and effective emotion regulation strategy, to reduce suicide risk. It identifies triggers of suicide-related negative emotions and develops simplified, easy to use cognitive reappraisal techniques to reduce these negative emotions. The intervention incorporates aids to assist patients in utilizing cognitive reappraisal techniques between sessions (MindMe personalized tablet app, written step-by-step plan, phone calls). Preliminary data support the feasibility and acceptability of the intervention, and demonstrate improvement in emotion regulation and an association of emotion regulation with reduction in suicidal ideation. 

Dimitris Kiosses

Associate Professor of Psychology
Weill Cornell Medical College

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