PS24 - Interventions and Management of Suicidal Behaviour in Later Life
Modification of the Psychosocial Intervention CRISP for a Swedish Geriatric Psychiatric Setting: Study Protocol for a Feasibility StudyIntroduction: There is a dearth of intervention research for suicidal older adults. We know of no ongoing psychotherapy trials that specifically target suicidal patients in geriatric psychiatric settings in Europe. There are, however, a couple of US studies showing promising results. One is the Cognitive Reappraisal Intervention for Suicide Prevention (CRISP), developed at Cornell Universitys Weill Medical Center in New York. CRISP targets middle-aged and older adults who have been hospitalized for suicidal ideation/attempts. Aim: This presentation centers on the modifications and preliminary data of the CRISP intervention designed for patients aged 70 and above in the Swedish setting. Method: The objective is to evaluate both the feasibility and the preliminary effect of a manualized psychosocial intervention (CRISP 70+) for older adults with suicidal behaviour, using a within-group design. Both quantitative and qualitative methods will be employed. In the CRISP 70+ manual, we include the optional involvement of a close relative at 3 of the 12 weekly sessions. Results: During the presentation we will describe the study design and modifications made to fit the Swedish context and the older age group, and present preliminary data. This will include quantitative and qualitative findings from both patients and their relatives. Conclusion: Should the intervention prove feasible, results can inform the development and implementation of a more person-centered care for suicidal older adults. The development of age-appropriate psychosocial interventions is important considering the current inequality in Swedish mental health care, with few treatment options for suicidal older adults compared to their younger counterparts.