Economic inequalities in the effectiveness of a primary care intervention for depression and suicidal ideation.

ABSTRACT:

Background

Economic disadvantage is associated with depression and suicide. We sought to determine whether economic disadvantage reduces the effectiveness of depression treatments received in primary care.

Methods

We conducted differential-effects analyses of the Prevention of Suicide in Primary Care Elderly: Collaborative Trial, a primary-care-based randomized, controlled trial for late-life depression and suicidal ideation conducted between 1999 and 2001, which included 514 patients with major depression or clinically significant minor depression.

Results

The intervention effect, defined as change in depressive symptoms from baseline, was stronger among persons reporting financial strain at baseline (differential effect size = -4.5 Hamilton Depression Rating Scale p

SUBMITTER: Gilman SE 

PROVIDER: S-EPMC3523272 | biostudies-literature | 2013 Jan

REPOSITORIES: biostudies-literature