Year: 2020
Type: dissertation
Abstract: Based on the prevalence of depression, suicide, and suicidal ideation, it is imperative to increase access to effective interventions. Mindfulness Based Cognitive Therapy (MBCT; Segal, Williams, & Teasdale, 2000) is a promising intervention in this regard given its evidence base and capacity to be delivered digitally through the Mindful Mood Balance program (MMB). This study investigates the impact of the MMB program paired with a standard depression care pathway (DepCare) compared to DepCare alone on suicidal ideation in a randomized clinical trial among depressed patients with residual depressive symptoms (N=460) (Segal et al., 2020). This study also examines both suicidal ideation and depression outcomes among a subset of participants who are at elevated risk based on a history of attempted suicide or current suicidal ideation at baseline (N=109). In the full sample, the MMB program was associated with a reduced proportion of participants reporting suicidal ideation relative to DepCare. Among participants with elevated risk, there were no statistically significant effects between groups in the proportion of participants reporting suicidal ideation; however, there was evidence that MMB offers significant benefit with respect to depression severity outcomes among the elevated risk group. These findings suggest MMB is a promising and accessible evidence-based intervention for suicidal ideation and depression among patients with residual depression symptoms and, specifically, among those at elevated risk for suicidal ideation.
Author: Kaufman, Julia
Institution: University of Colorado Boulder
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W7019732858