Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Bruce and colleagues1 reported that rates of suicidal ideation and depressive
symptoms in elderly patients declined more rapidly in those treated with a
structured intervention (which included medication treatment, psychotherapy,
and care management) than in those treated with usual care. The authors concluded
that this structured intervention is effective and that care management should
be added to suicidal behavior practice guidelines.
Koppel J. Interventions for Treatment of Depression in Primary Care. JAMA. 2004;291(23):2814. doi:10.1001/jama.291.23.2814-b