Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Bruce and colleagues1 reported that a community-based intervention reduced
suicidal ideation and depression severity among a heterogeneous sample of
older depressed patients. We believe that such studies are critical first
steps in establishing the effectiveness of multidimensional interventions
for depression in primary care settings. I am concerned, however, that such
management programs may not be sustainable given current economic realities
of primary care practice, especially when combined with the prevalence of
clinically significant depression among older patients in primary care settings.
Colenda CC. Interventions for Treatment of Depression in Primary Care. JAMA. 2004;291(23):2814. doi:10.1001/jama.291.23.2815-a