The relationship between depression and violent crime

www.thelancet.com/psychiatry Vol 2 March 2015 193 also help to address potential safety issues of online interventions—ie, how to deal with suicidality or other crisis situations. The results might have larger implications beyond multiple sclerosis because they are likely to apply to patients with other chronic disorders and comorbid depression. A potential next step is to adjust the programme to specifi c needs of patients with a disabling medical disorder such as multiple sclerosis. It remains to be seen whether these results are also applicable to patients with more severe forms depression. Online CBT is probably best used in stepped-care models of depression treatment. In these models, interaction with a psychotherapist and pharmacotherapy can be added in case iCBT as a fi rst step of treatment does not elicit a suffi cient treatment response.