Predictors of Treatment Attrition Among Adult Outpatients With Clinically Significant Suicidal Ideation.

Abstract:

OBJECTIVE:To identify demographic, diagnostic, and personality factors that predict treatment dropout in a sample of outpatients with clinically significant suicidal ideation. METHOD:A total of 287 adult outpatients at elevated risk for suicide completed self-report measures of demographics, suicidal and depression symptoms, and personality characteristics at treatment intake. Clinician-assessed psychiatric diagnoses and ratings of overall functioning also were collected. RESULTS:Lower overall functioning (odds ratio [OR] = .947; 95% confidence interval [CI] [.909, .987]) and the presence of a substance use disorder (OR = 4.543; 95% CI [1.058, 19.499]) were the most robust predictors of attrition. Dropouts also were more likely to have a depressive disorder, more comorbid diagnoses, and more severe depression and suicidal symptoms. CONCLUSIONS:Findings suggest that clinician-assessed poorer overall functioning and a substance use disorder diagnosis are risk factors for attrition among suicidal individuals, above and beyond other symptom measures. Further research is warranted to investigate attrition in additional outpatient samples.

journal_name

J Clin Psychol

authors

Hom MA,Joiner TE

doi

10.1002/jclp.22318

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

88-98

issue

1

eissn

0021-9762

issn

1097-4679

journal_volume

73

pub_type

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