TY  - JOUR
PY  - 2016//
TI  - Predictors of treatment attrition among adult outpatients with clinically significant suicidal ideation
JO  - Journal of clinical psychology (Hoboken)
A1  - Hom, Melanie A.
A1  - Joiner, Thomas E.
SP  - 88
EP  - 98
VL  - 73
IS  - 1
N2  - OBJECTIVE: To identify demographic, diagnostic, and personality factors that predict treatment dropout in a sample of outpatients with clinically significant suicidal ideation. <br><br>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. <br><br>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. <br><br>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.<br><br>© 2016 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0021-9762
UR  - http://dx.doi.org/10.1002/jclp.22318
ID  - ref1
ER  -