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Are Adolescent Suicide Attempters Noncompliant with Outpatient Care?
Open accessAbstract
The outpatient clinic attendance patterns of 115 consecutively referred 10- to 18-year-old suicide attempters and of 110 nonattempters were compared. The two groups did not differ in number of appointments scheduled or missed, but attempters kept significantly fewer appointments than did nonattempters. Seventy-seven percent of each group dropped out of treatment, but attempters dropped out significantly faster. Attendance and dropout were unrelated to age, reason for referral, or previous attempts. Girls missed more appointments than did boys, and Hispanic patients kept a smaller percentage of scheduled appointments than did other ethnic groups. We conclude that adolescent attempters are not more likely to drop out of treatment but keep fewer appointments and remain in care more briefly than do other outpatients. Recommendations for triage and brief case management are made.
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Estimated prevalence of dropout varies from 15 to 60% and is even higher among young people, particularly in the age group of 15-24 years.
“Estimated prevalence varies from 15 to 60 % [3–6] and is even higher among young people [4, 7–9], particularly in the age group of 15–24 years [4].”
From Determinants of dropout in a community-based mental health crisis centre (2016) · cites this paper as [9]
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Metadata
- Authors
- TRAUTMAN, P. D., STEWART, N., & MORISHIMA, A.
- Affiliations
- Cornell University (US)
- Corresponding author
- TRAUTMAN, PAUL D.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1993-01
- Volume
- 32
- Issue
- 1
- Pages
- 89-94
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2030110607
- Cited by
- 155
- References
- 35
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 9 · 2015: 7 · 2014: 9 · 2013: 3 · 2012: 2
- FWCI
- 8.58
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 30906-10)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Education › Youth Substance Use and School Attendance
- Keywords
- outpatient care, treatment discontinuation, appointment attendance, missed appointments, sex differences, Hispanic patients, triage
- MeSH terms
- Adolescent, Adolescent Behavior, Psychology, Adolescent, Adult, Ambulatory Care, Child, Depressive Disorder, Ethnicity, Female, Humans, Male, Patient Compliance, Sex Factors, Suicide, Attempted, Self-Injurious Behavior
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