Treatment Compliance in Adolescents After Attempted Suicide: A 2-Year Follow-up Study
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Objective To describe mental health services utilization for adolescents after attempted suicide, explore factors related to treatment compliance, and determine the relation between compliance and suicidality.Method Eighty-five adolescents (ages 13-18) who had attempted suicide and their families were recruited from four psychiatric hospitals and were evaluated for symptoms of psychopathology. Subsequent assessments were conducted every 6 months for 2 years to determine treatment utilization, treatment compliance (nonadherence to medication regimens or nonattendance of psychosocial treatments against provider advice), attitudes toward treatments used, and further suicide attempts and ideation.Results Adolescents with a disruptive behavior disorder diagnosis were less compliant with individual psychotherapy, as were those with a substance dependence other than alcohol or marijuana. Those with an affective/ anxiety disorder diagnosis were less compliant with psychopharmacological interventions (6 months postattempt). Parental perception of treatment as helpful was predictive of greater compliance, whereas adolescents' attitudes toward treatment were not predictive of compliance. Finally, compliance with treatment was not generally predictive of future suicidality.Conclusions Interventions focused on increasing compliance with mental health treatment for adolescent suicide attempters should focus on specific child psychopathology, as well as parental attitudes toward treatment.
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- Authors
- BURNS, C. D., CORTELL, R., & WAGNER, B. M.
- Affiliations
- Boston College (US)
- Catholic University of America (US)
- Corresponding author
- WAGNER, BARRY M.
- ORCID
- WAGNER, BARRY M.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 47
- Issue
- 8
- Pages
- 948-957
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC2637135
- OpenAlex
- W4256481181
- Cited by
- 6
- References
- 40
- Citations by year
- 2021: 2 · 2020: 3
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed Central (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- adolescent suicide attempts, medication adherence, mental health service utilization, individual psychotherapy, treatment attitudes, disruptive behavior disorders, substance dependence, suicidality, repeated suicide attempts, suicidal ideation
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