Demographic predictors of treatment attendance among adolescent suicide attempters.

Demographic predictors of treatment attendance among adolescent suicide attempters.
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青少年自杀未遂者治疗就诊的人口统计学预测因素。

DOI:
10.1037//0022-006x.63.3.469
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发表时间:
1995
影响因子:
5.9
通讯作者:
Shaffer,D
Shaffer,D
中科院分区:
心理学1区
文献类型:
--
作者:
Piacentini,J;Rotheram-Borus,MJ;Gillis,JR;Graae,F;Trautman,P;Cantwell,C;Garcia-Leeds,C;Shaffer,D

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在连续的143名青少年自杀未遂后被转介到急诊室接受门诊治疗,前瞻性地研究了年龄、性别和治疗出勤率之间的关系。与之前的报告一致,不依从率很高。超过40%的患者因为不出勤而终止了他们的病例;然而,平均而言,患者接受了近6次治疗,91%的患者至少参加了一次治疗。因治疗不依从而终止治疗的青少年明显比完成治疗的青少年年龄大。年轻的男性患者比年长的男性患者接受更多的治疗疗程,并且比年长的男性和女性患者坚持更多的治疗疗程。强有力的病例跟踪程序可能对治疗出勤率产生重大影响。然而,治疗师必须设计策略,以增加老年青少年,特别是男性患者的治疗依从性。
The relationship between age and gender and treatment attendance was prospectively examined among a consecutive series of 143 adolescent emergency room attendees referred for outpatient therapy after a suicide attempt. Consistent with previous reports, nonadherence was high. Over 40% of patients had their cases terminated because of nonattendance; on average, however, patients received almost 6 sessions of treatment and 91% attended at least 1 therapy session. Adolescents terminated from treatment for nonadherence were significantly older than those completing treatment. Younger male patients were scheduled for significantly more therapy sessions than older male patients and kept significantly more scheduled sessions than did older male and female patients. Vigorous case-tracking procedures may have a significant impact on treatment attendance. Nevertheless, therapists must design strategies to increase treatment adherence among older adolescent, especially male, patients.
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