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Working with Suicidal Clients

Early attrition among suicidal clients

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Pages 589-597 | Received 08 Sep 2015, Accepted 17 Dec 2015, Published online: 18 Jan 2016
 

ABSTRACT

The study aimed to identify the level of suicidal ideation in early attrition clients and their reasons for the early termination of their therapy. The cross-sectional design involved early attrition clients (CA) who withdrew from therapy before their second session (n = 61), and continuing clients who (CC) progressed beyond their second session (n = 73). All completed the Suicidal Behaviours Questionnaire-Revised scale, and the CA group also completed the Reasons for Terminating Therapy Scale. Clients were significantly more likely to disengage if they were self-referred, had no health-care support or had lower suicidal ideation. The study identifies the significant role of suicidal ideation and referral source in therapy retention and the implications this has for therapists and counsellors.

Disclosure statement

No potential conflict of interest was reported by the authors.

Notes on contributors

Paul Surgenor, Ph.D., is the Director of Research at Pieta House, the Centre for Prevention of Self-Harm and Suicide.

Vivienne Meehan, MA, is a psychologist and social science researcher. This research was undertaken while working at Pieta House.

Amy Moore, MA, is a psychologist and social science researcher. This research was undertaken while working at Pieta House.

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