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Crisis. 2010;31(2):62-8. doi: 10.1027/0227-5910/a000018.

Engagement and retention of suicide attempters in clinical research: challenges and solutions.

Author information

  • 1Yale University School of Medicine, Department of Psychiatry and VA Connecticut Healthcare System, West Haven, CT, USA.

Abstract

BACKGROUND:

High attrition rates in longitudinal research can limit study generalizability, threaten internal validity, and decrease statistical power. Research has demonstrated that there can be significant differences between participants who complete a research study and those who drop out prematurely, and that treatment outcomes may be dependent on retention in a treatment protocol.

AIMS:

The current paper describes the challenges encountered when implementing a randomized controlled trial of cognitive therapy for the prevention of suicide attempts and the solutions developed to overcome these problems.

METHODS:

Problems unique to suicide attempters are discussed, and strategies successfully implemented to boost retention rates are provided.

RESULTS:

The methods implemented appeared to increase retention rates in the randomized controlled trial.

CONCLUSIONS:

Many steps can be taken to work with this difficult population, and researchers are encouraged to be as involved and flexible with participants as possible.

PMID:
20418211
[PubMed - indexed for MEDLINE]
PMCID:
PMC2962927
Free PMC Article
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