SynthesisEuropean child & adolescent psychiatry2024
Drop-out and ineffective treatment in youth with severe and enduring mental health problems: a systematic review.
Synthesis in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed.
- Parental perceptions of barriers to psychotherapy: a comparison between parents of children with and without reported trauma exposure.European journal of psychotraumatology · 2026Article
- Factors Influencing Treatment Dropout Among Child and Adolescent Psychiatric Patients: A Survival Analysis.Journal of clinical psychology in medical settings · 2026Article
- Transitioning from child and adolescent psychiatry to follow-up care: a concept mapping study.European child & adolescent psychiatry · 2026Article
- A service evaluation of 'IDEAS' - Modular treatment for youth with complex emotional needs.The British journal of clinical psychology · 2026Article
- The Young Ones, pre-post results of a transdiagnostic ACT-training for adolescents with Severe Mental Illness.Community mental health journal · 2026Article
- Balancing autonomy and safety in care for youth with severe and enduring mental health problems.European child & adolescent psychiatry · 2026Article
- Helpful coping strategies and help-seeking behaviors for mental health problems: a vignette study in young people and professionals.BMC psychiatry · 2026Article
- Follow-up attendance and documented reasons for non-attendance in child and adolescent mental health care: a retrospective analysis.Frontiers in psychiatry · 2026Article
- 'They really want to find some kind of box they can put you in': how young people with severe mental health problems and complex needs talk about their past treatment in traditional child and adolescent mental health services - a critical discourse analysis.Frontiers in psychiatry · 2026Article
- Unraveling dynamic factors in Dialectic Behavioural Treatment for Adolescents (DBT-A): A study protocol.PloS one · 2026Article
- The Use of Mobile Apps in Adolescent Psychotherapy: Assessment of Psychotherapists' Perspectives.JMIR formative research · 2025Article
- Dropout From Trauma-Focused Treatment for PTSD in a Naturalistic Setting.Clinical psychology in Europe · 2025Article
- Discontinuities in and Perceptions of Mental Health Service Path of Violent Young Offenders: A Qualitative Descriptive Study.Community mental health journal · 2025Article
- What's it gonna take? Lessons learned for youth-friendly mental health services research.Frontiers in health services · 2025Article
- Beyond symptoms: a multi-perspective study on youth with severe and enduring mental health problems.Frontiers in psychiatry · 2025Article
- Towards identifying the characteristics of youth with severe and enduring mental health problems in practice: a qualitative study.European child & adolescent psychiatry · 2024Article
- Barriers and facilitators to accessing adolescents' mental health services in Karachi: users and providers perspectives.BMC health services research · 2024Article
- A qualitative study of the experiences of young people with severe mental health problems and complex needs regarding youth flexible assertive community treatment.Frontiers in psychiatry · 2024Article
- Congruency of multimodal data-driven personalization with shared decision-making for StayFine: individualized app-based relapse prevention for anxiety and depression in young people.Frontiers in psychiatry · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Youth with severe and enduring mental health problems (SEMHP) tend to drop out of treatment or insufficiently profit from treatment in child and adolescent psychiatry (CAP). Knowledge about factors related to treatment failure in this group is scarce. Therefore, the aim of this systematic review was to thematically explore factors associated with dropout and ineffective treatment among youth with SEMHP. After including 36 studies, a descriptive thematic analysis was conducted. Themes were divided into three main categories: client, treatment, and organizational factors. The strongest evidence was found for the association between treatment failure and the following subthemes: type of treatment, engagement, transparency and communication, goodness of fit and, perspective of practitioner. However, most other themes showed limited evidence and little research has been done on organizational factors. To prevent treatment failure, attention should be paid to a good match between youth and both the treatment and the practitioner. Practitioners need to be aware of their own perceptions of youth's perspectives, and transparent communication with youth contributes to regaining their trust.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.