SynthesisClinical psychology & psychotherapy
Adult Suicidality and Therapeutic Engagement: A Systematic Review.
Synthesis in Clinical psychology & psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Adult Suicidality and Therapeutic Engagement: A Systematic Review.Clinical psychology & psychotherapyPooled it
- Decisions to Disclose Suicide Attempt History: A Qualitative Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- Exploring Potential Obstacles and Solutions to Implementing a Safety Plan Through a Brief Three-Week Safety Planning Group Intervention: Findings over Nine Months.Healthcare (Basel, Switzerland) · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEngagement in mental health care among adults with suicidality remains significantly low, with limited understanding of the factors influencing treatment retention and dropout.
aimsExploring the factors influencing therapeutic engagement, such as attendance, active participation and completion of therapeutic tasks among adults with suicidality, could offer valuable insights for suicide prevention and management.
methodsThis systematic review explored quantitative and qualitative studies examining barriers and/or facilitators to treatment engagement. Four main databases have been explored (PubMed, Embase, PsycInfo and Web of Science). Data were analysed and thematically organised with the help of a content analysis.
resultsEighteen studies focusing on adults experiencing various forms of suicidality, including suicidal ideation, behaviours, plans and attempts, have been included. Engagement is mainly perceived through appointment attendance, active participation or a multidimensional combination of factors. Logistical constraints (service availability, time and money) emerge as the most significant barrier to engagement, followed by stigma, treatment-related experiences and beliefs and patient perception factors. No consensus between studies can be isolated regarding the impact of social support, severity of suicidal symptoms and psychiatric comorbidities. Trust in mental health professionals and interventions facilitating active patient participation positively influence treatment continuation.
conclusionThis review highlights the need to increase mental health funding to enhance service availability and improve the training of mental health professionals in suicide prevention and management. Developing integrative and empowering interventions fosters an essential climate of trust and hope in therapy that enhances engagement. Future research should prioritise study designs that distinguish between perceived and actual barriers to engagement to develop targeted interventions.
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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.