Editor's Pick Original Investigation

Identifying Patients at Risk for Psychotherapy Dropout in Community Settings

JAMA Network Open 10.1001/jamanetworkopen.2026.31565

August 27, 2026 at 11:00 AM EDT

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In this prognostic study, more than one-quarter of patients dropped out of psychotherapy, most after a single session, highlighting the need for early risk detection. Brief mental health encounters early in the health care pathway were associated with lower dropout risk, suggesting that exposure to mental health within medical settings may facilitate engagement. Electronic health record data can inform risk detection and targeted interventions in the community.

Corresponding Author: Nili Solomonov, PhD, Department of Psychiatry, Weill Cornell Medicine, 1300 York Ave, New York, NY 10065 (nis2051@med.cornell.edu).

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