Predictors of involvement in the juvenile justice system among psychiatric hospitalized adolescents
Predictors of involvement in the juvenile justice system among psychiatric hospitalized adolescents
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DOI：
10.1016/j.addbeh.2008.02.012
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发表时间：
2008-07-01
影响因子：
4.4
通讯作者：
Dupre, Madeleine A.
中科院分区：
文献类型：
--
作者：
Cropsey, Karen L.;Weaver, Michael F.;Dupre, Madeleine A.
目的：在先前的研究中已经确定了少年犯参与司法的几个危险因素，包括精神疾病、药物使用、创伤和虐待、家庭功能障碍、不良父母教养、学校问题和攻击性行为。然而，这些预测因素大多来自对被监禁在少年司法系统中的青少年的研究。方法：对2003年7月1日至2004年6月30日连续入住两个精神科住院病区的12~17岁青少年的636份病历进行调查。结果：近半数(43.6%)的住院青少年有青少年司法介入史。采用Logistic回归分析确定青少年司法介入的预测因素。青少年司法参与的显著预测因素包括男性、父母法律史、家庭药物滥用史、扰乱障碍、可卡因使用、性行为活跃和有攻击行为史。结论：应对处于心理健康或药物滥用治疗环境中的青少年进行青少年司法参与筛查和适当的转介，以防止高危青少年问题恶化。(C)2008爱思唯尔有限公司。保留所有权利。
Objective: Several risk factors for juvenile justice involvement have been identified in previous research among delinquents and include mental illness, substance use, trauma and abuse, family dysfunction, poor parenting, school problems, and aggressive behavior. However, most of these predictors resulted from studies among adolescents incarcerated in the juvenile justice system. We were interested in finding out the prevalence rates of juvenile justice involvement among psychiatric inpatient adolescents and determining predictors of juvenile justice involvement in this high-risk group.Methods: Six hundred and thirty-six medical records from adolescents ages 12-17 years who were consecutively admitted to one of two psychiatric inpatient units between July 1, 2003 and June 30, 2004 were examined.Results: Almost half (43.6%) of hospitalized adolescents had a history of juvenile justice involvement. Logistic regression analysis was conducted to determine predictors of juvenile justice involvement. Significant predictors of juvenile justice involvement included being male, parental legal history, family substance abuse history, disruptive disorder, cocaine use, being sexually active, and having a history of aggressive behavior.Conclusions: Adolescents in mental health or substance abuse treatment settings should be screened for juvenile justice involvement and appropriate referrals made to prevent worsening problems for at-risk youth. (C) 2008 Elsevier Ltd. All rights reserved.