| 1. |
- Ruchkin, Vladislav V, et al.
(författare)
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Suicidal ideations and attempts in juvenile delinquents.
- 2003
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Ingår i: Journal of Child Psychology and Psychiatry. - 0021-9630 .- 1469-7610. ; 44:7, s. 1058-66
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Suicidality among adolescents is a common focus of clinical attention. In spite of links to disruptive behaviors and other types of psychopathology, it is not clear whether other factors commonly associated with suicide, such as personality and parenting, predict suicidality over and above psychopathology. The purpose of the present study was to assess suicidal ideations and attempts and their relationship to psychopathology, violence exposure, personality traits and parental rearing in Russian male juvenile delinquents with conduct disorder (CD).METHOD: Suicidality and psychopathology were assessed using a semi-structured psychiatric interview in 271 incarcerated male juvenile delinquents diagnosed with CD. Violence exposure, personality characteristics and perceived parental rearing were assessed via self-reports.RESULTS: Thirty-four percent of those diagnosed with CD (92 subjects) reported a lifetime history of either suicidal thoughts or attempts. Suicidal ideators and attempters did not differ significantly on any variable of interest, but both reported significantly higher rates of psychopathology and violence exposure than the non-suicidal group, as well as higher levels of harm avoidance, lower self-directedness, and higher rates of perceived negative parental rearing. Finally, even when controlling for the relationship with psychopathology, personality and perceived parental rearing factors showed significant associations with suicidality.CONCLUSIONS: Juvenile delinquents with CD have high rates of suicidal ideations and attempts, related to a wide spectrum of psychopathology and specific personality traits. These findings suggest that a combination of intrinsic and extrinsic factors create vulnerability to stressors, which under the influence of situational factors (e.g., repeated traumatization) may lead to suicidal thoughts and acts. Factors potentially contributing to vulnerability for suicidality should be identified when planning prevention and rehabilitation efforts for troubled youth.
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| 2. |
- Vermeiren, Robert, et al.
(författare)
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Suicidal behavior and violence in male adolescents : a school-based study.
- 2003
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Ingår i: Journal of the American Academy of Child and Adolescent Psychiatry. - : Elsevier BV. - 0890-8567 .- 1527-5418. ; 42:1, s. 41-8
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate characteristics of suicidal and violent behavior in a community school sample of adolescents.METHOD: Self-report questionnaires were administered to 794 male students (aged 12-18 years) from Antwerp, Belgium. Subjects were classified into four groups: a suicidal-only (n = 40; suicidal ideation and/or self-harming behavior), a violent-only (n = 142), a suicidal-violent (n = 21), and a control group (n = 591).RESULTS: Compared with controls, higher levels of internalizing problems, risk-taking behavior (substance use, diminished perception of risk, sensation seeking), and aggression were found in the comparison groups. The suicidal-violent group had the highest levels of depression, somatization, overt and covert aggression, and risk-taking behavior. Compared with the suicidal-only group, the violent-only group had less depression, anxiety, and covert aggression, but higher levels of overt aggression, sensation seeking, diminished perception of risk, and marijuana use.CONCLUSIONS: Although adolescent suicidal and violent behavior are both related to internalizing problems, aggression, and risk-taking behavior, marked differences in severity and nature exist in these relationships. Differentiation of suicidal youths based on the presence or absence of violent behavior may add to our understanding of suicidal phenomena and may thus have important clinical consequences.
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| 3. |
- Ruchkin, Vladislav, et al.
(författare)
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Psychopathology and age at onset of conduct problems in juvenile delinquents.
- 2003
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Ingår i: Journal of Clinical Psychiatry. - 0160-6689 .- 1555-2101. ; 64:8, s. 913-20
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: This study aimed to assess psychopathology among incarcerated Russian juvenile delinquents in relation to the onset of conduct problems.METHOD: 358 male juvenile delinquents were interviewed from January to September 1999, using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version. Early behavior problems, current antisocial behavior, and psychopathology were also assessed through self-reports. The presence of conduct disorder (CD) and other diagnoses was determined according to DSM-IV criteria.RESULTS: 73.2% of the incarcerated youths met criteria for CD. 23.5% of the total sample reported at least 1 criterion for CD being present before the age of 10 years. All participants from this early-onset group fulfilled the criteria for CD. This group also had significantly higher rates of psychopathology, and particularly of externalizing behaviors, as compared with youths whose conduct problems began at or after the age of 10 years.CONCLUSION: Poor psychosocial adaptation and future prognosis in juvenile delinquents with early-onset conduct problems may be related to their greater degree of psychiatric disturbance compared with later-onset delinquent youths. Need for psychiatric treatment should be carefully considered in prevention and rehabilitation efforts for troubled youths.
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| 4. |
- Ruchkin, Vladislav V, et al.
(författare)
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Violence exposure, posttraumatic stress, and personality in juvenile delinquents.
- 2002
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Ingår i: Journal of the American Academy of Child and Adolescent Psychiatry. - : Elsevier BV. - 0890-8567 .- 1527-5418. ; 41:3, s. 322-9
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To assess posttraumatic stress and its relationship to comorbid psychopathology, violence exposure, and personality traits in Russian male juvenile delinquents.METHOD: Posttraumatic stress and comorbid psychopathology were assessed by a semistructured psychiatric interview (Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version) in 370 delinquent youths during winter-spring of 1999. In addition, violence exposure, personality, and psychopathology were assessed by self-reports.RESULTS: Most delinquents reported some degree of posttraumatic stress: 156 subjects (42%) fulfilled partial criteria and 87 (25%) fulfilled full DSM-IV criteria for posttraumatic stress disorder (PTSD). Violence-related experiences (witnessing and victimization) were the most common types of trauma. Higher levels of posttraumatic stress were accompanied by higher rates of comorbid psychopathology, with the most striking differences occurring between the groups with full versus partial PTSD criteria. Violence exposure was related to temperamental behavior activation (novelty seeking), whereas PTSD symptom scores were predominantly related to behavior inhibition and poor coping (high harm avoidance and low self-directedness).CONCLUSIONS: Similar to findings from American samples, Russian juvenile delinquents represent a severely traumatized population, mainly due to high levels of violence exposure. Those with full PTSD are the most severely traumatized and have highest rates of psychopathology, as compared to those with no or partial PTSD, and they require the most clinical attention and rehabilitation. Both exposure to violence and levels of posttraumatic stress are related to personality traits, which influence degree of exposure and individual perception of stress. The latter should be considered in individualized approaches to rehabilitation.
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| 5. |
- Vermeiren, Robert, et al.
(författare)
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Exposure to violence and suicide risk in adolescents : a community study.
- 2002
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Ingår i: Journal of Abnormal Child Psychology. - 0091-0627 .- 1573-2835. ; 30:5, s. 529-37
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Tidskriftsartikel (refereegranskat)abstract
- The prevalence of violence exposure is relatively unexplored in adolescents in European communities, and reports on the association between exposure to community violence and suicidal behavior are rare. The aim of this study was to investigate (1) the prevalence of community violence in a European urban adolescent sample, (2) the relationship between exposure to community violence and suicidal ideation/deliberate self-harm, and (3) the influence of depressive symptoms and aggressive behavior on this relationship. Self-report surveys were administered to a representative school-based sample of 1509 adolescents in Antwerp (Belgium). The prevalence rate of violence exposure was still high but lower than that reported in U.S. communities. Suicidal ideation and deliberate self-harm were both related to violence exposure. The gender-specific influence of depressive symptomatology and aggressive behavior on the association between exposure to violence and suicidal behavior suggests the need for further research.
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| 6. |
- Vermeiren, Robert, et al.
(författare)
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Juvenile arrest : a cross-cultural comparison.
- 2004
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Ingår i: Journal of Child Psychology and Psychiatry. - 0021-9630 .- 1469-7610. ; 45:3, s. 567-76
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Cross-national studies describing the psychopathological characteristics of arrested adolescents are virtually non-existent. Such studies are important because they have implications for national policy on arrest, case-management, and future research.METHOD: To address this issue, self-report surveys administered to representative groups of 12- to 16-year-old adolescents in New Haven, USA (N = 1138) and Antwerp, Belgium (N = 627) were compared. A number of internalizing and deviant behavior variables were compared between controls (C), non-arrested antisocial (NA), and arrested antisocial (AR) participants.RESULTS: Similar cross-national arrest rates and levels of antisocial behavior were found. NA and AR youths in both countries reported more internalizing problems, except for anxiety, and more deviant characteristics. Contrary to expectations, the level of depression was not higher in AR compared to NA youth when differences in antisocial behavior between NA and AR were controlled. Also unexpected, arrest showed an independent association with a number of deviant behavior variables.CONCLUSIONS: Further research should investigate the underlying mechanisms of these associations, as this insight would be useful for developing future intervention and prevention programs, as well as for developing future national policies regarding juvenile antisocial behavior.
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| 7. |
- Vermeiren, Robert, et al.
(författare)
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Neuropsychological characteristics of three subgroups of Flemish delinquent adolescents.
- 2002
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Ingår i: Neuropsychology. - 0894-4105 .- 1931-1559. ; 16:1, s. 49-55
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Tidskriftsartikel (refereegranskat)abstract
- Sixty-three adjudicated adolescents, aged 14-17 years, were followed for 2 years to examine the neuropsychological characteristics of subgroups of delinquents. Nonrecidivistic subjects (n = 29) and late recidivistic subjects (n = 22) differed from early recidivistic subjects (n = 12) on intelligence, self-control functioning, and memory. Late recidivistic subjects, compared with not recidivistic subjects, showed a lower verbal IQ. The differences remained when controlling for the level of substance abuse. This study suggests that neuropsychological assessment may help in differentiating delinquent adolescents, although more research is needed to unravel the mediating influences of substance abuse and early neuropsychological and academic problems.
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| 8. |
- Vermeiren, Robert, et al.
(författare)
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Predicting recidivism in delinquent adolescents from psychological and psychiatric assessment.
- 2002
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Ingår i: Comprehensive Psychiatry. - 0010-440X .- 1532-8384. ; 43:2, s. 142-9
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Tidskriftsartikel (refereegranskat)abstract
- An important but sparse body of research focuses on psychiatric disorders and/or psychological characteristics as predictors of recidivism in delinquent adolescents. Through detailed psychiatric and psychological assessment in 64 adjudicated male juvenile delinquents, the current study investigated the long-term relationships between psychopathology, intellectual functioning, and recidivism. Psychiatric diagnosis was based on the results of a semistructured interview conducted both with delinquents and their parents. After 2 years, information on recidivism was retrieved from the official records for the 64 subjects who underwent an initial assessment and the 36 who did not but who were adjudicated during the same period. The statistical model of future offending was able to explain 44.0% of the variance through the combination of (1) diagnosis of conduct disorder, (2) absence of major depression, and (3) low verbal IQ as scored on a standard intelligence test. It is concluded that specific aspects of psychiatric and psychological assessment can help to predict recidivist offending in delinquent adolescents. Future research should focus on the possibilities of implementing these findings in the development of prevention and rehabilitation programs.
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| 9. |
- Vermeiren, Robert, et al.
(författare)
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Subtypes of self-esteem and self-concept in adolescent violent and property offenders.
- 2004
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Ingår i: Journal of Child Psychology and Psychiatry. - 0021-9630 .- 1469-7610. ; 45:2, s. 405-11
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To investigate the relationship between subtypes of self-esteem/self-concept (familial, academic, social, and personal security) and antisocial behavior in adolescents (violent and property offending).METHOD: A self-report survey was administered in a representative group of 1466 students aged 12 to 18.RESULTS: Both low family acceptance and low academic competence were found to predict property and violent offending, while high peer popularity was found to predict mainly violent offending.CONCLUSION: The finding that subtypes of self-esteem/self-concept present differently in antisocial adolescents may have clinical and scientific consequences, and such differentiation should be considered in future research. It should also be investigated whether this finding has therapeutic consequences.
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| 10. |
- Vermeiren, Robert, et al.
(författare)
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Violence exposure and substance use in adolescents : findings from three countries.
- 2003
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Ingår i: Pediatrics. - 1098-4275. ; 111:3, s. 535-40
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate relationships between exposure to community violence (witnessing and victimization) and reported substance use (cigarettes, alcohol, marijuana, and hard drugs) in a cross-national sample of adolescents, after controlling for the level of the adolescents' own violent behavior.METHOD: A self-report survey was conducted in 3380 14- to 17-year-old adolescents in urban communities of 3 different countries: Antwerp, Belgium (N = 958); Arkangelsk, Russia (N = 1036); and New Haven, Connecticut (N = 1386).RESULTS: In all 3 countries, levels of reported smoking, alcohol use, marijuana use, and hard drug use showed increases with adolescent exposure to violence. Although positively related, substance use was increased less markedly in US adolescents who witnessed violence.CONCLUSION: Current findings further emphasize the association between violence exposure and potential severe physical and psychosocial health problems in adolescents. In addition, the findings suggest that violence exposure and its consequences are a worldwide urban phenomenon. Cross-national differences were found, however, that warrant additional research, and prospective studies are needed to investigate the pathways from violence exposure to substance abuse.
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