Psychiatric disorders in detained male adolescents: a systematic literature review

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Colins, Olivier,1978-Department of Special Education, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium; Leids University Medical Center and Curium, Oegstgeest, Netherlands,CAPS (author)

Psychiatric disorders in detained male adolescents : a systematic literature review

Article/chapterEnglish2010

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2010-04-01
SAGE Publications,2010
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LIBRIS-ID:oai:DiVA.org:oru-44159
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-44159URI
https://doi.org/10.1177/070674371005500409DOI

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Language:English
Summary in:English

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Subject category:for swepub-publicationtype

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Funding Agency:Special Research Fund of the Ghent University
OBJECTIVE: To provide a best estimate of the prevalence of psychiatric disorders among detained male adolescents, with particular emphasis on impairment, multi-informant assessment, and race or ethnicity.METHOD: Computer-assisted searches were executed to identify relevant studies.RESULTS: Fifteen studies using adolescents as informants met inclusion criteria (n = 3401), of which only 2 reported within a subsample on parent-derived diagnoses. The mean prevalence of any disorder was 69.9% (95% CI 69.5% to 70.3%); with conduct disorder occurring most frequently (46.4%, 95% CI 45.6% to 47.3%), followed by substance use disorder (45.1%, 95% CI 44.6% to 45.5%), oppositional defiant disorder (19.8%, 95% CI 19.2% to 20.3%), and attention-deficit hyperactivity disorder (13.5%, 95% CI 13.2% to 13.9%). Although lower, rates for internalizing disorders were still substantial, with any anxiety disorder found in 15.9% (95% CI 15.6% to 16.1%), major depression in 12.0% (95% CI 11.7% to 12.2%), and posttraumatic stress disorder in 9.6% (95% CI 9.2% to 10.0%). Three studies reported on psychotic disorders, finding low rates (1.35%, 95% CI 1.32% to 1.39%). Estimates of prevalence were only marginally different when impairment was not required, while consistency between adolescents and parents was poor. Findings on the relations between race or ethnicity were too scarce and inconsistent to interpret.CONCLUSION: Detained male adolescents bear substantial mental health needs, emphasizing the need to organize effective mental health services for this troubled group. However, our knowledge on mental disorders in detained youth should be enhanced, in particular regarding the reliability of adolescents, compared with parent report, and whether clinically relevant differences exist by race or ethnicity.

Subject headings and genre

SAMHÄLLSVETENSKAP Psykologi Psykologi hsv//swe
SOCIAL SCIENCES Psychology Psychology hsv//eng
Forensic psychiatry; Juvenile delinquents; Mental health
Psychology
Psykologi
Psychiatry
Psykiatri

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Vermeiren, RobertChild and Adolescent Psychiatry, Leids University Medical Center and Curium-LUMC, Oegstgeest, Netherlands; Forensic Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, Netherlands (author)
Vreugdenhil, CobyMoleMann Mental Health Clinics, Almere, Netherlands (author)
van den Brink, WimDepartment of Psychiatry, Amsterdam Institute for Addiction Research, Academic Medical Center, Amsterdam, Netherlands (author)
Doreleijers, TheoChild and Adolescent Psychiatry, VU University Medical Center, Amsterdam, Netherlands (author)
Broekaert, ErikDepartment of Special Education, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium (author)
Department of Special Education, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium; Leids University Medical Center and Curium, Oegstgeest, NetherlandsCAPS (creator_code:org_t)

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In:Canadian journal of psychiatry: SAGE Publications55:4, s. 255-2630706-74371497-0015

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology; and Psychology

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