scholarly journals Adolescents Who Self-Harm and Commit Violent Crime: Testing Early-Life Predictors of Dual Harm in a Longitudinal Cohort Study

2019 ◽  
Vol 176 (3) ◽  
pp. 186-195 ◽  
Author(s):  
Leah S. Richmond-Rakerd ◽  
Avshalom Caspi ◽  
Louise Arseneault ◽  
Jessie R. Baldwin ◽  
Andrea Danese ◽  
...  
Author(s):  
Iman Alaie ◽  
Richard Ssegonja ◽  
Anna Philipson ◽  
Anne-Liis von Knorring ◽  
Margareta Möller ◽  
...  

Abstract Purpose Depression at all ages is recognized as a global public health concern, but less is known about the welfare burden following early-life depression. This study aimed to (1) estimate the magnitude of associations between depression in adolescence and social transfer payments in adulthood; and (2) address the impact of major comorbid psychopathology on these associations. Methods This is a longitudinal cohort study of 539 participants assessed at age 16–17 using structured diagnostic interviews. An ongoing 25-year follow-up linked the cohort (n = 321 depressed; n = 218 nondepressed) to nationwide population-based registries. Outcomes included consecutive annual data on social transfer payments due to unemployment, work disability, and public assistance, spanning from age 18 to 40. Parameter estimations used the generalized estimating equations approach. Results Adolescent depression was associated with all forms of social transfer payments. The estimated overall payment per person and year was 938 USD (95% CI 551–1326) over and above the amount received by nondepressed controls. Persistent depressive disorder was associated with higher recipiency across all outcomes, whereas the pattern of findings was less clear for subthreshold and episodic major depression. Moreover, depressed adolescents presenting with comorbid anxiety and disruptive behavior disorders evidenced particularly high recipiency, exceeding the nondepressed controls with an estimated 1753 USD (95% CI 887–2620). Conclusion Adolescent depression is associated with considerable public expenditures across early-to-middle adulthood, especially for those exposed to chronic/persistent depression and psychiatric comorbidities. This finding suggests that the clinical heterogeneity of early-life depression needs to be considered from a longer-term societal perspective.


JBMR Plus ◽  
2018 ◽  
Vol 2 (5) ◽  
pp. 268-280 ◽  
Author(s):  
Elin Evensen ◽  
Guri Skeie ◽  
Tom Wilsgaard ◽  
Tore Christoffersen ◽  
Elaine Dennison ◽  
...  

2015 ◽  
Vol 2 (9) ◽  
pp. 793-800 ◽  
Author(s):  
Lucy Bowes ◽  
Rebecca Carnegie ◽  
Rebecca Pearson ◽  
Becky Mars ◽  
Lucy Biddle ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e014863 ◽  
Author(s):  
Natasha Ruth Saunders ◽  
Michael Lebenbaum ◽  
Therese A Stukel ◽  
Hong Lu ◽  
Marcelo L Urquia ◽  
...  

ObjectiveTo describe the trends in suicide and emergency department (ED) visits for self-harm in youth by immigration status and immigrant characteristics.DesignPopulation-based longitudinal cohort study from 1996 to 2012 using linked health and administrative datasets.SettingOntario, Canada.ParticipantsYouth 10 to 24 years, living in Ontario, Canada.ExposureThe main exposure was immigrant status (recent immigrant (RI) versus long-term residents (LTR)). Secondary exposures included region of birth, duration or residence, and refugee status.Main outcome measureTrends over time in suicide and ED self-harm were modelled within consecutive 3-year time periods. Rate ratios were estimated using Poisson regression models.Results2.5 to 2.9 million individuals were included per cohort period. LTR suicide rates ranged from 7.4 to 9.4/100 000 male person-years versus 2.2–3.4/100 000 females. RI’s suicide rates were 2.7–7.2/100,000 male versus 1.9–2.7/100 000 female person-years. Suicide rates were lower among RI compared with LTR (adjusted relative rate (aRR)=0.70, 95% CI=0.57 to 0.85) with different mechanisms of suicide. No significant time trend in suicide rates was observed (p=0.40). ED self-harm rates for LTR and RI were highest in females (2.6–3.4/1000 LTR females versus 1.1–1.5/1000 males, 1.2–1.8/1000 RI females versus 0.4–0.6/1000 males). RI had lower rates of self-harm compared with LTR (aRR=0.60, 95% CI=0.56 to 0.65). Stratum-specific rates showed a steeper decline per period in RI compared with LTR (RI: aRR=0.85, 95% CI=0.81 to 0.89; LTR: aRR=0.91, 95% CI=0.90 to 0.93). Observed trends were not universal across region of origin and by refugee status.InterpretationSuicide rates have been stable and ED self-harm rates are declining over time among RI youth. These trends by important subgroups should continue to be monitored to allow for early identification of subpopulations of immigrant youth in need of targeted and culturally appropriate public health interventions.


BMJ ◽  
2012 ◽  
Vol 344 (apr26 2) ◽  
pp. e2683-e2683 ◽  
Author(s):  
H. L. Fisher ◽  
T. E. Moffitt ◽  
R. M. Houts ◽  
D. W. Belsky ◽  
L. Arseneault ◽  
...  

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