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Child and Adolescent Psychiatry and Mental Health

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Open Access 01-12-2017 | Research Article

Many, more, most: four risk profiles of adolescents in residential care with major psychiatric problems

Authors: Elisabeth A. W. Janssen-de Ruijter, Eva A. Mulder, Jeroen K. Vermunt, Chijs van Nieuwenhuizen

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2017

Abstract

Background

The development of delinquent behaviour is largely determined by the presence of (multiple) risk factors. It is essential to focus on the patterns of co-occurring risk factors in different subgroups in order to better understand disruptive behaviour.

Aims and hypothesis

The aim of this study was to examine whether subgroups could be identified to obtain more insight into the patterns of co-occurring risk factors in a population of adolescents in residential care. Based on the results of prior studies, at least one subgroup with many risk factors in multiple domains and one subgroup with primarily risk factors in a single domain were expected.

Methods

The structured assessment of violence risk in youth and the juvenile forensic profile were used to operationalize eleven risk factors in four domains: individual, family, peer and school. Data from 270 male adolescents admitted to a hospital for youth forensic psychiatry and orthopsychiatry in the Netherlands were available. Latent class analysis was used to identify subgroups and significant differences between the subgroups were examined in more detail.

Results

Based on the fit statistics and the clinical interpretability, the four-class model was chosen. The four classes had different patterns of co-occurring risk factors, and differed in the included external variables such as psychopathology and criminal behaviour.

Conclusions

Two groups were found with many risk factors in multiple domains and two groups with fewer (but still several) risk factors in single domains. This study shed light on the complexity of disruptive behaviour, providing a better insight into the patterns of co-occurring risk factors in a heterogeneous population of adolescents with major psychiatric problems admitted to residential care.

Available only for authorised users

For reasons of brevity, the term ‘adolescent’ is used throughout the text to include young adults who were sentenced under the Dutch juvenile justice system.

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Title: Many, more, most: four risk profiles of adolescents in residential care with major psychiatric problems
Authors: Elisabeth A. W. Janssen-de Ruijter
Eva A. Mulder
Jeroen K. Vermunt
Chijs van Nieuwenhuizen
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Child and Adolescent Psychiatry and Mental Health / Issue 1/2017
Electronic ISSN: 1753-2000
DOI: https://doi.org/10.1186/s13034-017-0204-1

At a glance: The STEP trials

Springer Medicine

Many, more, most: four risk profiles of adolescents in residential care with major psychiatric problems

Abstract

Background

Aims and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Aims and hypothesis

Methods

Results

Conclusions

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