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BMC Public Health
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Suicide | Research article

Adolescent criminality: multiple adverse health outcomes and mortality pattern in Swedish men

Authors: Marlene Stenbacka, Tomas Moberg, Jussi Jokinen

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

To investigate the impact of adolescent violent and non-violent criminality and subsequent risk of morbidity and mortality in adulthood in a large Swedish cohort of young men conscripted for military service in 1969/70.

Methods

The cohort consisted of 49,398 18-year-old Swedish conscripts followed up for morbidity and mortality up to the age of 55 years in Swedish national registers. Information about convictions for crime before conscription was obtained from national crime registers. Data from a survey at conscription were scrutinized to get information on potential confounders.

Results

Hospitalization due to alcohol and drug related diagnoses and attempted suicide were significantly more evident in the violent group compared to non-violent criminals and non-criminals. More than one fifth (21.13%) of the young violent offenders, 12.90% of the non-violent offenders and 4.96% of the non-criminals had died during the follow-up period. In Cox proportional multivariate analyses, young violent offenders had twice the hazard (HR = 4.29) of all-cause mortality than the non-violent offenders (HR = 2.16) during the follow-up period. Alcohol and drug related mortality, suicide and fatal accidents were most evident in both violent and non-violent offenders.

Conclusions

Men with adolescent criminality received more inpatient care due to alcohol and drug related diagnoses and attempted suicide as adults. Mortality due to unnatural causes, alcohol, and drug related diagnoses, suicide and accidents was most evident in violent offenders, while these causes of death were much lower in non-criminals. Men with adolescent criminality are a high-risk group for multiple adverse health outcomes and for early death. Efforts for detection of substance use and psychiatric disorders in this group is important for the prevention work in both local- and community levels as well as national prevention programs.
Literature
1.
Stenbacka M, Moberg T, Romelsjo A, Jokinen J. Mortality and causes of death among violent offenders and victims-a Swedish population based longitudinal study. BMC Public Health. 2012;12:38.CrossRef
2.
Mordre M, Groholt B, Kjelsberg E, Sandstad B, Myhre AM. The impact of ADHD and conduct disorder in childhood on adult delinquency: a 30 years follow-up study using official crime records. BMC Psychiatry. 2011;11:57.CrossRef
3.
Elonheimo H, Sillanmaki L, Sourander A. Crime and mortality in a population-based nationwide 1981 birth cohort: results from the FinnCrime study. Criminal Behaviour and Mental Health : CBMH. 2017;27(1):15–26.CrossRef
4.
Hodgins S, Larm P, Molero-Samuleson Y, Tengstrom A, Larsson A. Multiple adverse outcomes over 30 years following adolescent substance misuse treatment. Acta Psychiatr Scand. 2009;119(6):484–93.CrossRef
5.
Glueck S, Glueck E. Delinquents and nondelinquents in perspective. Cambridge, MA: Harvard University Press; 1968.CrossRef
6.
Nieuwbeerta P, Piquer AR. Mortality rates and causes of death of convicted Dutch criminals 25 years later. J Crime Delinquency. 2008;45:256–86.CrossRef
7.
Wikstrom PH, Treiber K. Social Disadvantage and Crime: A Criminological Puzzle. Am Behav Sci. 2016;60(10):1232–59.CrossRef
8.
Colman I, Murray J, Abbott RA, Maughan B, Kuh D, Croudace TJ, Jones PB. Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort. BMJ. 2009;338:a2981.CrossRef
9.
Elbogen EB, Johnson SC. The intricate link between violence and mental disorder: results from the National Epidemiologic Survey on alcohol and related conditions. Arch Gen Psychiatry. 2009;66(2):152–61.CrossRef
10.
Whitley E, Batty GD, Gale CR, Deary IJ, Tynelius P, Rasmussen F. Intelligence in early adulthood and subsequent risk of assault: cohort study of 1,120,998 Swedish men. Psychosom Med. 2010;72(4):390–6.CrossRef
11.
Stattin H, Romelsjö A, Stenbacka M. Personal resources as modifiers of the risk of future criminality; an analysis of protective factors in relation to 18-year-old boys. Br J Criminol. 1997;37(2):198–223.CrossRef
12.
Compton MT, Kelley ME, Pope A, Smith K, Broussard B, Reed TA, DiPolito JA, Druss BG, Li C, Lott Haynes N. Opening doors to recovery: Recidivism and recovery among persons with serious mental illnesses and repeated hospitalizations. Psychiatric services (Washington, DC). 2016;67(2):169–75.CrossRef
13.
Moffitt TE, Arseneault L, Belsky D, Dickson N, Hancox RJ, Harrington H, Houts R, Poulton R, Roberts BW, Ross S, et al. A gradient of childhood self-control predicts health, wealth, and public safety. Proc Natl Acad Sci U S A. 2011;108(7):2693–8.CrossRef
14.
Larm P, Silva TC, Hodgins S. Adolescent substance misusers with and without delinquency: death, mental and physical disorders, and criminal convictions from age 21 to 45. J Subst Abus Treat. 2015;59:1–9.CrossRef
15.
Moffitt TE, Caspi A, Harrington H, Milne BJ. Males on the life-course-persistent and adolescence-limited antisocial pathways: follow-up at age 26 years. Dev Psychopathol. 2002;14(1):179–207.CrossRef
16.
Engqvist U, Rydelius PA. Child and adolescent psychiatric patients and later criminality. BMC Public Health. 2007:7–221.
17.
Durbeej N, Palmstierna T, Rosendahl I, Berman AH, Kristiansson M, Gumpert CH. Mental health services and public safety: substance abuse outpatient visits were associated with reduced crime rates in a Swedish cohort. PLoS One. 2015;10(9):e0137780.CrossRef
18.
Bullock R, Gaehl E. Children in care: a long-term follow up of criminality and mortality. Child Youth Serv Rev. 2012;34:1947–55.CrossRef
19.
Stattin H, Romelsjö A. Adult mortality in the light of criminality, substance abuse, and behavior and family-risk factors in adolescence. Crim Behav Ment Health. 1995;5:279–311.CrossRef
20.
Davstad I, Allebeck P, Leifman A, Romelsjö A. Self-reported drug use and mortality among a nationwide sample of Swedish conscripts – a 35-year follow-up. Drug Alcohol Depend. 2011;118:383–90.CrossRef
21.
Benson G, Holmberg MB. Validity of questionnaires in population studies on drug use. Acta Psychiatr Scand. 1985;71(1):9–18.CrossRef
22.
Lilieblad B, Ståhlberg B. Reliability of the psychological assessments at conscription. FOA-rapport C55011–07. Armed forces research department, Sweden: Stockholm; 1977.
23.
Manual of the International Statistical Classification of Diseases. Injuries, and causes of death (ICD-8). Geneva: World Health Organization; 1967.
24.
25.
SAS Institute Inc. SAS® 9.4. 3rd ed. Cary, NC: SAS Institute Inc; 2014.
26.
Fazel S, Wolf A, Palm C, Lichtenstein P. Violent crime, suicide, and premature mortality in patients with schizophrenia and related disorders: a 38-year total population study in Sweden. Lancet Psychiatry. 2014;1(1):44–54.CrossRef
27.
Wolf A, Gray R, Fazel S. Violence as a public health problem: an ecological study of 169 countries. Soc Sci Med. 2014;104:220–7.CrossRef
28.
de Padua SA, de Barros DM, Bonini Castellana G, Gorenstein C. Personality traits and violent behavior: a comparison between psychopathic and non-psychopathic male murderers. Psychiatry Res. 2014;219(3):604–8.CrossRef
29.
Loza W, Hanna S. Is schizoid personality a forerunner of homicidal or suicidal behavior?: a case study. Int J Offender Ther Comp Criminol. 2006;50(3):338–43.CrossRef
30.
Roma P, Pazzelli F, Pompili M, Lester D, Girardi P, Ferracuti S. Mental illness in homicide-suicide: a review. J Am Acad Psychiatry Law. 2012;40(4):462–8.PubMed
31.
Kjelsberg E. A long-term follow-up study of adolescent psychiatric in-patients. Part IV. Predictors of a non-negative outcome. Acta Psychiatr Scand. 1999;99(4):247–51.CrossRef
32.
Kjelsberg E, Dahl AA. A long-term follow-up study of adolescent psychiatric in-patients. Part II. Predictors of delinquency. Acta Psychiatr Scand. 1999;99(4):237–42.CrossRef
33.
Odgers CL, Caspi A, Broadbent JM, Dickson N, Hancox RJ, Harrington H, Poulton R, Sears MR, Thomson WM, Moffitt TE. Prediction of differential adult health burden by conduct problem subtypes in males. Arch Gen Psychiatry. 2007;64(4):476–84.CrossRef
34.
Webb RT, Qin P, Stevens H, Mortensen PB, Appleby L, Shaw J. National study of suicide in all people with a criminal justice history. Arch Gen Psychiatry. 2011;68(6):591–9.CrossRef
35.
Brismar B, Bergman B. The significance of alcohol for violence and accidents. Alcohol Clin Exp Res. 1998;22(7 Suppl):299s–306s.CrossRef
36.
Mattila VM, Parkkari J, Koivusilta L, Nummi T, Kannus P, Rimpela A: Adolescents’ health and health behaviour as predictors of injury death. A prospective cohort follow-up of 652,530 person-years. BMC Public Health 2008, 8:90.
37.
Lunetta P, Penttila A, Sarna S. The role of alcohol in accident and violent deaths in Finland. Alcohol Clin Exp Res. 2001;25(11):1654–61.CrossRef
38.
Herbert A, Gilbert R, Gonzalez-Izquierdo A, Li L. Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study. BMJ Open. 2015;5(2):e006079.CrossRef
39.
Kaplan MS, Huguet N, McFarland BH, Caetano R, Conner KR, Giesbrecht N, Nolte KB. Use of alcohol before suicide in the United States. Annals of Epidemiology. 2014;24(8):588–592.e581–582.CrossRef
40.
Stenbacka M, Samuelsson M, Nordstrom P, Jokinen J. Suicide risk in young men and women after substance intoxication. Archives of Suicide Research. 2018;22(2):254–62.CrossRef
Metadata
Title
Adolescent criminality: multiple adverse health outcomes and mortality pattern in Swedish men
Authors
Marlene Stenbacka
Tomas Moberg
Jussi Jokinen
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Suicide
Suicide
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-6662-z

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