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Early onset externalizing behaviors among forensic psychiatric patients : Identification in child and adolescent psychiatric services

Claesdotter-Knutsson, Emma LU ; Delfin, Carl LU ; Laporte, Natalie LU and Wallinius, Märta LU (2021) In Psychiatry Research 305.
Abstract

Forensic psychiatric patients constitute a heterogeneous patient group, with common comorbidity within the externalizing spectrum. Increased knowledge on early antecedents in the pathway to severe mental illness and criminality is needed. In this study, we investigated early onset externalizing behaviors in three groups of forensic psychiatric patients 1) patients without contact with child and adolescent psychiatry (CAP), 2) patients with CAP contact, and 3) patients with both CAP contact and institutional placement. Participants (N = 98) were consecutively recruited from a cohort of forensic psychiatric patients in Sweden between 2016 and 2020. Data were collected through file information and semi-structured interviews and analyzed... (More)

Forensic psychiatric patients constitute a heterogeneous patient group, with common comorbidity within the externalizing spectrum. Increased knowledge on early antecedents in the pathway to severe mental illness and criminality is needed. In this study, we investigated early onset externalizing behaviors in three groups of forensic psychiatric patients 1) patients without contact with child and adolescent psychiatry (CAP), 2) patients with CAP contact, and 3) patients with both CAP contact and institutional placement. Participants (N = 98) were consecutively recruited from a cohort of forensic psychiatric patients in Sweden between 2016 and 2020. Data were collected through file information and semi-structured interviews and analyzed with a Bayesian approach. A history of CAP together with an institutional placement during childhood or adolescence was associated with more externalizing disorders, a higher number of convictions over the lifetime, a lower age at first conviction, and a lower age at first self-reported crime. Our findings provide further insight into the importance of early-onset adverse behaviors in the development of later externalizing behaviors, and may be of particular use for practitioners within social services and CAP services.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Child and adolescent psychiatry, Exteranlizing behaviors, Forensic psychiatry, Institutional placement
in
Psychiatry Research
volume
305
article number
114235
publisher
Elsevier
external identifiers
  • pmid:34688181
  • scopus:85117363530
ISSN
0165-1781
DOI
10.1016/j.psychres.2021.114235
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 The Author(s)
id
15935088-5072-4f8e-bc6c-c1286f5f8067
date added to LUP
2021-11-22 09:31:13
date last changed
2024-03-23 14:09:22
@article{15935088-5072-4f8e-bc6c-c1286f5f8067,
  abstract     = {{<p>Forensic psychiatric patients constitute a heterogeneous patient group, with common comorbidity within the externalizing spectrum. Increased knowledge on early antecedents in the pathway to severe mental illness and criminality is needed. In this study, we investigated early onset externalizing behaviors in three groups of forensic psychiatric patients 1) patients without contact with child and adolescent psychiatry (CAP), 2) patients with CAP contact, and 3) patients with both CAP contact and institutional placement. Participants (N = 98) were consecutively recruited from a cohort of forensic psychiatric patients in Sweden between 2016 and 2020. Data were collected through file information and semi-structured interviews and analyzed with a Bayesian approach. A history of CAP together with an institutional placement during childhood or adolescence was associated with more externalizing disorders, a higher number of convictions over the lifetime, a lower age at first conviction, and a lower age at first self-reported crime. Our findings provide further insight into the importance of early-onset adverse behaviors in the development of later externalizing behaviors, and may be of particular use for practitioners within social services and CAP services.</p>}},
  author       = {{Claesdotter-Knutsson, Emma and Delfin, Carl and Laporte, Natalie and Wallinius, Märta}},
  issn         = {{0165-1781}},
  keywords     = {{Child and adolescent psychiatry; Exteranlizing behaviors; Forensic psychiatry; Institutional placement}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Psychiatry Research}},
  title        = {{Early onset externalizing behaviors among forensic psychiatric patients : Identification in child and adolescent psychiatric services}},
  url          = {{http://dx.doi.org/10.1016/j.psychres.2021.114235}},
  doi          = {{10.1016/j.psychres.2021.114235}},
  volume       = {{305}},
  year         = {{2021}},
}