Sex-specific predictors of exposure to hospital-treated assaults among former adolescent psychiatric inpatients
Oulasmaa, Lauri; Riipinen, Pirkko; Hakko, Helinä; Riala, Kaisa; Kantojärvi, Liisa (2021-12-01)
Oulasmaa, L., Riipinen, P., Hakko, H., Riala, K., & Kantojarvi, L. (2021). Sex-specific predictors of exposure to hospital-treated assaults among former adolescent psychiatric inpatients. Violence and Victims, 36(6), 751-769. https://doi.org/10.1891/VV-D-19-00165
This is a post-peer-review, pre-copyedit version of an article published in Violence and Victims. The final authenticated version is available online at: http://dx.doi.org/10.1891/VV-D-19-00165
https://creativecommons.org/licenses/by-nc-nd/4.0/
https://urn.fi/URN:NBN:fi-fe2022061647043
Tiivistelmä
Abstract
This study examined the associations of psychiatric disorders, suicidal behavior and family-related characteristics during adolescence, to subsequent experiences of hospital-treated physical, or sexual assaults, among 508 young adults with a history of psychiatric inpatient care at adolescence (aged 13–17 years). Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) based adolescent psychiatric disorders were assessed at index hospitalization using Schedule for Affective Disorder and Schizophrenia for School-Age children, Present and Lifetime version (K-SADS-PL). Treatment episodes for assaults were obtained from the health care register, provided by the Finnish National Institute for Health Welfare. About 14.4% of the participants had experienced physical or sexual assault during their lifetime. Results of logistic regression analysis indicated that anxiety disorder (odds ratio [OR] = 9.6) and nonsuicidal self-injury (OR = 3.7) in adolescence for males, and personality disorder (OR = 3.4) for females, were associated with increased likelihood for subsequent assault exposure leading to hospitalization. These findings can be used in targeting vulnerable adolescents and designing primary prevention strategies.
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