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Correlates of sexual abuse in a sample of adolescent girls admitted to psychiatric inpatient care
- Authors:
- KANAMULLER Juha, et al
- Journal article citation:
- Journal of Child Sexual Abuse, 23(7), 2014, pp.804-823.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The authors examined correlations of child sexual abuse among 300 adolescent girls in psychiatric inpatient treatment. Diagnostic and Statistical Manual of Mental Disorders (4th ed.)-based psychiatric diagnoses were obtained from the Schedule for Affective Disorder and Schizophrenia for School-Age Children—Present and Lifetime and from data on family and behavioural characteristics from the European Addiction Severity Index (EuropASI). A total of 79 girls (26.3%) had experienced child sexual abuse during their lifetime. Child sexual abuse was associated with an adolescent’s home environment, sibling status, smoking, posttraumatic stress disorder diagnosis, self-mutilating behaviour, and suicidal behaviour. At least 62% of the perpetrators were acquaintances of the victims. Correlates of child sexual abuse can be used to identify child sexual abuse victims and persons at heightened risk for child sexual abuse. (Edited publisher abstract)
Does the use of health care and special school services, prior to admission for psychiatric inpatient treatment, differ between adolescents housed by child welfare services and those living with their biological parent(s)?
- Authors:
- LAUKKANEN Matti, et al
- Journal article citation:
- Community Mental Health Journal, 49(5), 2013, pp.528-539.
- Publisher:
- Springer
The researchers examined whether the use of health care and special school services, prior to admission for psychiatric inpatient treatment, differed between adolescents from child welfare units and those living at their parental home. 208 boys and 300 girls aged 12–17 years were admitted for psychiatric hospital between 2001 and 2006. Child welfare adolescents had used more health services/treatments prior to psychiatric hospital admission than adolescents living with their biological family. The best discriminating factors between study groups for both genders, were previous psychiatric hospitalisations, unemployed parents, use of special school services and self-perceived serious anxiety/tension or trouble controlling violent behaviour. Repeated school grades and previous use of psychotropic medications were discriminating factors only in girls. Adolescents in child welfare deserve adequate mental health evaluations at an early stage, with referral to appropriate adolescent psychiatric services if required. Appropriate service provision and properly planned treatments may reduce the amount of intensive and sometimes unnecessary psychiatric inpatient treatments. (Publisher abstract)