Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Dec 19:11:63.
doi: 10.1186/s13034-017-0204-1. eCollection 2017.

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

Elisabeth A W Janssen-de Ruijter  1   2 , Eva A Mulder  3   4 , Jeroen K Vermunt  5 , Chijs van Nieuwenhuizen  1   2
Affiliations

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

Elisabeth A W Janssen-de Ruijter et al. Child Adolesc Psychiatry Ment Health. .

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.

Keywords: Disruptive behaviour; Forensic psychiatry; Latent class analysis; Risk factors.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Four-class class solution (N = 270)
See this image and copyright information in PMC

References

    1. Farrington DP. Developmental and life-course criminology: key theoretical and empirical issues. The 2002 Sutherland Award Address. Criminology. 2003
    1. Van der Laan AM, Veenstra R, Bogaerts S, Verhulst FC, Ormel J. Serious, minor, and non-delinquents in early adolescence: the impact of cumulative risk and promotive factors. The TRAILS study. J Abnorm Child Psychol. 2010 - PMC - PubMed
    1. Loeber R, Slot NW, Stouthamer-Loeber M. A cumulative developmental model of risk and promotive factors. In: Loeber R, Slot NW, Van der Laan AM, Hoeve M, editors. Tomorrow’s criminals. The development of child delinquency and effective interventions. Farnham: Ashgate; 2008. pp. 133–161.
    1. Andrews DA, Bonta J. The psychology of criminal conduct. 5. New Provence: Matthew Bender & Company, Inc., LexisNexis Group; 2010.
    1. Murray J, Farrington DP. Risk factors for conduct disorder and delinquency: key findings from longitudinal studies. Can J Psychiatry. 2010;55(10):633–642. doi: 10.1177/070674371005501003. - DOI - PubMed

LinkOut - more resources