Prevalence and correlates of psychiatric disorders among former juvenile detainees in the United States.

Objective: Juvenile offenders face increased liability for psychiatric disorders and greater psychopathology, but little is known about the psychiatric status of former juvenile delinquents as adults.

Method: Drawing on data from Wave 1 and Wave 2 of the NESARC, logistic regression models examine correlates of psychiatric disorders in a large nationally representative sample of former juvenile detainees in adulthood (n=1177) compared to adults who did not have a history of juvenile offending (n=33,193). Further, we explored the psychosocial correlates associated with the increased likelihood of psychiatric disorders among former juvenile detainees.

Results: Nearly half of former juvenile detainees met criteria for one or more psychiatric disorders in the past twelve months and approximately two-thirds meet criteria for any lifetime personality disorder. Compared to the general population, former juvenile detainees not only denote greater psychiatric comorbidity across a range of affective, personality, and substance use disorders but are also more likely to report childhood adversity.

Conclusions: Former juvenile detainees experience significantly greater and more varied psychiatric problems across adulthood.