Our findings are similar to those of previous studies among adolescents in prevalence rates, changing trends of most mental disorders, and gender effects. The differential changing trends in various diagnostic groups may imply the importance of specific measures for prevention during adolescence.
BackgroundFew studies have prospectively examined psychosocial and psychiatric
predictors of adolescent substance use disorders simultaneously.AimsTo identify psychosocial and psychiatric predictors of substance use
disorders in adolescence.MethodSchool children aged 12 years (s. d. =0. 3) free from any substance use
disorder at grade7(n=428) were assessed in three
consecutive years, using a standardised psychiatric interview. Their
baseline psychosocial information was also collected. The outcome was the
onset age of a substance use disorder. The Cox regression model was used
for data analysis.ResultsThe most significant predictive factors for adolescent substance use
disorder included male gender, attention-deficit hyperactivity disorder,
conduct disorder and sibling use of tobacco. Three protective factors
against such morbidity included living in a household with two parents, a
good academic grade at grade 7 and objection to the use of
substances.ConclusionsEarly intervention for disruptive behaviour disorders and specific
psychosocial risk factors might prevent substance use disorders in early
adolescence.
Detailed description of a specific suicide method following celebrity suicides may induce extensive modeling effect, attracting wider age/sex groups to model the method. Our finding provides further support for restraining media reporting of celebrity suicide in suicide prevention.
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