Educational attainment of adolescents treated in psychiatric inpatient care: a register study over 3 decades

Holttinen, Timo; Lindberg, Nina; Rissanen, Pekka; Kaltiala, Riittakerttu

doi:10.1007/s00787-022-02052-0

Cited by 5 publications

(2 citation statements)

References 55 publications

(90 reference statements)

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“…These tasks can be even more challenging for those with psychiatric disorders, of which the symptoms can substantially influence the pupils’ self-care abilities. Moreover, our observed estimates for individuals with T1D and psychiatric disorders were similar to estimates for individuals with psychiatric disorders only, suggesting that psychiatric symptoms may directly affect pupils’ learning process and academic performance . For example, pupils with NDD often need more time to complete assignments and examinations, and episodes of psychiatric disorders may lead to more school absenteeism.…”

Section: Discussionsupporting

confidence: 65%

“…Moreover, our observed estimates for individuals with T1D and psychiatric disorders were similar to estimates for individuals with psychiatric disorders only, suggesting that psychiatric symptoms may directly affect pupils' learning process and academic performance. [37][38][39] For example, pupils with NDD often need more time to complete assignments and examinations, and episodes of psychiatric disorders may lead to more school absenteeism. Furthermore, both T1D and behavioral problems have been linked…”

Section: Discussionmentioning

confidence: 99%

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Educational Outcomes in Children and Adolescents With Type 1 Diabetes and Psychiatric Disorders

et al. 2023

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ImportanceResearch shows that children and adolescents with type 1 diabetes (T1D), compared with their peers without diabetes, have a greater risk of psychiatric disorders. However, no study has comprehensively examined whether having psychiatric disorders is associated with educational outcomes in children and adolescents with T1D.ObjectiveTo investigate educational outcomes in children and adolescents with T1D with and without psychiatric disorders.Design, Setting, and ParticipantsThis cohort study used data from multiple Swedish registers. The main study cohort included individuals born in Sweden between January 1, 1973, and December 31, 1997, who were followed up from birth through December 31, 2013. Data analyses were conducted from March 1 to June 30, 2022.ExposuresType 1 diabetes and psychiatric disorders (including neurodevelopmental disorders, depression, anxiety disorders, eating disorders, bipolar disorder, psychotic disorder, and substance misuse) diagnosed before 16 years of age.Main Outcomes and MeasuresAchieving educational milestones (completing compulsory school [primary and lower secondary education], being eligible to and finishing upper secondary school, and starting and finishing university) and compulsory school performances.ResultsOf 2 454 862 individuals (51.3% male), 13 294 (0.5%; 53.9% male) were diagnosed with T1D (median [IQR] age at diagnosis, 9.5 [6.0-12.5] years), among whom 1012 (7.6%) also had at least 1 psychiatric disorder. Compared with healthy individuals (without T1D and psychiatric disorders), individuals with T1D alone had slightly lower odds of achieving the examined educational milestones. However, those with both T1D and any psychiatric disorder had much lower odds of achieving milestones, including completing compulsory school (odds ratio [OR], 0.17; 95% CI, 0.13-0.21), being eligible for (OR, 0.25; 95% CI, 0.21-0.30) and finishing (OR, 0.19; 95% CI, 0.14-0.26) upper secondary school, and starting (OR, 0.36; 95% CI, 0.29-0.46) and finishing (OR, 0.30; 95% CI, 0.20-0.47) university. They also showed lower grade point averages for compulsory school subjects. These findings remained similar in sibling comparison analyses, suggesting independence from familial confounding.Conclusions and RelevanceIn this cohort study of Swedish-born children and adolescents, those with T1D alone had minor difficulties with their educational outcomes, whereas those with both T1D and psychiatric disorders had universal long-term educational underachievement. These findings highlight the importance of identifying psychiatric disorders in pediatric patients with T1D and the need for targeted educational intervention and support to minimize the education gap between the affected children and their peers.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Educational Outcomes in Children and Adolescents With Type 1 Diabetes and Psychiatric Disorders

et al. 2023

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Beyond the mind: Understanding the influence of mental health on youth NEET status in Europe—A systematic literature review

Lindblad,

Ravn,

Gaardsted

et al. 2024

Journal of Adolescence

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IntroductionIn the fields of labor market and education research, there is a vast interest in mental health factors affecting unsuccessful school‐to‐work transitions, dropout from school and labor market disconnections for young people. Young people who are not in employment, education or training are conceived of as NEET.AimTo get an overview we conducted a systematic review of the present literature on the influence of mental health on the likelihood of becoming NEET in Europe.MethodA Systematic literature search was conducted in four databases on February 21, 2023, with an update on January 15, 2024.Results33,314 articles were screened whereas 41 studies involving 8,914,123 individuals were included. Poor mental health such as attention deficit hyperactive disorder, autism, depression, borderline, and psychosis during childhood and adolescence is strongly associated with becoming NEET.ConclusionMental health issues, whether mild or severe, heighten significant the risk of adverse education and employment outcomes in early adulthood, extending to young individuals with personality disorders, borderline personality disorder, and psychoses. These observations inform early intervention strategies for children and young people grappling with mental health challenges. Timely treatment is essential. Future research should focus on the gap in research like specific disorders such as eating disorders and anxiety.

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Five-year follow-up of the iBerry Study: screening in early adolescence to identify those at risk of psychopathology in emerging adulthood

Bouter,

Ravensbergen,

de Neve-Enthoven

et al. 2024

Eur Child Adolesc Psychiatry

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The iBerry Study, a Dutch population-based high-risk cohort (n = 1022) examines the transition from subclinical symptoms to psychiatric disorders in adolescents. Here, we present the first follow-up measurement, approximately 3 years after baseline assessment and 5 years after the screening based on self-reported emotional and behavioral problems (SDQ-Y). We give an update on the data collection, details on the (non)response, and the results on psychopathology outcomes. The first follow-up (2019–2022) had a response rate of 79% (n = 807). Our results at baseline (mean age 15.0 years) have shown the effectiveness of using the SDQ-Y to select a cohort oversampled for the risk of psychopathology. At first follow-up (mean age 18.1 years), the previously administered SDQ-Y remains predictive for selecting adolescents at risk. At follow-up, 47% of the high-risk adolescents showed significant mental health problems based on self- and parent reports and 46% of the high-risk adolescents met the criteria for multiple DSM-5 diagnoses. Compared to low-risk adolescents, high-risk adolescents had a sevenfold higher odds of significant emotional and behavioral problems at follow-up. Comprehensive assessment on psychopathology, substance abuse, psychotic symptoms, suicidality, nonsuicidal self-injury, addiction to social media and/or video gaming, and delinquency, as well as social development, and the utilization of healthcare and social services were conducted. This wave, as well as the ones to follow, track these adolescents into their young adulthood to identify risk factors, elucidate causal mechanisms, and discern pathways leading to both common and severe mental disorders. Results from the iBerry Study will provide leads for preventive interventions.

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Educational attainment of adolescents treated in psychiatric inpatient care: a register study over 3 decades

Cited by 5 publications

References 55 publications

Educational Outcomes in Children and Adolescents With Type 1 Diabetes and Psychiatric Disorders

Educational Outcomes in Children and Adolescents With Type 1 Diabetes and Psychiatric Disorders

Beyond the mind: Understanding the influence of mental health on youth NEET status in Europe—A systematic literature review

Five-year follow-up of the iBerry Study: screening in early adolescence to identify those at risk of psychopathology in emerging adulthood

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