Poly-traumatization and harmful behaviors in a sample of emergency department Psychiatric Intake Response Center youth

Tossone, Krystel; Jefferis, Eric; Grey, Scott F.; Bilge-Johnson, Sumru; Bhatta, Madhav P.; Seifert, Patricia C.

doi:10.1016/j.chiabu.2014.11.015

Cited by 14 publications

(12 citation statements)

References 38 publications

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“…Several studies have investigated concurrent associations between profiles of victimization type (i.e., single victimization vs. poly-victimization), mental health diagnoses (e.g., PTSD and MDD), and SUDs (Ford et al, 2010) using latent class or latent profile analysis (Aebi et al, 2015; Bender, Thompson, & Ferguson, 2014; Grasso et al, 2013; Tossone et al, 2015). For example, among a nationally representative cross-sectional sample of adolescents unselected for justice involvement, Ford et al (2010) found that youth in classes characterized by high prevalence of poly-victimization were more likely to report SUD and have co-occurring disorders compared to youth reporting either no or one type of victimization.…”

Section: Poly-victimization As a Form Of Chronic Strainmentioning

confidence: 99%

Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis

et al. 2019

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To understand how exposure to victimization during adolescence and the presence of comorbid psychological conditions influence substance use treatment entry and substance use disorder diagnosis from 14 to 25 years old among serious juvenile offenders, this study included 1,354 serious juvenile offenders who were prospectively followed over 7 years. Growth mixture modeling was used to assess profiles of early victimization during adolescence (14–17 years). Discrete time survival mixture analysis was used to assess time to treatment entry and substance use disorder diagnosis. Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) were used as predictors of survival time. Mixture models revealed three profiles of victimization: sustained poly-victimization, moderate/decreasing victimization, and low victimization. Youth in the sustained poly-victimization class were more likely to enter treatment earlier and have a substance use diagnosis earlier than other classes. PTSD was a significant predictor of treatment entry for youth in the sustained poly-victimization class, and MDD was a significant predictor of substance use disorder diagnosis for youth in the moderate/decreasing victimization class. Therefore, substance use prevention programming targeted at youth experiencing poly-victimization in early adolescence—especially those who have PTSD or MDD—is needed.

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Section: Poly-victimization As a Form Of Chronic Strainmentioning

confidence: 99%

Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis

et al. 2019

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“…The probability of experiencing ETV across contextual locations is likely dependent upon several factors. For example, research has suggested children are more likely to experience ETV when there is a history of family mental illness (Finkelhor, Ormrod, Turner, & Holt, 2009; Tossone et al, 2015). The likelihood of experiencing ETV in different locations may also depend on age and gender.…”

Section: Introductionmentioning

confidence: 99%

Polyvictimization Across Social Contexts

Butcher

Holmes

Kretschmar

et al. 2016

Criminal Justice and Behavior

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Exposure to violence is a widespread problem that affects the mental health of children and adolescents particularly in at-risk populations such as juvenile justice involved youth. While a number of studies have examined the cumulative impact of violence exposure, few studies have examined the importance of social context. The present study examined classifications of youth exposed to violence by contextual location (home, school, and neighborhood) in a sample of 2,124 juvenile justice involved youth. Latent class analysis revealed three classes of youth exposed to violence: (a) low violence exposure, (b) moderate and high home/school violence exposure, and (c) violence exposure in all three social contexts. Furthermore, distal outcomes analysis showed differences in internalizing and externalizing problems based on class membership. Findings from the current study underline the importance of understanding the role of social context in assessing violence exposure in juvenile justice involved youth.

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“…These findings align with research that has found four or more co-occurring trauma types significantly increase the odds of self-harm, suicidal, or violent behaviors in a comparable inpatient population. 11 As a majority of patients (90%) are admitted to the study site due to risk of self-harm, complex trauma histories may increase ED utilization via increased levels of self-harm and suicidal behaviors. In the final model, both a GAD diagnosis and longer hospital LOS were associated with increased risk of ED utilization when controlling for other variables.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Use Following Pediatric Psychiatric Hospitalization

King

Joyce

Nash

et al. 2019

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Objective: ED utilization has increased disproportionately for pediatric psychiatric care. This study aimed to identify predictors of emergency department (ED) utilization within 30 days after discharge from a pediatric psychiatric hospitalization. Methods: ED utilization was assessed in the 30 days after discharge. Univariate logistic regression modeling identified predictors of ED utilization, which were used in subsequent multivariate modeling. Results: Greater number of trauma types (OR=1.92, CI=1.50-2.45, z=2.67, p=0.008), generalized anxiety disorder (OR=3.20, CI=1.78-5.76, z=1.98, p=0.048), and longer length of stay (OR=1.05, CI=1.03-1.07, z=2.74, p=0.006) were associated with increased ED utilization within 30 days of discharge. Discussion: ED utilization may be an important marker of negative outcomes within 30 days of discharge from pediatric psychiatric hospitalization. Patients with high trauma exposure, anxiety and acuity marked by increased LOS may require additional services to prevent unplanned ED utilization for psychiatric crises.

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Poly-traumatization and harmful behaviors in a sample of emergency department Psychiatric Intake Response Center youth

Cited by 14 publications

References 38 publications

Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis

Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis

Polyvictimization Across Social Contexts

Emergency Department Use Following Pediatric Psychiatric Hospitalization

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