Screening for Adolescent Substance‐Related Disorders Using the SASSI‐A2: Implications for Nonreporting Youth

Perera-Diltz, Dilani M.; Perry, Justin C.

doi:10.1002/j.2161-1874.2011.tb00068.x

Cited by 9 publications

(5 citation statements)

References 31 publications

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“…Response options for each item are "true" or "false", with raw scores ranging from 0-10. The Attitudes scale has been shown to have good reliability (α = 0.76; Perera-Diltz & Perry, 2011) and test-retest reliability (α = 0.92) and has been validated for use in discriminating between youth with and without a SUD (Lewis & Mobley, 2010).…”

Section: Methodsmentioning

confidence: 99%

Family and Peer Influences on Substance Attitudes and Use among Juvenile Justice-Involved Youth

et al. 2018

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Juvenile justice-involved youth experience high rates of substance use, which is concerning given associated negative consequences, including health and functional deficits. Family and peer factors are associated with a high risk of substance use among justice-involved youth. It is hypothesized that this risk process operates through pro-drug attitudes. However, limited research has been conducted on the mechanisms through which family and peer factors increase risk for substance use among juvenile justice involved youth. The current study examined both the direct and indirect effects of family and peer substance use on youth's substance use (alcohol and illicit drug use). We also examined whether this relationship differs by race. 226 detained youth (81.9% male; 74.3% Black) were recruited from an urban county in the Midwest and completed a clinical interview and substance use assessment battery. A direct effect of family/peer risk on illicit drug use was found for all youth, though the effect was stronger among White youth. Results also supported the indirect effect pathway from family/peer risk to both illicit drug use and alcohol use through prodrug attitudes. This pathway did not vary by race. These findings suggest that interventions should focus on targeting both family/peer risk and pro-drug attitudes to reduce substance use. Given the racial difference in the direct effect of family/peer risk on illicit drug use, there may be other factors that influence risk more strongly for White youth, which warrants further investigation.

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Section: Methodsmentioning

confidence: 99%

Family and Peer Influences on Substance Attitudes and Use among Juvenile Justice-Involved Youth

et al. 2018

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“…Results are provided as t -scores based on norms derived from an adolescent sample (mean age = 15, SD = 1.9) across addiction treatment centers, inpatient psychiatric hospitals, outpatient behavioral health facilities, and juvenile corrections programs. The SASSI-A2 FVA and FVOD scales have demonstrated acceptable to excellent reliability (alpha=0.61 and 0.95, respectively; Perera-Diltz & Perry, 2011) and test-retest reliability ( r’s 0 .71- and 0.92, respectively; Miller & Lazowski, 2001; Stein et al, 2005).…”

Section: Methodsmentioning

confidence: 99%

PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice–Involved Youth

et al. 2017

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Juvenile justice-involved youth face disproportionate rates of sexual abuse, which increases the risk of post-traumatic stress disorder (PTSD) and substance use disorders (SUDs), both of which are associated with poor long-term outcomes. The present study tested two mediation and moderation models, controlling for age, race, and history of physical abuse, with gender as a moderator, to determine whether PTSD symptoms serve as a risk factor and/or mechanism in the relationship between sexual abuse and substance use. Data were examined for 197 juvenile justice-involved youth (mean age = 15.45, 68.9% non-White, 78.4% male) that completed court-ordered psychological assessments. Results indicated that PTSD symptoms significantly mediated the relationship between sexual abuse and drug (β = 3.44, confidence interval [CI] [0.26, 7.41]; test for indirect effect z = 2.41, p = .02) and alcohol use (β = 1.42, CI [0.20, 3.46]; test for indirect effect z = 2.23, p = .03). PTSD symptoms and gender were not significant moderators. Overall, PTSD symptoms mediate the relationship between sexual abuse and SUDs in juvenile justice-involved youth, which suggests viability of targeting PTSD symptoms as a modifiable risk factor to reduce the effects of sexual abuse on substance use in this high-risk population.

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“…Substance use disorder symptomatology in adolescents was recorded using the Substance Abuse Subtle Screening Inventory – Adolescent Version (SASSI-A2), specifically the symptoms subscale (Miller & Lazowski, 2005). Consisting of 72 true–false questions, the SASSI-A2 is a self-report measure that has displayed adequate psychometric properties in previous research (Perera-Diltz & Perry, 2011Perera‐Diltz & Perry, 2011). The SASSI-A2 symptoms subscale measures the factors that contribute to substance misuse and consequences of substance misuse.…”

Section: Methodsmentioning

confidence: 99%

Evidencing the Need to Screen for Social Determinants of Health Among Boys Entering a Juvenile Prison: A Latent Profile Analysis

Fix

Vest

Thompson

2022

Youth Violence and Juvenile Justice

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Social determinants of health influence who ends up in the juvenile legal system and how individuals fare when entering and leaving the system. The present study utilized latent profile analysis to determine the extent to which social determinants of health were present in a sample of incarcerated youth and the patterns in which they appear. The authors then examined their relationships to racial groups, depression, substance misuse, and recidivism risk. Data were from 1288 adolescent boys sentenced to a juvenile prison in one Southeastern state for serious offending (i.e., repeat offenses, offenses involving physical or sexual violence). We ran a latent class analysis to test for patterns with which youth present with various social determinants of health. Profiles with more violence exposure and higher social support were comprised of more Black boys than the referent profile. Property and sexual offenses also differed significantly from the referent profile. Altogether, results from our examination of selected social determinants of health indicated such factors meaningfully contribute to our understanding of experiences of young people in the juvenile legal system and may be targets for mental health and substance use intervention as they may contribute to problem behaviors or negative outcomes.

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Screening for Adolescent Substance‐Related Disorders Using the SASSI‐A2: Implications for Nonreporting Youth

Cited by 9 publications

References 31 publications

Family and Peer Influences on Substance Attitudes and Use among Juvenile Justice-Involved Youth

Family and Peer Influences on Substance Attitudes and Use among Juvenile Justice-Involved Youth

PTSD Symptoms Mediate the Relationship Between Sexual Abuse and Substance Use Risk in Juvenile Justice–Involved Youth

Evidencing the Need to Screen for Social Determinants of Health Among Boys Entering a Juvenile Prison: A Latent Profile Analysis

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