"Too young to be worried!" Psychiatric assessment and follow-up of young people after severe physical assault in an Inner City Hospital of South London

Viswanathan, S; Datta, Soumitra Shankar; Sheridan, PB; Lax-Pericall, Teresa

doi:10.4103/2141-9248.126607

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…Items selected assessed relevant stressful experiences among young adults, including life-threatening illness or injury of a family member or close friend (Stoeckel and Weissbrod, 2015), accidents or death of a family member or close friend (Rostila et al, 2016), interpersonal events (e.g., break-up with a romantic partner, serious betrayal by someone other than one’s partner; Buitron et al, 2016), physical or sexual assault (Trotman et al, 2015; Viswanathan et al, 2014), and legal problems (e.g., time spent in jail; Salekin, 2008). …”

Section: Methodsmentioning

confidence: 99%

First onset of suicidal thoughts and behaviours in college

Mortier

Demyttenaere

Auerbach

et al. 2017

Journal of Affective Disorders

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Background College students are a worldwide increasing group of young people at risk for suicidal thoughts and behaviours (STB). However, no previous studies have prospectively investigated the first onset of STB during the college period. Methods Using longitudinal data from the Leuven College Surveys, 2,337 (response rate [RR]=66.6%) incoming freshmen provided baseline data on STB, parental psychopathology, childhood-adolescent traumatic experiences, 12-month risk for mental disorders, and 12-month stressful experiences. A total of 1,253 baseline respondents provided data on 12-month STB in a two-year annual follow-up survey (conditional RR=53.6%; college dropout adjusted conditional RR=70.2%). Results One-year incidence of first-onset STB was 4.6–6.4%. Effect sizes of the included risk factors varied considerably whether viewed from individual-level (ORs 1.91–17.58) or population-level perspective (PARPs 3.4–34.3%). Dating violence prior to the age of 17, physical abuse prior to the age of 17, and 12-month betrayal by someone else than the partner were most strong predictors for first-onset suicidal ideation (ORs=4.23–12.25; PARPs=8.7–27.1%) and plans (ORs=6.57–17.58; PARPs=15.2–34.3%). Multivariate prediction (AUC=.84–.91) revealed that 50.7–65.7% of first-onset STB cases were concentrated in the 10% at highest predicted risk. Limitations As this is a first investigation of STB onset in college, future studies should use validation samples to test the accuracy of our multivariate prediction model. Conclusions The first onset of STB in college appears to be higher than in the general population. Screening at college entrance is a promising strategy to identify those students at highest prospective risk, enabling the cost-efficient clinical assessment of young adults in college.

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Section: Methodsmentioning

confidence: 99%

First onset of suicidal thoughts and behaviours in college

Mortier

Demyttenaere

Auerbach

et al. 2017

Journal of Affective Disorders

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“…were assessed using 12 items taken from well-validated screeners, 35–37 and included relevant stressful experiences among young adults, including life-threatening illness or injury of a family member or close friend 38 , accidents or death of a family member or close friend, 39 interpersonal events (e.g., break-up with a romantic partner, serious betrayal by someone other than one’s partner) 40 , physical or sexual assault, 41, 42 and legal problems (e.g., time spent in jail.) 43 …”

Section: Methodsmentioning

confidence: 99%

A Risk Algorithm for the Persistence of Suicidal Thoughts and Behaviors During College

Kiekens¹,

Auerbach²,

Cuijpers³

et al. 2017

J. Clin. Psychiatry

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OBJECTIVE The primary aims are to: (a) identify patterns of suicidal thoughts and behaviors (STB) during college among students with lifetime pre-matriculation STB and (b) develop a risk-screening algorithm for persistence of pre-matriculation STB during college. METHODS Data come from the Leuven College Surveys, a series of prospective cohort studies of all incoming KU Leuven University freshmen. In the academic year 2012 and 2013, 4,889 incoming freshmen (73.2% response rate) provided baseline data on socio-demographic variables, childhood-adolescent traumatic experiences, 12-month stressful experiences, 12-month mental disorders, 12-month STB, and severity markers of pre-matriculation STB. A total of 2,566 students (69.3% conditional response rate) participated in 12- and 24-month follow-up surveys during the first two college years. RESULTS Thirteen percent (weighted n=535) of incoming freshmen reported lifetime pre-matriculation STB. Of those, 28.0% reported 12-month STB in one follow-up assessment and another 27.7% in both follow-up assessments. High persistence of STB (i.e., 12-month STB in two follow-up assessments) was most strongly associated with severity markers of pre-matriculation STB, with odds ratios in the 2.4–10.3 range and population attributable risk proportions between 9.2% and 50.8%. When aiming for less than 50% of false positive cases (PPV=54.4%), a multivariate predictive risk algorithm (cross-validated AUC=0.79) situated 59.9% of highly persistent cases among the 30% respondents with highest baseline predicted risk. CONCLUSION An individualized web-based screening approach is a promising strategy to identify students at the onset of university who may be at high risk for STB persistence during their academic career.

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“…Stressful events experienced in the 12-months before the baseline survey were assessed using items from well-validated screeners [33][34][35], and included relevant stressful experiences among young adults, including life-threatening illness or injury of a family member or close friend [36], accidents or death of a family member or close friend [37], interpersonal events (e.g., break-up with a romantic partner, serious betrayal by someone other than one's partner) [38], and other stressful experiences (e.g., physical or sexual assault, and legal problems such as time spent in jail [39][40][41].…”

Section: Baseline and Follow-up Drinking Patterns And Alcohol Use Disorder Was Assessed Using The Alcohol Usementioning

confidence: 99%

A risk algorithm that predicts alcohol use disorders among college students

Benjet

Kiekens

Ebert

et al. 2021

Eur Child Adolesc Psychiatry

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The first year of college may carry especially high risk for onset of alcohol use disorders. We assessed the oneyear incidence of alcohol use disorders (AUD) among incoming first year students, predictors of AUDincidence, prediction accuracy and population impact. A prospective cohort study of first-year college students (baseline: N=5,843; response rate=51.8%; 1-year follow-up: n=1,959; conditional response rate=41.6%) at a large university in Belgium was conducted. AUD were evaluated with the AUDIT and baseline predictors with the Composite International Diagnostic Interview Screening Scales (CIDI-SC). The one-year incidence of AUD was 3.9% (SE=0.4). The most important individual-level baseline predictors of AUD incidence were being male (OR=1.53; 95% CI = 1.12 -2.10), a break-up with a romantic partner (OR=1.67; 95% CI = 1.08 -2.59), hazardous drinking (OR=3.36; 95% CI = 1.31 -8.63), and alcohol use characteristics at baseline (ORs between 1.29 and 1.38). Multivariate cross-validated prediction (cross-validated AUC=0.887) show that 55.5% of incident AUD cases occurred among the 10% of students at highest predicted risk (20.1% predicted incidence in this highest-risk subgroup). Four out of five students with incident AUD would hypothetically be preventable if baseline hazardous drinking were to be eliminated along with a reduction of one standard deviation in alcohol use characteristics scores, and another 15.0% would potentially be preventable if all 12-month stressful events were eliminated. Screening at college entrance is a promising strategy to identify students at risk of transitioning to more problematic drinking and AUD, thus improving the development and deployment of targeted preventive interventions.

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"Too young to be worried!" Psychiatric assessment and follow-up of young people after severe physical assault in an Inner City Hospital of South London

Cited by 4 publications

References 12 publications

First onset of suicidal thoughts and behaviours in college

First onset of suicidal thoughts and behaviours in college

A Risk Algorithm for the Persistence of Suicidal Thoughts and Behaviors During College

A risk algorithm that predicts alcohol use disorders among college students

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