Capturing adolescents in need of psychiatric care with psychopathological symptoms: A population-based cohort study

The current study aims to overcome past methodological limitations and capture adolescents in need of psychiatric care with psychopathological symptoms in a cohort with unrestricted access to mental health professionals. The study source population consisted of a random sample of adolescents aged 16...

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Bibliographic Details
Published in:European psychiatry 2021-11, Vol.64 (1), p.e76, Article e76
Main Authors: Rotstein, Anat, Goldenberg, Judy, Fund, Suzan, Levine, Stephen Z, Reichenberg, Abraham
Format: Article
Language:English
Subjects:
Adolescent
Child & adolescent psychiatry
Child development
Classification
clinical prediction
Cohort analysis
Cohort Studies
detection and prevention
Hebrew language
Humans
Medical personnel
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - therapy
mental disorders in adolescence
Mental health care
Population-based studies
Professionals
Psychopathology
Psychotherapy
Questionnaires
referral to a mental health professional
Self Report
Teenagers
the Brief Symptom Inventory
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Summary:The current study aims to overcome past methodological limitations and capture adolescents in need of psychiatric care with psychopathological symptoms in a cohort with unrestricted access to mental health professionals. The study source population consisted of a random sample of adolescents aged 16-17 years (N=1,369) assessed by the Israeli Draft Board. An adapted version of the Brief Symptom Inventory was used to identify clinically relevant psychopathological symptoms with scores categorized as severe if they were in the top 10th percentile of symptoms, otherwise not severe. An independent interview with a subsequent referral to a mental health professional was used to categorize adolescents in need of psychiatric care. To examine the association between severe psychopathological symptoms and the need for psychiatric care, logistic regression models were fitted unadjusted and adjusted for age, sex, and intellectual assessment scores. Adjusted classification measures were estimated to examine the utility of severe psychopathological symptoms for clinical prediction of need for psychiatric care. Information on 1,283 adolescents was available in the final analytic sample. Logistic regression modeling showed a statistically significant (p
ISSN:0924-9338
1778-3585
DOI:10.1192/j.eurpsy.2021.2251