Evidence map›Paper›PMID 29440216›Full record

ArticleBMJ open2018

Fetal alcohol spectrum disorder and youth justice: a prevalence study among young people sentenced to detention in Western Australia.

Carol Bower, Rochelle E Watkins, Raewyn C Mutch, Rhonda Marriott, Jacinta Freeman, Natalie R Kippin, Bernadette Safe, Carmela Pestell, Candy S C Cheung, Helen Shield and 10 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
29.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. Low language capacity in childhood: A systematic review of prevalence estimates.International journal of language & communication disorders
    Pooled it
  3. Article
  4. Evaluating the role of strengths and protective factors for youth with FASD and criminal legal system involvement: a scoping review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026
    Article
  5. Supporting people with an acquired brain injury (ABI) involved in the criminal justice system: justice and allied health professionals' insights.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026
    Article
  6. Australia's research investment in the health of justice-involved populations.Australian health review : a publication of the Australian Hospital Association · 2025
    Article
  7. Article
  8. Exploring Fetal Alcohol Spectrum Disorder (FASD) From an Aboriginal Lens in Western Australia: Survey Results to Inform Cultural Security, Policy, and Service Delivery.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Health and incarceration research in Australia: a scoping review.The Lancet regional health. Western Pacific · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Knowledge, attitudes and practices towards fetal alcohol spectrum disorder among lawyers in New Zealand.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 3 countries.

Carol BowerAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.ORCID 0000-0003-1138-2756
Rochelle E WatkinsAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Raewyn C MutchAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.ORCID 0000-0001-6654-8237
Rhonda MarriottSchool of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia.
Jacinta FreemanAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Natalie R KippinAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Bernadette SafeAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Carmela PestellAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Candy S C CheungSchool of Psychology, The University of Western Australia, Perth, Western Australia, Australia.
Helen ShieldSchool of Psychology, The University of Western Australia, Perth, Western Australia, Australia.
Lodewicka TarrattSchool of Psychology, The University of Western Australia, Perth, Western Australia, Australia.
Alex SpringallSchool of Psychology, The University of Western Australia, Perth, Western Australia, Australia.
Jasmine TaylorSchool of Psychology, The University of Western Australia, Perth, Western Australia, Australia.
Noni WalkerAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Emma ArgiroDepartment of Health Western Australia, Child and Adolescent Health Service, Perth, Western Australia, Australia.
Suze LeitãoAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Sharynne HamiltonAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Carmen CondonAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Hayley M PassmoreAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.
Roslyn GigliaAlcohol and Pregnancy and FASD, Telethon Kids Institute, West Perth, Western Australia, Australia.ORCID 0000-0001-9016-1251
The Kids Research Institute Australia · AUThe University of Western Australia · AUGovernment of Western Australia Department of Health · AUMurdoch University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate the prevalence of fetal alcohol spectrum disorder (FASD) among young people in youth detention in Australia. Neurodevelopmental impairments due to FASD can predispose young people to engagement with the law. Canadian studies identified FASD in 11%-23% of young people in corrective services, but there are no data for Australia.

designMultidisciplinary assessment of all young people aged 10-17 years 11 months and sentenced to detention in the only youth detention centre in Western Australia, from May 2015 to December 2016. FASD was diagnosed according to the Australian Guide to the Diagnosis of FASD.

participants99 young people completed a full assessment (88% of those consented; 60% of the 166 approached to participate); 93% were male and 74% were Aboriginal.

findings88 young people (89%) had at least one domain of severe neurodevelopmental impairment, and 36 were diagnosed with FASD, a prevalence of 36% (95% CI 27% to 46%).

conclusionsThis study, in a representative sample of young people in detention in Western Australia, has documented a high prevalence of FASD and severe neurodevelopmental impairment, the majority of which had not been previously identified. These findings highlight the vulnerability of young people, particularly Aboriginal youth, within the justice system and their significant need for improved diagnosis to identify their strengths and difficulties, and to guide and improve their rehabilitation.

Indexed as

AdolescentChildFemaleFetal Alcohol Spectrum DisordersHumansJuvenile DelinquencyMalePregnancyPrenatal Exposure Delayed EffectsPrevalencePrisonersWestern Australiafetal alcohol spectrum disorderjuvenile justice

Identifiers

PMID29440216
PMCPMC5829911
OpenAlexW2793254376

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.