ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2022
Suicidal Risk and Adverse Social Outcomes in Adulthood Associated with Child and Adolescent Mental Disorders.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Examining the effectiveness of the PAX-GOOD BEHAVIOUR GAME in improving the mental health and academic outcomes of FIRST NATIONS children in Canada: a clustered randomized controlled trial using administrative data.Social psychiatry and psychiatric epidemiology · 2026Trial
- Population-Based Trends in Antidepressant Dispensing Among Children and Adolescents in Manitoba, Canada.Pharmacoepidemiology and drug safety · 2026Article
- Independent contribution of emotion dysregulation to suicide attempts in adolescents beyond the role of depressive symptoms.Scientific reports · 2026Article
- Culturally adapted DBT parent coaching for Chinese families of adolescents with mental disorders: a mixed-methods feasibility study.BMC psychology · 2026Article
- Service Urgency for Children and Youth: The Development of an Algorithm to Identify Urgent and Emergent Service Users in Children's Mental Health.International journal of environmental research and public health · 2026Article
- Early Trajectories of Suicidality in Adolescents and Young Adults: A Retrospective Study from a Community Mental Health Facility in Northern Italy.Clinics and practice · 2026Article
- Exploring the perspectives of young adults on mental healthcare and systemic health, education, and social challenges in Australia: a qualitative study.BMC health services research · 2025Article
- Leveraging multigenerational health data to enhance mental disorder risk prediction: a population-based cohort study.BMC psychiatry · 2025Article
- The associations of childhood adversities and mental disorders with suicidal thoughts and behaviors - Results from the World Mental Health International College Student Initiative.Psychiatry research · 2025Article
- Children and young people's experiences of receiving group metacognitive therapy: Thematic analysis of a transdiagnostic treatment for common mental health problems.Frontiers in psychiatry · 2025Article
- Longitudinal study examining the relationship between physical activity and psychiatric hospitalizations in canadian adolescents and young adults utilizing record linkage.Scientific reports · 2024Article
- The Mental Health of First Nations Children in Manitoba: A Population-Based Retrospective Cohort Study Using Linked Administrative Data: La santé mentale des enfants des Premières Nations au Manitoba : une étude de cohorte rétrospective dans la population, à l'aide de données administratives liées.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- An analysis of risk factors and current status of depressive mood in mid-to-late adolescence and early adulthood in northern China.Frontiers in psychiatry · 2024Article
- Functional Outcomes Among Young People With Trajectories of Persistent Childhood Psychopathology.JAMA network open · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe life course of children and adolescents with mental disorders is an important area of investigation, yet it remains understudied. This study provides a first-ever comprehensive examination of the relationship between child and adolescent mental disorders and subsequent suicidal and adverse social outcomes in early adulthood using population-based data.
methodsDe-identified administrative databases were used to create a birth cohort of 60,838 residents of Manitoba born between April 1980 to March 1985 who were followed until March 2015. Unadjusted and adjusted hazard ratios (aHRs) and odds ratios (aORs) were calculated to determine associations between physician-diagnosed mental disorders in childhood or adolescence and a range of adverse early adulthood (ages 18 to 35) outcomes.
resultsDiagnoses of mood/anxiety disorders, attention-deficit hyperactivity disorder, substance use disorder, conduct disorder, psychotic disorder, personality disorders in childhood or adolescence were associated with having the same diagnoses in adulthood. These mental disorder diagnoses in childhood/adolescence were strongly associated with an increased risk of suicidal behaviors and adverse adult social outcomes in adulthood. Similarly, suicide attempts in adolescence conferred an increased risk in adulthood of suicide death (aHR: 3.6; 95% confidence interval [CI]: 1.9-6.9), suicide attempts (aHR: 6.2; CI: 5.0-7.6), social housing use (aHR: 1.7; CI 1.4-2.1), income assistance (aHR: 1.8; CI 1.6-2.1), criminal accusation (aHR: 2.2; CI 2.0-2.5), criminal victimization (aHR:2.5; CI 2.2-2.7), and not completing high school (aOR: 3.1; CI: 2.5-3.9).
conclusionMental disorders diagnosed in childhood and adolescence are important risk factors not only for mental disorders in adulthood but also for a range of early adult adversity. These findings provide an evidence-based prognosis of children's long-term well-being and a rationale for ensuring timely access to mental health services. Better population-level mental health promotion and early intervention for children and adolescents with mental disorders are promising for improving future adult outcomes.
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