Abstract
BackgroundThe development of delinquent behaviour is largely determined by the presence of (multiple) risk factors. It is essential to focus on the patterns of co-occurring risk factors in different subgroups in order to better understand disruptive behaviour.Aims and hypothesisThe aim of this study was to examine whether subgroups could be identified to obtain more insight into the patterns of co-occurring risk factors in a population of adolescents in residential care. Based on the results of prior studies, at least one subgroup with many risk factors in multiple domains and one subgroup with primarily risk factors in a single domain were expected.MethodsThe structured assessment of violence risk in youth and the juvenile forensic profile were used to operationalize eleven risk factors in four domains: individual, family, peer and school. Data from 270 male adolescents admitted to a hospital for youth forensic psychiatry and orthopsychiatry in the Netherlands were available. Latent class analysis was used to identify subgroups and significant differences between the subgroups were examined in more detail.ResultsBased on the fit statistics and the clinical interpretability, the four-class model was chosen. The four classes had different patterns of co-occurring risk factors, and differed in the included external variables such as psychopathology and criminal behaviour.ConclusionsTwo groups were found with many risk factors in multiple domains and two groups with fewer (but still several) risk factors in single domains. This study shed light on the complexity of disruptive behaviour, providing a better insight into the patterns of co-occurring risk factors in a heterogeneous population of adolescents with major psychiatric problems admitted to residential care.
Highlights
The development of delinquent behaviour is largely determined by the presence of risk factors
Two groups were found with many risk factors in multiple domains and two groups with fewer risk factors in single domains
This study shed light on the complexity of disruptive behaviour, providing a better insight into the patterns of co-occurring risk factors in a heterogeneous population of adolescents with major psychiatric problems admitted to residential care
Summary
The development of delinquent behaviour is largely determined by the presence of (multiple) risk factors. The development and persistence of delinquent behaviour in youth is largely determined by the presence of (multiple) risk factors. Most research in youth forensic psychiatry has focused on which risk factors predict delinquency and how (persistent) delinquent behaviour in youth can be prevented [1,2,3]. In many studies on the development of delinquent behaviour, risk factors are divided into different domains: the individual, family, peer and school domains [2, 3, 5]. Many adolescents with delinquent behaviour have multiple risk factors in numerous domains in their lives [9]
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