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Background, experience of abuse, and mental health among adolescents in out-of-home care: a cross-sectional study of a Swedish high school national sample
Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-2958-6952
Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.ORCID iD: 0000-0003-1790-2732
Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-3772-6377
Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
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2019 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 73, no 1, p. 16-23Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To compare experiences for adverse events, especially sexual abuse, and mental health in a group of high school students in out-of-home care with a representative sample of peers of the same age and similar educational attainment living with their parents.

MATERIALS AND METHODS: A sample of 5839 students in the third year of Swedish high school, corresponding to a response rate of 59.7%, answered a study specific questionnaire. Data from 41 students living in out-of-home care were compared with data from peers not in out-of-home care in a cross-sectional analyze.

RESULTS: Students in out-of-home care had more often an immigrant background and a non-heterosexual orientation, had more often experienced physical and penetrative sexual abuse, and more often sought healthcare for mental problems. Disclosure of sexual abuse was less common, and acts of persuasion or adults' use of their social position was more common among students in out-of-home care.

CONCLUSIONS: Even where the protective factor 'senior educational attainment' is present, risks for abuse and poor mental health are evident for adolescents in out-of-home care. Disclosure of adversity, when it has occurred, ought to be higher among these adolescents with regular contact with social services, but our findings indicate tendencies for the opposite. We therefore suggest routines to be established to screen for adverse life events and mental health actively, along with general and systematic assessments of adversity and mental health during care.

Place, publisher, year, edition, pages
Taylor & Francis, 2019. Vol. 73, no 1, p. 16-23
Keywords [en]
Out-of-home care, child sexual abuse, foster home care, mental health, residential care
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-159924DOI: 10.1080/08039488.2018.1527397ISI: 000466445300003PubMedID: 30561234Scopus ID: 2-s2.0-85058791083OAI: oai:DiVA.org:liu-159924DiVA, id: diva2:1346510
Available from: 2019-08-28 Created: 2019-08-28 Last updated: 2019-09-03Bibliographically approved

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Tordön, RikardSvedin, Carl GöranFredlund, CeciliaJonsson, LindaPribe, GiselaSydsjö, Gunilla

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Tordön, RikardSvedin, Carl GöranFredlund, CeciliaJonsson, LindaPribe, GiselaSydsjö, Gunilla
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BarnafridFaculty of Medicine and Health SciencesDepartment of Child and Adolescent Psychiatry in LinköpingCenter for Social and Affective NeuroscienceDivision of Children's and Women's healthDepartment of Gynaecology and Obstetrics in Linköping
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Nordic Journal of Psychiatry
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