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The Journal of Forensic Psychiatry & Psychology Volume 23, 2012 - Issue 5-6
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Research articles

Psychiatric disorders in adolescent boys in detention: a preliminary prevalence and case–control study in two Chinese provinces

Jiansong Zhou Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China
,
Chen Chen Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China
,
Xiaoping Wang Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, ChinaCorrespondence[email protected]
,
Weixiong Cai Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Shanghai, China
,
Simei Zhang Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China
,
Changjian Qiu Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
,
Hong Wang Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China
,
Yupeng Luo Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China; Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
&
Seena Fazel Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK
 show all
Pages 664-675 | Received 13 Mar 2012, Accepted 30 Aug 2012, Published online: 28 Sep 2012
 
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Abstract

We investigated the mental health of 232 consecutive receptions of juvenile boys aged 15–17 years in youth detention centers of two Chinese provinces and compared with juveniles in community settings. Interviews were conducted by psychiatrists using the Schedule for Affective Disorders and Schizophrenia for School-Age Children to diagnose DSM-IV psychiatric disorders. Of the 232 boys in detention, 188 (81.0%) met criteria for any psychiatric disorder, with 186 (80.2%) having a disruptive behavior disorder and 52 (22.4%) having a substance use disorder (SUD). High levels of comorbidity were observed with 38.8% being diagnosed with at least two disorders. The high absolute and relative risks of psychiatric disorders and SUDs suggest that the identification and treatment of such disorders in juvenile detention is a priority for service development.

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