Psychiatric disorders diagnosed in adolescence and subsequent long-term exclusion from education, employment or training: longitudinal national birth cohort study
| Autor: | Antti Kääriälä, Ida Ringbom, Mika Gissler, Jaana Suvisaari, David Gyllenberg, Andre Sourander, Tiina Ristikari |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Employment medicine.medical_specialty Adolescent Autism Spectrum Disorder business.industry Mental Disorders 030227 psychiatry Term (time) Cohort Studies 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Child Preschool Humans Medicine Birth Cohort 030212 general & internal medicine 10. No inequality business Birth cohort Psychiatry |
| Zdroj: | The British Journal of Psychiatry. 220:148-153 |
| ISSN: | 1472-1465 0007-1250 |
| Popis: | BackgroundLong-term ‘not in education, employment or training’ (NEET) status is an important indicator of youth marginalisation.AimsTo carry out a comprehensive overview of the associations between different psychiatric illnesses and long-term NEET status.MethodWe used the register-based 1987 Finnish Birth Cohort study, which includes all live births in Finland during that year. The analyses comprised 55 273 individuals after exclusions for intellectual disability, death or emigration. We predicted that psychiatric disorders, diagnosed by specialist services between 1998 and 2007 when the cohort were 10–20 years of age, would be associated with subsequent long-term NEET (defined as NEET for at least 5 years between 2008 and 2015, when they were 20–28 years of age).ResultsIn total, 1438 individuals (2.6%) were long-term NEET during follow-up and the associations between long-term NEET and the 11 diagnostic categories we studied were statistically significant (P < 0.001). In multivariate models we included sociodemographic characteristics and upper secondary education as covariates, and the highest effect sizes, measured by odds ratios (OR) with 95% confidence intervals (CI), were found for psychosis (OR = 12.0, 95% CI 9.5–15.2) and autism spectrum disorder (OR = 17.3, 95% CI 11.5–26.0). If individuals had not successfully completed this education, 70.6% of those with autism spectrum disorder and 48.4% of those with psychosis were later long-term NEET.ConclusionsAdolescents who receive treatment for psychiatric disorders, particularly autism spectrum disorder or psychosis, need support to access education and employment. This could help to prevent marginalisation in early adulthood. |
| Databáze: | OpenAIRE |
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