Affective disorder in juvenile offenders: A preliminary study

Objective: The authors' goal was to determine the prevalence of major menta l disorders and substance abuse in adolescents admitted to a juvenile deten tion center. Method: As part of a routine mental health screening, modules from the Diagnostic Interview Schedule for Children were administered to 50 youths (11-17 years old) at an urban juvenile detention center. Results: A high rate of affective disorder (42%) was found among these adolescents: 1 0 (20%) mel criteria for mania, another 10 met criteria for major depressiv e disorder, and one met criteria for bipolar disorder, mixed type. Thirty ( 60%) met criteria for conduct disorder, and very high rates of alcohol, mar ijuana, and other substance dependence were found. There was a strong assoc iation between affective disorder and conduct disorder; adolescents with ma nia had much higher rates of reported abuse of substances other than alcoho l or marijuana. Conclusions: Juvenile offenders have high rates of affectiv e disorder. Further studies are needed to examine the relationship of affec tive disorder to substance abuse as well as to antisocial behavior.