OBJECTIVE Justice-involved youth report high rates of adverse childhood experiences (ACEs; abuse, neglect, household dysfunction) and are at high risk for elevated behavioral health needs (i.e., substance use, psychiatric symptoms). Research with broad samples of adolescents shows ACEs predict behavioral health outcomes, yet most research on the impact of ACEs among justice-involved youth focuses on recidivism. The present study addresses this gap by examining the prospective association between ACEs and psychiatric symptoms, substance use, and substance-related problems (i.e., consequences of use) among first-time justice-involved youth. METHOD First-time justice-involved youth (n = 271; 54.3% male; M age = 14.5 years; 43.5% Latinx; non-Latinx: 34.2% White, 8.6% Black, 7.1% Other, 6.7% Multiracial) and their caregivers were assessed at youth's first court contact and 4- and 12-month follow-ups. Youth and caregivers reported youth's exposure to ACEs through a series of instruments at baseline and 4-months (e.g., Childhood Trauma Questionnaire Short-Form; Traumatic Life Events Inventory). Primary outcomes included youth alcohol and cannabis use (Adolescent Risk Behavior Assessment), consequences of use (Brief Young Adult Alcohol Consequences Questionnaire; Brief Marijuana Consequences Scale), and psychiatric symptoms (Behavior Assessment System for Children; National Stressful Events Survey PTSD Short Scale). RESULTS Youth were exposed to three ACEs, on average, prior to first justice contact (M = 3). Exposure to more ACEs, particularly abuse, predicted substance use and psychiatric outcomes. Gender differences emerged for cannabis use and internalizing symptoms. CONCLUSIONS Implications for trauma-responsive juvenile justice reform are discussed, including screening for ACEs and their sequelae at first court contact and considering the role of masculine norms. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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不良童年经历对参与正义的青少年的精神症状和药物使用的预期影响。


目标 参与​​正义的青少年报告不良童年经历（ACE；虐待、忽视、家庭功能失调）的比例很高，并且行为健康需求（即物质使用、精神症状）的风险很高。对大量青少年样本的研究表明，ACE 可以预测行为健康结果，但大多数关于 ACE 对参与司法的青少年的影响的研究都集中在累犯上。本研究通过研究首次参与司法的青少年中 ACE 与精神症状、物质使用和物质相关问题（即使用的后果）之间的前瞻性关联来解决这一差距。方法 首次参与司法的青少年（n = 271；54.3% 男性；男性年龄 = 14.5 岁；43.5% 拉丁裔；非拉丁裔：34.2% 白人，8.6% 黑人，7.1% 其他人，6.7% 多种族）及其照顾者在青少年第一次上法庭以及 4 个月和 12 个月的随访时进行评估。青少年和看护者通过一系列工具在基线和 4 个月内报告青少年接触 ACE 的情况（例如，儿童创伤问卷简表；创伤性生活事件量表）。主要结果包括青少年饮酒和大麻使用（青少年风险行为评估）、使用后果（简短的青少年酒精后果问卷；简短的大麻后果量表）和精神症状（儿童行为评估系统；国家压力事件调查创伤后应激障碍短量表） 。结果 在第一次司法接触之前，青少年平均接触到 3 个 ACE（M = 3）。接触更多的 ACE，尤其是滥用，可预测药物使用和精神结果。大麻使用和内化症状出现了性别差异。 结论 讨论了创伤响应型少年司法改革的意义，包括在第一次法庭接触时筛查 ACE 及其后遗症，并考虑男性规范的作用。 （PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。