This study examined the associations of psychiatric disorders, suicidal behavior and family-related characteristics during adolescence, to subsequent experiences of hospital-treated physical, or sexual assaults, among 508 young adults with a history of psychiatric inpatient care at adolescence (aged 13-17 years). Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) based adolescent psychiatric disorders were assessed at index hospitalization using Schedule for Affective Disorder and Schizophrenia for School-Age children, Present and Lifetime version (K-SADS-PL). Treatment episodes for assaults were obtained from the health care register, provided by the Finnish National Institute for Health Welfare. About 14.4% of the participants had experienced physical or sexual assault during their lifetime. Results of logistic regression analysis indicated that anxiety disorder (odds ratio [OR] = 9.6) and nonsuicidal self-injury (OR = 3.7) in adolescence for males, and personality disorder (OR = 3.4) for females, were associated with increased likelihood for subsequent assault exposure leading to hospitalization. These findings can be used in targeting vulnerable adolescents and designing primary prevention strategies.

中文翻译：

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前青春期精神病住院患者中暴露于医院治疗攻击的性别特异性预测因子。

本研究在 508 名有青春期精神科住院治疗史的年轻人（13-17 岁年）。精神疾病诊断和统计手册，第 4 版 (DSM-IV) 基于青少年精神疾病在指数住院时使用学龄儿童情感障碍和精神分裂症时间表，现在和终生版本 (K-SADS-PL) 进行了评估。袭击的治疗事件来自芬兰国家卫生福利研究所提供的医疗保健登记册。大约 14.4% 的参与者在其一生中经历过身体或性侵犯。逻辑回归分析的结果表明，男性青春期的焦虑症（优势比 [OR] = 9.6）和非自杀性自伤（OR = 3.7）以及女性的人格障碍（OR = 3.4）与患抑郁症的可能性增加相关。随后的攻击暴露导致住院。这些发现可用于针对弱势青少年和设计初级预防策略。