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KerrDavidPsychologyJuvenileJusticeGirls.pdf

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https://ir.library.oregonstate.edu/concern/articles/2f75r955m

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  • OBJECTIVE: Multidimensional Treatment Foster Care (MTFC) has been found to reduce delinquency among girls in juvenile justice through 2-year follow-up. Given that such girls are at elevated risk for suicide and depression into adulthood, we tested MTFC effects on long term trajectories of suicidal ideation and depressive symptoms. METHOD: Girls [n =166; mean (SD) age = 15.3 (1.2) years; 68% Caucasian] with a recent criminal referral who were mandated to out-of-home care were enrolled in two sequential cohorts. Girls were randomized to receive MTFC (n = 81) or group care (GC) treatment as usual (TAU; n = 85); the second MTFC cohort also received modules targeting substance use and risky sexual behavior. Depressive symptoms and suicidal ideation were assessed repeatedly through early adulthood [mean (SD) follow-up = 8.8 (2.9) years]. Suicide attempt history was assessed in early adulthood. RESULTS: Girls assigned to MTFC showed significantly greater decreases in depressive symptoms across the long-term follow-up than GC girls (π = -.86, p < .05). Decreases in suicidal ideation rates were slightly stronger in MTFC than in GC as indicated by a marginal main effect [odds ratio (OR) = .92, p < .10] and a significant interaction that favored MTFC in the second cohort relative to the first [OR = .88, p < .01]. There were no significant MTFC effects on suicide attempt. CONCLUSIONS: MTFC decreased depressive symptoms and suicidal thinking beyond the decreases attributable to time and TAU. Thus, MTFC has further impact on girls’ lives than originally anticipated.
  • Keywords: Depression, Suicide, RCT, Randomized controlled trial, Juvenile justice, MTFC
  • Keywords: Depression, Suicide, RCT, Randomized controlled trial, Juvenile justice, MTFC
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file details KerrDavidPsychologyJuvenileJusticeGirls.pdf 2017-07-27 Pubblico Scaricare