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Juvenile Justice Girls’ Depressive Symptoms and Suicidal Ideation 9 Years After Multidimensional Treatment Foster Care

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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.
  • This article may not exactly replicate the final version published in the APA journal. It is not the copy of record. This is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by the American Psychological Association and can be found at: http://www.apa.org/pubs/journals/ccp/
  • Keywords: Juvenile justice, MTFC, Depression, Suicide, Randomized controlled trial, RCT
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  • Kerr, D. C. R., DeGarmo, D. S., Leve, L. D., & Chamberlain, P. (2014). Juvenile justice girls’ depressive symptoms and suicidal ideation 9 years after multidimensional treatment foster care. Journal of Consulting and Clinical Psychology, 82(4), 684-693. doi:10.1037/a0036521
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  • 82
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  • 4
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  • This project was supported by the Oregon Youth Authority and by Grants R01 DA024672, R01 DA015208, and P30 DA023920 from the National Institute on Drug Abuse, and by Grants R01 MH054257 and R03 MH091611 from the National Institute of Mental Health (NIMH), National Institutes of Health, U.S. Public Health Service (Principal Investigators: Patricia Chamberlain, Leslie Leve, and David Kerr).
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