OBJECTIVE: To study prevalence and factors associated with mental health service use among 18-year-old adolescent boys. METHOD: Predictors at age 8 and factors at age 18 associated with mental health service use during the preceding 12 months were studied in a general population sample of 2,316 Finnish boys born in 1981 attending military call-up (79% of the original sample). RESULTS: Within the preceding 12 months, 2.1% of the boys had used mental health services. At age 18, internalizing, anxious-depressive, and withdrawal symptoms; health problems; not living with parents; use of illicit drugs; high level of alcohol use; and regular smoking were independently associated with service use. At age 8, a high level of emotional and behavioral symptoms, need for referral, and low school performance according to teacher evaluations predicted service use 10 years later. CONCLUSIONS: Only a minority of adolescents with severe problems had used mental health services. Because of the wide range of problems and comorbidity among service users, there is a need for integration of different services. Education services have a central role in the early detection of those who will later use mental health services.
OBJECTIVE: To study prevalence and factors associated with mental health service use among 18-year-old adolescent boys. METHOD: Predictors at age 8 and factors at age 18 associated with mental health service use during the preceding 12 months were studied in a general population sample of 2,316 Finnish boys born in 1981 attending military call-up (79% of the original sample). RESULTS: Within the preceding 12 months, 2.1% of the boys had used mental health services. At age 18, internalizing, anxious-depressive, and withdrawal symptoms; health problems; not living with parents; use of illicit drugs; high level of alcohol use; and regular smoking were independently associated with service use. At age 8, a high level of emotional and behavioral symptoms, need for referral, and low school performance according to teacher evaluations predicted service use 10 years later. CONCLUSIONS: Only a minority of adolescents with severe problems had used mental health services. Because of the wide range of problems and comorbidity among service users, there is a need for integration of different services. Education services have a central role in the early detection of those who will later use mental health services.
Authors: John A Rønning; Antti Haavisto; Georgios Nikolakaros; Hans Helenius; Tuula Tamminen; Irma Moilanen; Kirsti Kumpulainen; Jorma Piha; Fredrik Almqvist; Andre Sourander Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2010-02-10 Impact factor: 4.328
Authors: Tiah L Dowell; Allison M Waters; Wayne Usher; Lara J Farrell; Caroline L Donovan; Kathryn L Modecki; Melanie J Zimmer-Gembeck; Mike Castle; James Hinchey Journal: Child Psychiatry Hum Dev Date: 2021-02
Authors: Andre Sourander; Leena Pihlakoski; Minna Aromaa; Päivi Rautava; Hans Helenius; Matti Sillanpää Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2006-02-08 Impact factor: 4.328