Detained Adolescents: Mental Health Needs, Treatment Use, and Recidivism

Article Figures & Data

Table 1

Scale Scores on the MAYSI-2

	Total (N = 1,942)^{^a}	Female (n = 357)	Male (n = 1,585)	t-test	White (n = 605)	Black (n = 1,337)	t-test
Alcohol/drug use (8 items)	2.10 (2.33)	2.35 (2.43)	2.04 (2.30)	2.16^*	2.96 (2.61)	1.71 (2.07)	10.43^***
Angry–irritable (9 items)	4.29 (2.83)	5.01 (2.68)	4.13 (2.84)	5.52^***	4.44 (2.86)	4.23 (2.83)	1.52
Depressed–anxious (9 items)	2.74 (2.33)	3.68 (2.45)	2.53 (2.25)	8.16^***	2.89 (2.44)	2.68 (2.28)	1.82
Somatic complaints (6 items)	2.97 (1.88)	3.57 (1.75)	2.83 (1.88)	6.79^***	3.36 (1.88)	2.79 (1.85)	6.29^***
Suicidal ideation (5 items)	0.81 (1.42)	1.41 (1.72)	0.68 (1.30)	7.64^***	1.02 (1.60)	0.72 (1.32)	4.04^***
Thought disturbances (5 items)	0.81 (1.42)	0.90 (1.11)	0.79 (1.04)	1.82	0.76 (1.03)	0.83 (1.06)	−1.28
Traumatic experiences (5 items)	2.21 (1.58)	2.44 (1.65)	2.13 (1.56)	2.16^*	2.32 (1.59)	2.16 (1.57)	2.19^*

↵Data are expressed as the mean (SD). Two-tailed t-test: *p ≤ .05; **p ≤ .01; ***p ≤ .001.
↵a Total number of MAYSI-2 administrations, based on 1,455 unique participants.

Table 2

Detained Adolescents Scoring Within the Caution and Warning Ranges on the MAYSI-2 Scales

	Total (n = 1,942)^{^a}	Female (n = 357)	Male (n = 1,585)	χ²	White (n = 605)	Black (n = 1,337)	χ²
Alcohol/drug use
Caution	534 (27.5)	115 (32.2)	419 (26.4)	4.88^*	255 (42.1)	279 (20.9)	94.62^**
Warning	244 (12.7)	57 (15.9)	187 (11.8)	18.00^**	138 (22.8)	106 (7.9)	89.25^***
Angry–irritable
Caution	947 (48.8)	217 (60.8)	730 (46.1)	25.30^***	314 (51.9)	633 (47.3)	3.46
Warning	309 (15.9)	73 (20.4)	236 (14.9)	6.73^**	111 (18.3)	198 (14.8)	3.90^*
Depressed–anxious
Caution	919 (47.3)	234 (65.5)	685 (43.2)	58.27^***	290 (47.9)	629 (47.0)	0.13
Warning	272 (14.0)	85 (23.8)	187 (11.8)	32.90^***	102 (16.9)	170 (12.7)	5.94^*
Somatic complaints
Caution	1,118 (57.6)	256 (71.7)	862 (54.4)	35.80^***	408 (67.4)	710 (53.1)	35.04^***
Warning	213 (11.0)	53 (14.8)	160 (10.1)	6.74^**	92 (15.2)	121 (9.1)	16.16^***
Suicidal ideation
Caution	405 (20.9)	134 (37.5)	271 (17.1)	73.73^***	159 (26.3)	246 (18.4)	15.68^***
Warning	275 (14.2)	98 (27.5)	177 (11.2)	63.56^***	113 (18.7)	162 (12.1)	14.75^***
Thought disturbances
Caution	971 (50.0)	193 (54.1)	778 (49.1)	2.81	282 (46.6)	689 (51.5)	3.77
Warning	364 (18.7)	74 (20.7)	290 (18.3)	1.13	107 (17.7)	257 (19.2)	0.65
Any scale above
Caution	1,596 (82.2)	317 (88.8)	1,279 (65.9)	13.06^***	523 (86.4)	1,073 (80.3)	10.91^**
Warning	844 (43.5)	209 (58.5)	635 (40.1)	40.50^***	321 (53.1)	523 (39.1)	32.94^***
Traumatic experiences^{^b}
Caution	1,599 (82.3)	304 (85.2)	1,295 (81.7)	2.51	512 (84.6)	1,087 (81.3)	3.17^*
Positive screening^{^c}	1,286 (66.2)	284 (79.6)	1,002 (63.2)	34.75^***	437 (72.2)	829 (63.5)	14.20^***

↵Data are expressed as the number (percentage of the subgroup). Chi-square test: *p ≤ .05; **p ≤ .01; ***p ≤ .001.
↵a Total number of MAYSI-2 administrations, based on 1,455 unique participants.
↵b Scale does not have a warning range.
↵c Defined as the warning or caution range for suicidal ideation or at least two scales within the caution or warning range.

Table 3

Binary Logistic Regression Predicting Treatment Utilization^{^a}

	Treatment Utilization Within 60 Days
	Odds Ratio	95% Confidence Interval	p
Male (vs. female)	0.55	0.42–0.72	≤.001
Black (vs. white)	0.74	0.58–0.96	.02
Age	0.80	0.73–0.87	≤.001
Insurance	1.49	1.17–1.89	.001
Angry-irritable	1.10	1.05–1.16	≤.001
Traumatic experiences	0.92*	0.84–1.00	.04
Eliminated predictors^{^b}
Alcohol/drug use	1.03	0.97–1.09	.37
Thought disturbances	0.95	0.84–1.08	.44
Depressed-anxious	1.01	0.94–1.09	.80
Somatic complaints	0.99	0.92–1.07	.85
Suicidal ideation	1.01	0.91–1.11	.90

Male is the referent category for gender. Black is the referent category for race.
↵a Calculated for each individual at first detention during the study period (N = 1,455 participants).
↵b Values for eliminated predictors based on last step before they were eliminated from the model.

Table 4

Binary Logistic Regression Predicting Recidivism, Final Model With All Predictors^{^a}

Male is the referent category for gender. Black is the reference category for race.
↵a Calculated for each individual at first detention during the study period (N = 1,455 participants).
↵b Values for eliminated predictors based on last step before they were eliminated from the model.