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Research ArticleRegular Article

Adverse Childhood Experiences and Arrest Rates among Individuals with Serious Mental Illnesses

Oluwatoyin Ashekun, Adria Zern, Stephanie Langlois and Michael T. Compton
Journal of the American Academy of Psychiatry and the Law Online June 2023, JAAPL.220096-22; DOI: https://doi.org/10.29158/JAAPL.220096-22
Oluwatoyin Ashekun
Ms. Ashekun and Ms. Langlois are Research Assistants at DeKalb Community Service Board, Decatur, GA. Ms. Zern is Research Project Manager in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Dr. Compton is a Professor of Psychiatry in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY and Research Psychiatrist, New York State Psychiatric Institute, New York, NY.
MPH
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Adria Zern
Ms. Ashekun and Ms. Langlois are Research Assistants at DeKalb Community Service Board, Decatur, GA. Ms. Zern is Research Project Manager in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Dr. Compton is a Professor of Psychiatry in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY and Research Psychiatrist, New York State Psychiatric Institute, New York, NY.
MPH
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Stephanie Langlois
Ms. Ashekun and Ms. Langlois are Research Assistants at DeKalb Community Service Board, Decatur, GA. Ms. Zern is Research Project Manager in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Dr. Compton is a Professor of Psychiatry in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY and Research Psychiatrist, New York State Psychiatric Institute, New York, NY.
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Michael T. Compton
Ms. Ashekun and Ms. Langlois are Research Assistants at DeKalb Community Service Board, Decatur, GA. Ms. Zern is Research Project Manager in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Dr. Compton is a Professor of Psychiatry in the Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY and Research Psychiatrist, New York State Psychiatric Institute, New York, NY.
MD, MPH
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    Table 1

    Sociodemographic and Clinical Characteristics of the Study Sample, n = 539

    Overall sample (n = 539)Study 1 (n = 240)Study 2 (n = 299)
    CharacteristicMSDMSDMSDtdfP
    Age, years42.812.035.911.648.49.114.15537<0.001
    Educational attainment, years, n = 53711.22.711.02.711.42.71.655350.10
    Adverse Childhood Experiences (ACE) score4.62.94.72.94.52.90.815320.42
    Arrest rate among the entire sample, n = 5371.62.71.72.21.63.10.2375350.82
    Arrest rate among those ever arrested, n = 4152.12.92.32.32.03.31.294130.20
    n%n%n%χ2dfP
    Ever arrested, n = 53741577.317171.324482.28.9910.003
    Gender, male31458.315564.615953.27.1210.008
    Ethnicity, non-Hispanic51996.322895.029197.32.0110.16
    Race, African American or Blacka38075.211449.626696.7149.571<0.001
    Marital status, single and never married32359.914861.717558.58.2040.09
    Unemployed in the past month48089.220887.027291.02.1410.14
    Diagnostic category, n = 538
     Mood disorder26549.38535.418060.4
     Psychotic disorder27350.715564.611839.633.201<0.001
    • ↵aOnly African American/Black and White participants are included in this comparison as there were too few in other categories.

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    Table 2

    Race and Gender Differences in ACE Score, Ever Arrested, and Arrest Rate

    VariableMSDtdfP
    ACE score
     Race1.804990.07
      Black4.52.9
      White5.02.8
     Gender3.98532<0.001
      Male4.22.8
      Female5.22.9
    Arrest rate
     Race0.113880.91
      Black2.13.1
      White2.22.1
     Gender1.264130.21
      Male2.32.9
      Female1.92.9
    n%χ²dfP
    Ever arrested
     Race12.771<0.001
      Black31081.6
      White8064.5
     Gender15.551<0.001
      Male25982.7
      Female15669.6
    • View popup
    Table 3

    Binary Logistic Regression Results for Likelihood of Having Ever Been Arrested, n = 497

    VariableBSEWald χ²POR
    Gender (male = 0, female = 1)−0.78.2311.280.0010.46
    Race (African American or Black = 0, White = 1)−0.99.2416.93<0.0010.37
    Years of education completed−0.10.045.820.0160.90
    Diagnosis (mood disorder =0, psychotic disorder = 1)−0.47.234.210.0400.62
    Constant3.81.6732.62<.00145.02
    • View popup
    Table 4

    Multiple Linear Regression Results for Arrest Rate among Those Who Had Ever Been Arrested, n = 415

    VariableBSDβtP
    Years of education completed−0.180.06−0.16−3.100.002
    ACE total0.130.050.132.560.011
    Constant3.460.714.86<0.001
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Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 53, Issue 1
1 Mar 2025
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Adverse Childhood Experiences and Arrest Rates among Individuals with Serious Mental Illnesses
Oluwatoyin Ashekun, Adria Zern, Stephanie Langlois, Michael T. Compton
Journal of the American Academy of Psychiatry and the Law Online Jun 2023, JAAPL.220096-22; DOI: 10.29158/JAAPL.220096-22

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Adverse Childhood Experiences and Arrest Rates among Individuals with Serious Mental Illnesses
Oluwatoyin Ashekun, Adria Zern, Stephanie Langlois, Michael T. Compton
Journal of the American Academy of Psychiatry and the Law Online Jun 2023, JAAPL.220096-22; DOI: 10.29158/JAAPL.220096-22
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Keywords

  • adverse childhood experiences
  • arrests
  • child maltreatment
  • childhood adversity
  • incarceration
  • serious mental illnesses

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