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Karen M. Abram, PhD; Linda A. Teplin, PhD; Devon R. Charles; Sandra L. Longworth, MS; Gary M. McClelland, PhD; Mina K. Dulcan, MD

Arch Gen Psychiatry. 2004;61:403-410.

Objective  To determine prevalence estimates of exposure to trauma and 12-month rates of posttraumatic stress disorder (PTSD) among juvenile detainees by demographic subgroups (sex, race/ethnicity, and age).

Design  Epidemiologic study of juvenile detainees. Master's level clinical research interviewers administered the PTSD module of the Diagnostic Interview Schedule for Children, version IV (DISC-IV), to randomly selected detainees.

Setting  A large, temporary detention center for juveniles in Cook County, Illinois (which includes Chicago and surrounding suburbs).

Participants  Randomly selected, stratified sample of 898 African American, non-Hispanic white, and Hispanic youth (532 males, 366 females, aged 10-18 years) arrested and newly detained.

Main Outcome Measures  Diagnostic Interview Schedule for Children, version IV.

Results  Most participants (92.5%) had experienced 1 or more traumas (mean, 14.6 incidents; median, 6 incidents). Significantly more males (93.2%) than females (84.0%) reported at least 1 traumatic experience; 11.2% of the sample met criteria for PTSD in the past year. More than half of the participants with PTSD reported witnessing violence as the precipitating trauma.

Conclusion  Trauma and PTSD seem to be more prevalent among juvenile detainees than in community samples. We recommend directions for research and discuss implications for mental health policy.

From the Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University (Drs Abram, Teplin, McClelland, and Dulcan and Mss Charles and Longworth); and Children's Memorial Hospital (Dr Dulcan), Chicago, Ill.

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