University of Oulu

Oulasmaa, L., Riipinen, P., Hakko, H., Riala, K., & Kantojarvi, L. (2021). Sex-specific predictors of exposure to hospital-treated assaults among former adolescent psychiatric inpatients. Violence and Victims, 36(6), 751-769.

Sex-specific predictors of exposure to hospital-treated assaults among former adolescent psychiatric inpatients

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Author: Oulasmaa, Lauri1; Riipinen, Pirkko1; Hakko, Helinä2;
Organizations: 1Department of Psychiatry, Research Unit of Clinical Neuroscience, University of Oulu, Finland
2Department of Psychiatry, Oulu University Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: embargoed
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Language: English
Published: Springer Nature, 2021
Publish Date: 2022-12-01


This study examined the associations of psychiatric disorders, suicidal behavior and family-related characteristics during adolescence, to subsequent experiences of hospital-treated physical, or sexual assaults, among 508 young adults with a history of psychiatric inpatient care at adolescence (aged 13–17 years). Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) based adolescent psychiatric disorders were assessed at index hospitalization using Schedule for Affective Disorder and Schizophrenia for School-Age children, Present and Lifetime version (K-SADS-PL). Treatment episodes for assaults were obtained from the health care register, provided by the Finnish National Institute for Health Welfare. About 14.4% of the participants had experienced physical or sexual assault during their lifetime. Results of logistic regression analysis indicated that anxiety disorder (odds ratio [OR] = 9.6) and nonsuicidal self-injury (OR = 3.7) in adolescence for males, and personality disorder (OR = 3.4) for females, were associated with increased likelihood for subsequent assault exposure leading to hospitalization. These findings can be used in targeting vulnerable adolescents and designing primary prevention strategies.

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Series: Violence and victims
ISSN: 0886-6708
ISSN-E: 1945-7073
ISSN-L: 0886-6708
Volume: 36
Issue: 6
Pages: 751 - 769
DOI: 10.1891/VV-D-19-00165
Type of Publication: A1 Journal article – refereed
Field of Science: 3124 Neurology and psychiatry
Funding: Funding: Kerttu Saalasti Foundation, Nivala, Finland. Päivikki and Sakari Sohlberg Foundation, Helsinki, Finland. Iso-Mällinen Foundation, Tyrnävä, Finland. Alma and K.A. Snellman Foundation, Oulu, Finland.
Copyright information: This is a post-peer-review, pre-copyedit version of an article published in Violence and Victims. The final authenticated version is available online at: