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The Maudsley long-term follow-up of child and adolescent depression

2. Suicidality, criminality and social dysfunction in adulthood^,

GAIL WOSTEAR, BSc and VANNESA COOPER, BSc

Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College, London

RICHARD HARRINGTON, FRCPsych

Department of Child and Adolescent Psychiatry, University of Manchester

MICHAEL RUTTER, FRS

Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College, London, UK

Correspondence: Dr Eric Fombonne, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK

Declaration of interest This study was funded by a special grant from the Medical Research Council.

See editorial, pp. 189–190, this issue.

See part I, pp. 210–217, this issue.

ABSTRACT

Background Strong links exist between juvenile and adult depression, but comorbid conduct disorder may be associated with worse adult social difficulties.

Aims To test the impact of comorbid conduct disorder on social adjustment and dysfunction, suicidality and criminality of adults who had had depression as youths.

Method Subjects (n=149) assessed at the Maudsley Hospital in 1970-1983 and meeting DSM-IV criteria for major depressive disorder with (CD-MDD; n=53) or without (MDD; n=96) conduct disorder were interviewed 20 years later. Data were collected on lifetime psychiatric disorders and adult social/personality functioning. Death certificates and criminal records were obtained.

Results The suicide risk was 2.45%, and 44.3% of the sample had attempted suicide once in their lives. Compared with the MDD group, the CD-MDD group had higher rates of suicidal behaviours and criminal offences, and exhibited more pervasive social dysfunction.

Conclusions Adolescent depression is associated with raised risks of adult suicidality and with persistent interpersonal difficulties. Youths with CD-MDD show more severe and pervasive social dysfunction.

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Highlights of this issue

ELIZABETH WALSH
BJP 2001 179: 0. [Full Text]  

Developmental continuities and discontinuities

RICHARD HARRINGTON
BJP 2001 179: 189-190. [Full Text]  

The Maudsley long-term follow-up of child and adolescent depression: 1. Psychiatric outcomes in adulthood

ERIC FOMBONNE, GAIL WOSTEAR, VANESSA COOPER, RICHARD HARRINGTON, and MICHAEL RUTTER
BJP 2001 179: 210-217. [Abstract] [Full Text]  

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