title: Juvenile justice girls' depressive symptoms and suicidal ideation 9 years after Multidimensional Treatment Foster Care.
abstract: OBJECTIVE
  Multidimensional Treatment Foster Care (MTFC) has been found to reduce delinquency among girls in juvenile justice through 2-year follow-up. Given that such girls are at elevated risk for suicide and depression into adulthood, we tested MTFC effects on long-term trajectories of suicidal ideation and depressive symptoms.
  
  
  METHODS
  Girls (N = 166; mean [SD] age = 15.3 [1.2] years; 68% White) with a recent criminal referral who were mandated to out-of-home care were enrolled in 2 sequential cohorts. Girls were randomized to receive MTFC (n = 81) or group care (GC) treatment as usual (TAU; n = 85); the second MTFC cohort also received modules targeting substance use and risky sexual behavior. Depressive symptoms and suicidal ideation were assessed repeatedly through early adulthood (mean [SD] follow-up = 8.8 [2.9] years). Suicide attempt history was assessed in early adulthood.
  
  
  RESULTS
  Girls assigned to MTFC showed significantly greater decreases in depressive symptoms across the long-term follow-up than GC girls (π = -.86, p < .05). Decreases in suicidal ideation rates were slightly stronger in MTFC than in GC as indicated by a marginal main effect (odds ratio [OR] = .92, p < .10) and a significant interaction that favored MTFC in the second cohort relative to the first (OR = .88, p < .01). There were no significant MTFC effects on suicide attempt.
  
  
  CONCLUSIONS
  MTFC decreased depressive symptoms and suicidal thinking beyond the decreases attributable to time and TAU. Thus, MTFC has further impact on girls' lives than originally anticipated.
authors.affiliation: Oregon Social Learning Center.
authors.forename: David C R
authors.initials: DC
authors.lastname: Kerr
authors.affiliation: Oregon Social Learning Center.
authors.forename: David S
authors.initials: DS
authors.lastname: DeGarmo
authors.affiliation: Department of Counseling Psychology and Human Services, University of Oregon.
authors.forename: Leslie D
authors.initials: LD
authors.lastname: Leve
authors.affiliation: Oregon Social Learning Center.
authors.forename: Patricia
authors.initials: P
authors.lastname: Chamberlain
mesh_terms: D000293:Adolescent; D003863:Depression / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D005581:Foster Home Care; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology; D012017:Referral and Consultation; D012306:Risk; D012935:Social Justice; D059020:Suicidal Ideation; D013406:Suicide, Attempted
references.citation: J Fam Psychol. 2008 Aug;22(4):574-85
references.pmid: 18729671
references.citation: J Abnorm Child Psychol. 2005 Jun;33(3):339-47
references.pmid: 15957561
references.citation: J Abnorm Psychol. 2008 Aug;117(3):625-36
references.pmid: 18729614
references.citation: J Clin Child Adolesc Psychol. 2012;41(2):214-26
references.pmid: 22417194
references.citation: J Abnorm Psychol. 2010 Nov;119(4):811-24
references.pmid: 21090879
references.citation: J Consult Clin Psychol. 2009 Jun;77(3):588-93
references.pmid: 19485598
references.citation: Suicide Life Threat Behav. 2004 Winter;34(4):363-73
references.pmid: 15585458
references.citation: Prev Sci. 2013 Oct;14(5):437-46
references.pmid: 23417664
references.citation: J Am Acad Child Adolesc Psychiatry. 2004 Feb;43(2):183-90
references.pmid: 14726725
references.citation: Dev Psychopathol. 1999 Winter;11(1):59-84
references.pmid: 10208356
references.citation: JAMA. 2005 Oct 26;294(16):2064-74
references.pmid: 16249421
references.citation: J Consult Clin Psychol. 2007 Feb;75(1):187-93
references.pmid: 17295579
references.citation: Psychol Addict Behav. 2012 Sep;26(3):599-608
references.pmid: 22564206
references.citation: J Consult Clin Psychol. 1993 Dec;61(6):941-51
references.pmid: 8113495
references.citation: Psychol Methods. 2009 Mar;14(1):43-53
references.pmid: 19271847
references.citation: Suicide Life Threat Behav. 1997 Summer;27(2):164-75
references.pmid: 9260299
references.citation: J Clin Child Adolesc Psychol. 2010;39(4):559-67
references.pmid: 20589566
references.citation: Am J Prev Med. 2006 Dec;31(6 Suppl 1):S126-35
references.pmid: 17175407
references.citation: Drug Alcohol Depend. 2008 Jun 1;95 Suppl 1:S60-73
references.pmid: 18329189
references.citation: Clin Psychol Rev. 1998 Nov;18(7):765-94
references.pmid: 9827321
references.citation: Int J Methods Psychiatr Res. 2012 Mar;21(1):76-85
references.pmid: 22290656
references.citation: J Consult Clin Psychol. 2005 Feb;73(1):38-46
references.pmid: 15709830
references.citation: Am J Psychiatry. 2011 Dec;168(12):1266-77
references.pmid: 22193671
references.citation: J Am Acad Child Adolesc Psychiatry. 2008 Mar;47(3):291-300
references.pmid: 18216737
references.citation: J Am Acad Child Adolesc Psychiatry. 2008 Aug;47(8):948-57
references.pmid: 18596554
references.citation: J Adolesc Health. 2008 Aug;43(2):180-7
references.pmid: 18639792
references.citation: J Am Acad Child Adolesc Psychiatry. 1994 Jul-Aug;33(6):809-18
references.pmid: 7598758
references.citation: Child Dev. 1998 Feb;69(1):1-12
references.pmid: 9499552
references.citation: MMWR Surveill Summ. 2012 Jun 8;61(4):1-162
references.pmid: 22673000
references.citation: Subst Use Misuse. 2009;44(8):1142-59
references.pmid: 19544145
references.citation: Clin Psychol Sci. 2013 Jan;1(1):
references.pmid: 24273703
references.citation: Behav Modif. 2008 Jan;32(1):77-108
references.pmid: 18096973
references.citation: Arch Gen Psychiatry. 2007 Oct;64(10):1132-43
references.pmid: 17909125
references.citation: J Am Acad Child Adolesc Psychiatry. 1998 Dec;37(12):1287-93
references.pmid: 9847501
references.citation: Lancet. 2012 Mar 17;379(9820):1056-67
references.pmid: 22305766
references.citation: J Child Adolesc Subst Abuse. 2013 Sep 1;22(5):421-434
references.pmid: 24453470
references.citation: J Am Acad Child Adolesc Psychiatry. 2008 Sep;47(9):1010-9
references.pmid: 18664994
references.citation: Psychol Med. 2005 Jul;35(7):983-93
references.pmid: 16045065
references.citation: J Consult Clin Psychol. 2007 Oct;75(5):716-28
references.pmid: 17907854
references.citation: Psychol Med. 1983 Aug;13(3):595-605
references.pmid: 6622612
references.citation: J Consult Clin Psychol. 2011 Aug;79(4):458-69
references.pmid: 21787049
references.citation: J Am Acad Child Adolesc Psychiatry. 2004 Jun;43(6):660-8
references.pmid: 15167082
references.citation: J Am Acad Child Adolesc Psychiatry. 2001 Jul;40(7):795-802
references.pmid: 11437018
references.citation: J Consult Clin Psychol. 2006 Feb;74(1):80-8
references.pmid: 16551145
references.citation: J Child Psychol Psychiatry. 2002 Sep;43(6):727-42
references.pmid: 12236608
references.citation: Res Soc Work Pract. 2007 Nov 1;17(6):657-663
references.pmid: 18159224
references.citation: Suicide Life Threat Behav. 2014 Apr;44(2):113-29
references.pmid: 24446880
references.citation: Dev Psychol. 2005 Sep;41(5):733-746
references.pmid: 16173871
references.citation: J Consult Clin Psychol. 2000 Oct;68(5):857-863
references.pmid: 11068971
references.citation: J Child Psychol Psychiatry. 2006 Mar-Apr;47(3-4):372-94
references.pmid: 16492264
references.citation: Arch Suicide Res. 2008;12(3):181-96
references.pmid: 18576200