title: Prevalence of psychiatric disorders, comorbidity patterns, and repeat offending among male juvenile detainees in South Korea: a cross-sectional study.
abstract: BACKGROUND
  High rates of psychiatric disorders and comorbidities have been reported in juvenile detainees, and both phenomena are thought to contribute to repeat offending. However, research on this topic has been limited in Asian countries, like South Korea. The purpose of this study was to examine the prevalence of psychiatric disorders, comorbidity patterns, and the relationship between psychiatric disorders and repeat offending among a cross-section of youths detained in a male juvenile detention center in South Korea.
  
  
  METHODS
  One hundred seventy-three juvenile detainees were recruited. The distribution of psychiatric disorders within the sample was estimated by applying criteria from theDiagnostic and Statistical Manual of Mental Disorders IV. Logistic regression was used to assess significant comorbidity patterns and relationships between psychiatric disorders and repeat offending.
  
  
  RESULTS
  In all, 90.8% of the detainees had at least one psychiatric diagnosis, and 75.1% had psychiatric comorbidities. The most common psychiatric disorder was alcohol use disorder, followed by conduct disorder and attention-deficit hyperactivity disorder. Among the comorbidities present, alcohol use disorder with disruptive behavior disorder was the most common combination. The presence of two psychiatric disorders was associated with a higher rate of recidivism, and alcohol use disorder was also associated with repeat offending when combined with disruptive behavior disorders, but not with anxiety disorders, major depression, or psychotic disorders.
  
  
  CONCLUSIONS
  Juvenile detainees evidence high rates of psychiatric disorders and comorbidities. Assessment of and intervention in psychiatric disorders, especially alcohol use disorder and comorbid alcohol use disorder with disruptive behavior disorders, may help prevent further offenses.
authors.affiliation: Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-no, Seoul, Chongno-gu 03080 Republic of Korea.
authors.forename: Johanna Inhyang
authors.initials: JI
authors.lastname: Kim
authors.affiliation: Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Seoul, Nowon-gu 01757 Republic of Korea.
authors.forename: Bongseog
authors.initials: B
authors.lastname: Kim
authors.affiliation: Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-no, Seoul, Chongno-gu 03080 Republic of Korea.
authors.forename: Bung-Nyun
authors.initials: BN
authors.lastname: Kim
authors.affiliation: Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-no, Seoul, Chongno-gu 03080 Republic of Korea.
authors.forename: Soon-Beom
authors.initials: SB
authors.lastname: Hong
authors.affiliation: Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Seoul, Nowon-gu 01757 Republic of Korea.
authors.forename: Dong Woo
authors.initials: DW
authors.lastname: Lee
authors.affiliation: Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Seoul, Nowon-gu 01757 Republic of Korea.
authors.forename: Ju-Young
authors.initials: JY
authors.lastname: Chung
authors.affiliation: Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Seoul, Nowon-gu 01757 Republic of Korea.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Choi
authors.affiliation: Department of Psychiatry, Pusan National University Yangsan Hospital, 20 Guemo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do 50612 Republic of Korea.
authors.forename: Bum-Sung
authors.initials: BS
authors.lastname: Choi
authors.affiliation: Department of Social Welfare, Yongin Songdam College, 61 Dongbu-ro, Yongin, Cheoin-gu 17145 Republic of Korea.
authors.forename: Young-Rim
authors.initials: YR
authors.lastname: Oh
authors.affiliation: Youn's Therapy Counseling Center, Yulim Building 3F, 119 Bangbae-ro, Seoul, Seocho-gu 06682 Republic of Korea.
authors.forename: Miwon
authors.initials: M
authors.lastname: Youn
keywords: Alcohol use disorder; Comorbidity; Juvenile detainees; Psychiatric disorder; Repeat offending