A Brief Screening Measure of Adolescent Risk Behavior

Lescano, Celia M.; Hadley, Wendy; Beausoleil, Nancy I.; Brown, Larry K.; DʼEramo, D A; Zimskind, Abigail

doi:10.1007/s10578-006-0037-2

Cited by 21 publications

(22 citation statements)

References 42 publications

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“…These data suggest that policies geared toward encouraging routine screening for sexual risk behaviors and STIs for adolescents with psychiatric disorders and to maintain more ongoing monitoring for youth with manic symptoms are sensible and might prevent adolescents from sexual risk behaviors. The Adolescent Risk Inventory is a brief measure that clinicians can use to assess sexual and other risk behaviors (Lescano et al, 2007). This practice is consistent with policies geared toward regular assessment for other risk behaviors, such as suicidal ideation.…”

Section: Discussionmentioning

confidence: 99%

Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment

Stewart

Theodore‐Oklota

Hadley

et al. 2012

Journal of Clinical Child & Adolescent Psychology

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Objective This study explored whether adolescents with elevated symptoms of mania (ESM+) engage in more HIV risk behaviors than those with other psychiatric disorders and examined factors associated with HIV risk behavior among ESM+ adolescents. Method Eight hundred and forty adolescents (56% female, 58% African American, mean age 14.9 years) who received mental health treatment completed private, computer-based assessments of psychiatric disorders, sexual and substance use behaviors, and provided urine to screen for sexually transmitted infections (STI). Results Eighty-seven percent met criteria for a psychiatric disorder and among these youth 21% were considered ESM+. Compared to those with other psychiatric disorders, ESM+ were more likely to be sexually active (61.6% vs. 53.6%), have multiple sexual partners (58.6% vs. 37.5%), have unprotected sex (38.4% vs. 28.0%), exchange sex for money (4.7% vs. 1.2%) and to test positive for an STI (14.0% vs. 6.3%). Among ESM+ youth, sexual risk behaviors were primarily associated with individual factors (e.g., self-efficacy, impulsivity, and substance use) and varied depending on the type of sexual behavior (e.g., onset of sex, number of partners, and condom use). Conclusions Adolescents with ESM should be regularly screened for sexual risk behaviors and receive HIV prevention skills. Efforts to increase self-efficacy for safer sex, reduce impulsivity, and decrease substance use may be effective targets for sexual risk reduction among adolescents with ESM.

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Section: Discussionmentioning

confidence: 99%

Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment

Stewart

Theodore‐Oklota

Hadley

et al. 2012

Journal of Clinical Child & Adolescent Psychology

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“…Affect regulation techniques were informed by the principles of Dialectical Behavior Therapy (DBT), which emphasizes correctly recognizing emotions and utilizing distress tolerance skills (28, 29). Teens learned to identify and monitor their own and others’ emotions.…”

Section: Methodsmentioning

confidence: 99%

Affect Management for HIV Prevention with Adolescents in Therapeutic Schools: The Immediate Impact of Project Balance

et al. 2013

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Adolescents in therapeutic schools are at greater risk for HIV and other STIs than their peers due to earlier higher rates of sexual risk and difficulty managing strong emotions. HIV prevention programs that incorporate techniques for affect management during sexual situations may be beneficial. This paper determined the immediate impact of such an intervention, Affect Management (AM), compared to a standard, skills-based HIV prevention intervention (SB) and a general health promotion intervention (HP) for 377 youth, ages 13 to 19, in therapeutic schools in two cities. One month after the intervention, analyses that adjusted for the baseline scores found adolescents in AM were more likely to report condom use at last sex than those in HP (.89 vs. .67, p=.02) and that their HIV knowledge was significantly greater. These data suggest that affect management techniques might improve the impact of standard skills-based prevention programs for adolescents in therapeutic schools.

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“…Furthermore, there is substantial comorbidity because many types of adolescent RT are linked to psychiatric disorders, such as substance abuse and conduct disorders (American Psychiatric Association [APA], 2000), which are also associated with raised rates of SH (Evans, Hawton, & Rodham, 2004). Adolescents with psychiatric disorders, in particular, frequently engage in multiple risk behaviors, including SH (Lescano et al, 2007). Moreover, RT and SH are defining characteristics of a well-established clinical syndrome, borderline personality disorder (BPD; APA, 2000).…”

mentioning

confidence: 99%

The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation.

Vrouva¹,

Fonagy²,

Fearon³

et al. 2010

Psychological Assessment

102

104

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In this study, we report on the development and psychometric evaluation of the Risk-Taking (RT) and Self-Harm (SH) Inventory for Adolescents (RTSHIA), a self-report measure designed to assess adolescent RT and SH in community and clinical settings. 651 young people from secondary schools in England ranging in age from 11.6 years to 18.7 years and 71 young people referred to mental health services for SH behavior in London between the ages of 11.9 years and 17.5 years completed the RTSHIA along with standardized measures of adolescent psychopathology. Two factors emerged from the principal axis factoring, and RT and SH were further validated by a confirmatory factor analysis as related, but different, constructs, rather than elements of a single continuum. Inter-item and test-retest reliabilities were high for both components (Cronbach's α = .85, ru = .90; Cronbach's α .93, ru = .87), and considerable evidence emerged in support of the measure's convergent, concurrent, and divergent validity. The findings are discussed with regard to potential usefulness of the RTSHIA for research and clinical purposes with adolescents.

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A Brief Screening Measure of Adolescent Risk Behavior

Cited by 21 publications

References 42 publications

Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment

Mania Symptoms and HIV-Risk Behavior Among Adolescents in Mental Health Treatment

Affect Management for HIV Prevention with Adolescents in Therapeutic Schools: The Immediate Impact of Project Balance

The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation.

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