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Journal Article

Citation

Rydelius PA. Acta Psychiatr. Scand. 1988; 77(4): 398-403.

Affiliation

Karolinska Institute, Department of Child and Adolescent Psychiatry, St. Göran's Children's Hospital, Stockholm, Sweden.

Copyright

(Copyright © 1988, John Wiley and Sons)

DOI

unavailable

PMID

3389175

Abstract

In order to detect possible relationships between antisocial behaviour and the incidence of "sudden violent death" in young people, information relating to mortality in antisocial Swedish adolescents has been traced and compiled. A register was drawn up covering those young persons (1,056; 832 boys and 224 girls; mean age 16 years) who were admitted to Swedish probationary schools during the period 1 January - 31 December 1967. Using the registers of immigration and emigration, and causes of death kept by SCB (Statistiska Centralbyrån), mortality occurring between 1 January 1967 - 31 December 1985 was tabulated. One hundred and ten boys (13%) and 22 girls (10%) had died. The deaths had occurred at a rate of approximately seven new deaths per observation year, the youngest being still in their teens when they died. For comparison, the criteria set up by insurance companies for life insurance premiums are based on a death expectancy for healthy Swedish boys and girls in the age groups corresponding to the subjects under observation of 1.2-3.1% for boys and 1.1-2.6% for girls. Eighty-eight percent of the dead boys and 77% of the dead girls had died "sudden violent deaths" - accidents, suicides, death from uncertain causes, murder/manslaughter, or alcohol/drug abuse. For both sexes, death from uncertain causes and suicides were the most frequent single causes of death. Death as a direct result of alcohol/drug abuse occurred only in boys. The results give support to the assumption that a link exists between childhood environment, the development of antisocial behaviour/mental insufficiency and a "sudden violent death" at an early age.(AUTHOR ABSTRACT TRUNCATED AT 250 WORDS)

VioLit summary:

OBJECTIVE:
The purpose of this Swedish longitudinal study by Rydelius was to provide an analysis of the relationship between anti-social behavior and sudden violent death in youth.

METHODOLOGY:
By using the records of Swedish probationary schools between January 1-December 31, 1967, a sample of 1069 subjects (841 boys and 228 girls) was compiled. Thirteen of this sample were not traceable in 1982 and were left out of the sample. The mortality records of the 1056 remaining subjects (832 boys and 224 girls), with a median age of 16 years in 1967, were used in the study. From insurance estimates, the approximate death expectancy rate was computed for healthy Swedish men (if over 14 years, have a death expectancy of 1.2% before 28 years, 3.1% before 40 years) and women (if over 14 years, have a death expectancy of 1.1% before 28 years, 2.6% before 40 years). Percentages were utilized to analyze the data.

FINDINGS/DISCUSSION:
Twelve percent (132) of the anti-social youth in the sample died during the observational period: 13% of the boys and 10% of the girls. Four girls and eleven boys died while still teenagers; 57 boys and 7 girls died between 30 and 39 years. Eighty-eight percent of these deaths were caused by accidents, suicides, murder/manslaughter, uncertain causes, or alcohol/drug abuse. Sixty-one percent were caused by suicides, uncertain causes, murder/manslaughter, and abuse. Ten of the male subjects' deaths were caused directly by drugs/alcohol with 47 of the 110 of the male deaths having alcohol/drugs involved in some form. None of the female subjects' deaths were directly the result of alcohol/drugs; however 7 of these female cases involved drugs/alcohol in some form. This study concluded that there was evidence that antisocial youth were more likely than "healthy" youth to be the victims of sudden violent deaths.

AUTHOR'S RECOMMENDATIONS:
The author stressed that knowledge of the risk factors involved in sudden violent deaths of youth would be beneficial for preventing them in the future. The author also suggested that more longitudinal studies are needed. (CSPV Abstract - Copyright © 1992-2007 by the Center for the Study and Prevention of Violence, Institute of Behavioral Science, Regents of the University of Colorado)
N1 - Call Number: F-456, AB-456
KW - Countries Other Than USA
KW - Sweden
KW - Longitudinal Studies
KW - Death Rates
KW - Death Causes
KW - Juvenile Death
KW - Adult Death
KW - Juvenile Behavior
KW - Juvenile Antisocial Behavior
KW - Behavior Effects
KW - Juvenile Offender
KW - Death Rates
KW - Juvenile Homicide
KW - Adult Homicide
KW - Homicide Victim
KW - Adult Victim
KW - Juvenile Victim
KW - Adult Suicide
KW - Juvenile Suicide
KW - Suicide Causes
KW - Risk Factors
KW - Violence Causes
KW - Alcohol Use Effects
KW - Alcohol Related Death
KW - Drug Use Effects
KW - Drug Related Death
KW - Adult Substance Use
KW - Juvenile Substance Use
KW - Substance Use Effects
KW - Juvenile Male
KW - Juvenile Female
KW - Adult Male
KW - Adult Female
KW - Male Victim
KW - Female Victim


Language: en

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