Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adults
Department of Psychiatry
Medical Subject Headings
Adolescent; Adult; Anxiety Disorders; Child; Conduct Disorder; Depressive Disorder; Emigrants and Immigrants; Ethnic Groups; Female; Humans; Internal-External Control; Life Change Events; Male; Mental Disorders; Mental Health Services; Risk Factors; Statistics as Topic; Stress Disorders, Post-Traumatic; Student Dropouts; Substance-Related Disorders; United States; Young Adult
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
The effect of childhood trauma, psychiatric diagnoses, and mental health services on school dropout among U.S.-born and immigrant youth is examined using data from the Collaborative Psychiatric Epidemiology Surveys, a nationally representative probability sample of African Americans, Afro-Caribbeans, Asians, Latinos, and non-Latino Whites, including 2,532 young adults, aged 21-29. The dropout prevalence rate was 16% overall, with variation by childhood trauma, childhood psychiatric diagnosis, race/ethnicity, and nativity. Childhood substance and conduct disorders mediated the relation between trauma and school dropout. Likelihood of dropout was decreased for Asians, and increased for African Americans and Latinos, compared to non-Latino Whites as a function of psychiatric disorders and trauma. Timing of U.S. immigration during adolescence increased risk of dropout.