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Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study

Lucy Griffiths Orcid Logo, Joanna McGregor Orcid Logo, Dora Pouliou Orcid Logo, Rhodri Johnson, Karen Broadhurst, Linda Cusworth, Laura North, David Ford Orcid Logo, Ann John Orcid Logo

BJPsych Open, Volume: 8, Issue: 2

Swansea University Authors: Lucy Griffiths Orcid Logo, Joanna McGregor Orcid Logo, Dora Pouliou Orcid Logo, Rhodri Johnson, Laura North, David Ford Orcid Logo, Ann John Orcid Logo

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DOI (Published version): 10.1192/bjo.2022.6

Abstract

BackgroundLittle is known about mental health problems of children and young people (CYP) involved with public and private law family court proceedings, and how these CYP fare compared to those not involved in these significant disruptions to family life.AimsThis study examined records of depression...

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Published in: BJPsych Open
ISSN: 2056-4724
Published: Royal College of Psychiatrists, CUP. 2022
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We calculated the incidence of primary-care-recorded depression/anxiety among CYP involved in these proceedings and in a comparison group, using Poisson regression. Depression/anxiety outcomes following proceedings were evaluated using pairwise Cox regression, with age- and gender-matched controls of CYP who had no involvement with the courts.ResultsCYP in the public group had twice the risk of depression (adjusted incidence rate ratio aIRR = 2.2; 95% CI 1.9–2.6) and 20% higher risk of anxiety (aIRR = 1.2; 95% CI 1.0–1.5) relative to the comparison group. The private group had 60% higher risk of depression (aIRR = 1.6; 95% CI 1.4–1.7) and 30% higher risk of anxiety (aIRR = 1.3; 95% CI 1.2–1.4). Following private law proceedings, CYP were more likely to have depression (hazard ratio HR = 1.9; 95% CI 1.7–2.1), and anxiety (HR = 1.4; 95% CI 1.2–1.6) than the control group. Following public proceedings, CYP were more likely to have depression (HR = 2.1; 95% CI 1.7–2.5). Incidence of anxiety or depression following court proceedings was around 4%.ConclusionsFindings highlight the vulnerability of CYP involved in family court proceedings and increased risk of depression and anxiety. Schools, health professionals, social and family support workers have a role to play in identifying needs and ensuring CYP receive appropriate support before, during and after proceedings.</abstract><type>Journal Article</type><journal>BJPsych Open</journal><volume>8</volume><journalNumber>2</journalNumber><paginationStart/><paginationEnd/><publisher>Royal College of Psychiatrists, CUP.</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2056-4724</issnElectronic><keywords>Care proceedings; administrative data; data linkage; children; mental health</keywords><publishedDay>1</publishedDay><publishedMonth>3</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-03-01</publishedDate><doi>10.1192/bjo.2022.6</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders>MC_PC_17211/MRC_/Medical Research Council/United Kingdom Medical Research Council Nuffield Family Justice Observatory MQ Mental Health Research Charity</funders><projectreference/><lastEdited>2022-08-05T12:02:42.5849010</lastEdited><Created>2022-01-12T10:03:07.8510082</Created><path><level id="1">Swansea University Medical School</level><level id="2">Medicine</level></path><authors><author><firstname>Lucy</firstname><surname>Griffiths</surname><orcid>0000-0001-9230-624X</orcid><order>1</order></author><author><firstname>Joanna</firstname><surname>McGregor</surname><orcid>0000-0003-0242-4600</orcid><order>2</order></author><author><firstname>Dora</firstname><surname>Pouliou</surname><orcid>0000-0002-1162-1174</orcid><order>3</order></author><author><firstname>Rhodri</firstname><surname>Johnson</surname><orcid/><order>4</order></author><author><firstname>Karen</firstname><surname>Broadhurst</surname><order>5</order></author><author><firstname>Linda</firstname><surname>Cusworth</surname><order>6</order></author><author><firstname>Laura</firstname><surname>North</surname><order>7</order></author><author><firstname>David</firstname><surname>Ford</surname><orcid>0000-0001-6551-721X</orcid><order>8</order></author><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>9</order></author></authors><documents><document><filename>59158__22576__d44d7db508be4d9a98e92dce57f17fa3.pdf</filename><originalFilename>59158.pdf</originalFilename><uploaded>2022-03-11T15:28:46.1420815</uploaded><type>Output</type><contentLength>535606</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© The Author(s), 2022. 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spelling v2 59158 2022-01-12 Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study e35ea6ea4b429e812ef204b048131d93 0000-0001-9230-624X Lucy Griffiths Lucy Griffiths true false caa651da7e3807cbeac8ec2f40643677 0000-0003-0242-4600 Joanna McGregor Joanna McGregor true false f5b36a43fba4d0e04b23251dc2717186 0000-0002-1162-1174 Dora Pouliou Dora Pouliou true false 5f97fd65ef8cf66db750f645f115454c Rhodri Johnson Rhodri Johnson true false a255822cf77a0184cb6922e9fbea39e9 Laura North Laura North true false 52fc0c473b0da1b7218d87f9fc68a3e6 0000-0001-6551-721X David Ford David Ford true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 2022-01-12 HDAT BackgroundLittle is known about mental health problems of children and young people (CYP) involved with public and private law family court proceedings, and how these CYP fare compared to those not involved in these significant disruptions to family life.AimsThis study examined records of depression/anxiety in CYP involved in public and private law proceedings using linked population-level data across Wales.MethodRetrospective e-cohort study. We calculated the incidence of primary-care-recorded depression/anxiety among CYP involved in these proceedings and in a comparison group, using Poisson regression. Depression/anxiety outcomes following proceedings were evaluated using pairwise Cox regression, with age- and gender-matched controls of CYP who had no involvement with the courts.ResultsCYP in the public group had twice the risk of depression (adjusted incidence rate ratio aIRR = 2.2; 95% CI 1.9–2.6) and 20% higher risk of anxiety (aIRR = 1.2; 95% CI 1.0–1.5) relative to the comparison group. The private group had 60% higher risk of depression (aIRR = 1.6; 95% CI 1.4–1.7) and 30% higher risk of anxiety (aIRR = 1.3; 95% CI 1.2–1.4). Following private law proceedings, CYP were more likely to have depression (hazard ratio HR = 1.9; 95% CI 1.7–2.1), and anxiety (HR = 1.4; 95% CI 1.2–1.6) than the control group. Following public proceedings, CYP were more likely to have depression (HR = 2.1; 95% CI 1.7–2.5). Incidence of anxiety or depression following court proceedings was around 4%.ConclusionsFindings highlight the vulnerability of CYP involved in family court proceedings and increased risk of depression and anxiety. Schools, health professionals, social and family support workers have a role to play in identifying needs and ensuring CYP receive appropriate support before, during and after proceedings. Journal Article BJPsych Open 8 2 Royal College of Psychiatrists, CUP. 2056-4724 Care proceedings; administrative data; data linkage; children; mental health 1 3 2022 2022-03-01 10.1192/bjo.2022.6 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University SU Library paid the OA fee (TA Institutional Deal) MC_PC_17211/MRC_/Medical Research Council/United Kingdom Medical Research Council Nuffield Family Justice Observatory MQ Mental Health Research Charity 2022-08-05T12:02:42.5849010 2022-01-12T10:03:07.8510082 Swansea University Medical School Medicine Lucy Griffiths 0000-0001-9230-624X 1 Joanna McGregor 0000-0003-0242-4600 2 Dora Pouliou 0000-0002-1162-1174 3 Rhodri Johnson 4 Karen Broadhurst 5 Linda Cusworth 6 Laura North 7 David Ford 0000-0001-6551-721X 8 Ann John 0000-0002-5657-6995 9 59158__22576__d44d7db508be4d9a98e92dce57f17fa3.pdf 59158.pdf 2022-03-11T15:28:46.1420815 Output 535606 application/pdf Version of Record true © The Author(s), 2022. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence true eng https://creativecommons.org/licenses/by/4.0/
title Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study
spellingShingle Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study
Lucy Griffiths
Joanna McGregor
Dora Pouliou
Rhodri Johnson
Laura North
David Ford
Ann John
title_short Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study
title_full Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study
title_fullStr Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study
title_full_unstemmed Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study
title_sort Anxiety and depression among children and young people involved in family justice court proceedings: longitudinal national data linkage study
author_id_str_mv e35ea6ea4b429e812ef204b048131d93
caa651da7e3807cbeac8ec2f40643677
f5b36a43fba4d0e04b23251dc2717186
5f97fd65ef8cf66db750f645f115454c
a255822cf77a0184cb6922e9fbea39e9
52fc0c473b0da1b7218d87f9fc68a3e6
ed8a9c37bd7b7235b762d941ef18ee55
author_id_fullname_str_mv e35ea6ea4b429e812ef204b048131d93_***_Lucy Griffiths
caa651da7e3807cbeac8ec2f40643677_***_Joanna McGregor
f5b36a43fba4d0e04b23251dc2717186_***_Dora Pouliou
5f97fd65ef8cf66db750f645f115454c_***_Rhodri Johnson
a255822cf77a0184cb6922e9fbea39e9_***_Laura North
52fc0c473b0da1b7218d87f9fc68a3e6_***_David Ford
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
author Lucy Griffiths
Joanna McGregor
Dora Pouliou
Rhodri Johnson
Laura North
David Ford
Ann John
author2 Lucy Griffiths
Joanna McGregor
Dora Pouliou
Rhodri Johnson
Karen Broadhurst
Linda Cusworth
Laura North
David Ford
Ann John
format Journal article
container_title BJPsych Open
container_volume 8
container_issue 2
publishDate 2022
institution Swansea University
issn 2056-4724
doi_str_mv 10.1192/bjo.2022.6
publisher Royal College of Psychiatrists, CUP.
college_str Swansea University Medical School
hierarchytype
hierarchy_top_id swanseauniversitymedicalschool
hierarchy_top_title Swansea University Medical School
hierarchy_parent_id swanseauniversitymedicalschool
hierarchy_parent_title Swansea University Medical School
department_str Medicine{{{_:::_}}}Swansea University Medical School{{{_:::_}}}Medicine
document_store_str 1
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description BackgroundLittle is known about mental health problems of children and young people (CYP) involved with public and private law family court proceedings, and how these CYP fare compared to those not involved in these significant disruptions to family life.AimsThis study examined records of depression/anxiety in CYP involved in public and private law proceedings using linked population-level data across Wales.MethodRetrospective e-cohort study. We calculated the incidence of primary-care-recorded depression/anxiety among CYP involved in these proceedings and in a comparison group, using Poisson regression. Depression/anxiety outcomes following proceedings were evaluated using pairwise Cox regression, with age- and gender-matched controls of CYP who had no involvement with the courts.ResultsCYP in the public group had twice the risk of depression (adjusted incidence rate ratio aIRR = 2.2; 95% CI 1.9–2.6) and 20% higher risk of anxiety (aIRR = 1.2; 95% CI 1.0–1.5) relative to the comparison group. The private group had 60% higher risk of depression (aIRR = 1.6; 95% CI 1.4–1.7) and 30% higher risk of anxiety (aIRR = 1.3; 95% CI 1.2–1.4). Following private law proceedings, CYP were more likely to have depression (hazard ratio HR = 1.9; 95% CI 1.7–2.1), and anxiety (HR = 1.4; 95% CI 1.2–1.6) than the control group. Following public proceedings, CYP were more likely to have depression (HR = 2.1; 95% CI 1.7–2.5). Incidence of anxiety or depression following court proceedings was around 4%.ConclusionsFindings highlight the vulnerability of CYP involved in family court proceedings and increased risk of depression and anxiety. Schools, health professionals, social and family support workers have a role to play in identifying needs and ensuring CYP receive appropriate support before, during and after proceedings.
published_date 2022-03-01T12:02:41Z
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