Background: This study prospectively examined the association between adverse experiences (physical abuse, sexual abuse and parental substance use problems [SUPs]), not being employed, in education or training (NEET) and being in need of acute psychiatric help among patients receiving treatment for substance use disorders. Methods: A total of 580 adolescents and early adults aged 15-25 years enrolled in treatment for drug use disorders were included in the analyses. Treatment data were linked to participants' register data on employment, education and acute contact to psychiatric services for the following two years. Multivariable logistic regression models were used to examine associations between the three adverse experiences, NEET and need of acute psychiatric help, adjusting for confounders such as age, gender, ethnicity, treatment response and treatment condition. Results: More than half of the participants were NEET two years after treatment enrolment. After controlling for demographics and treatment conditions, NEET was predicted by parental substance use problems (odds ratio [OR] = 1.89, 95% confidence interval [CI] 1.31- 2.70), exposure to physical abuse (OR = 1.48, 95% CI 1.03-2.13) and non-abstinence (abstinence was negatively associated with NEET, OR = 0.53, 95% CI 0.37-0.76). Being exposed to two (OR = 3.17, 95% CI 1.93-5.21) and three types of adverse experiences (OR = 3.14, 95% CI = 1.47-6.70) predicted NEET more strongly than exposure to one type. One out of 10 participants sought acute care from psychiatric services at least once within two years after treatment. Only sex and ethnic minority status were associated with contacting psychiatric services acutely. Conclusion: The present study suggests that adverse experiences, such as being exposed to parental problematic substance use and physical abuse, may be important predictors for NEET after treatment for SUDs.

中文翻译：

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不良经历是否预示着失业以及吸毒障碍治疗后需要精神科帮助？

背景：本研究前瞻性地研究了接受治疗的患者中不良经历（身体虐待、性虐待和父母物质使用问题 [SUP]）、未就业、教育或培训 (NEET) 以及需要紧急精神科帮助之间的关联用于物质使用障碍。方法：分析纳入了总共 580 名 15-25 岁的青少年和早期成年人，他们参加了药物滥用障碍的治疗。治疗数据与参与者在接下来两年的就业、教育和急性接触精神科服务的登记数据相关联。使用多变量逻辑回归模型来检查三种不良经历、NEET 和紧急精神科帮助需求之间的关联，并调整年龄、性别、种族、治疗反应和治疗条件等混杂因素。结果：入组治疗两年后，超过一半的参与者属于 NEET。在控制人口统计和治疗条件后，NEET 通过父母物质使用问题（比值比 [OR] = 1.89，95% 置信区间 [CI] 1.31-2.70）、遭受身体虐待（OR = 1.48，95% CI 1.03）来预测-2.13）和非禁欲（禁欲与 NEET 呈负相关，OR = 0.53，95% CI 0.37-0.76）。接触两种（OR = 3.17，95% CI 1.93-5.21）和三种类型（OR = 3.14，95% CI = 1.47-6.70）的不良经历比接触一种类型的不良经历更能预测 NEET。十分之一的参与者在治疗后两年内至少向精神科服务机构寻求一次紧急护理。只有性别和少数族裔状况与密切联系精神科服务有关。结论：本研究表明，不良经历，例如接触父母有问题的药物使用和身体虐待，可能是 SUD 治疗后 NEET 的重要预测因素。