Adolescents with psychiatric disorders are known to be more often not in education, employment, or training (NEET) in young adulthood than their peers. However, since most of the available evidence is based on cross-sectional measurement of NEET, there is less evidence on the processes underlying these differences in labor market disadvantage. We assessed these processes by examining transitions between NEET and non-NEET states across young adulthood and the differences in these transitions by adolescent psychiatric inpatient treatment. We used longitudinal register data on all individuals born in Finland in 1980–1984 (N = 315,508) to identify psychiatric inpatient episodes between ages 10 and 19 and NEET between ages 20 and 34. We modeled the transitions between NEET and non-NEET states and the impact of psychiatric disorders on these transitions with multistate models. Individuals who had psychiatric inpatient episodes in adolescence started their labor market careers as NEET twice as often as their peers. They were also more likely to transition into NEET states and less likely to transition out of NEET. In total, individuals with a history of psychiatric episodes spent from 1.8 to 6.9 more years as NEET between the ages 20 and 34 than their peers, depending on sex, baseline NEET, and diagnostic group. Adolescents with severe psychiatric disorders are highly vulnerable in terms of labor market outcomes throughout their early adulthood. Supportive measures are required both at the start of employment trajectories and during later career stages.

中文翻译：

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青少年精神病住院事件和随后的劳动力市场轨迹

众所周知，患有精神疾病的青少年在成年初期比同龄人更常无法接受教育、就业或培训（NEET）。然而，由于大多数现有证据都是基于 NEET 的横截面测量，因此关于劳动力市场劣势差异背后的过程的证据较少。我们通过检查成年早期 NEET 和非 NEET 状态之间的转变以及青少年精神病住院治疗在这些转变中的差异来评估这些过程。我们使用 1980 年至 1984 年出生于芬兰的所有个体 (N = 315,508) 的纵向登记数据来识别 10 至 19 岁之间的精神病住院患者以及 20 至 34 岁之间的 NEET 患者。我们对 NEET 和非 NEET 状态之间的转变进行了建模，并精神疾病对多状态模型中这些转变的影响。在青春期患有精神病住院的人以 NEET 身份开始他们的劳动力市场职业生涯的频率是同龄人的两倍。他们也更有可能转变为 NEET 状态，而不太可能转变出 NEET 状态。总的来说，有精神病史的人在 20 岁至 34 岁之间作为 NEET 的时间比同龄人多 1.8 至 6.9 年，具体取决于性别、基线 NEET 和诊断组。患有严重精神疾病的青少年在整个成年早期的劳动力市场结果方面非常脆弱。在就业轨迹的开始和职业生涯的后期阶段都需要采取支持措施。