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Assessing the Sensitivity and Specificity of the MAYSI-2 for Detecting Trauma among Youth in Juvenile Detention

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Abstract

This study investigated the sensitivity and specificity of the most widely used mental health screening instrument in juvenile detention, the Massachusetts Youth Screening Instrument (MAYSI-2), for detecting trauma and symptoms of posttraumatic stress disorder (PTSD) among detained youth. The MAYSI-2 scales measuring Substance Use, Anger/Irritability, Depression/Anxiety, and Traumatic Experiences contributed to the prediction of PTSD symptoms; however, only Depression/Anxiety contributed to the prediction of associated symptoms for girls. The ROC curves technique indicated that the Traumatic Experiences scale was a moderately accurate predictor of likely Full or Partial PTSD but not superior to the other MAYSI-2 scales. These results suggest further work is needed to develop measures that are sensitive to the experiences of delinquent youth with histories of complex trauma.

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Kerig, P.K., Moeddel, M.A. & Becker, S.P. Assessing the Sensitivity and Specificity of the MAYSI-2 for Detecting Trauma among Youth in Juvenile Detention. Child Youth Care Forum 40, 345–362 (2011). https://doi.org/10.1007/s10566-010-9124-4

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