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    Adolescent mental health and unemployment over the lifespan: population evidence from Sweden

    Mousteri, Victoria and Daly, Michael and Delaney, Liam and Tynelius, Per and Rasmussen, Finn (2019) Adolescent mental health and unemployment over the lifespan: population evidence from Sweden. Social Science and Medicine, 222. pp. 305-314. ISSN 0277-9536

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    Rationale: Symptoms of mental health problems have been shown to predict adverse labour market outcomes including unemployment, but no studies have used sibling models to examine the relationship between clinically diagnosed psychiatric conditions in adolescence and subsequent unemployment. Objective: This study used extensive Swedish registry data to investigate the link between psychiatric conditions diagnosed during military conscription and unemployment over two decades. Further, we identified whether this relation was amplified during an economic downturn and tested whether it was affected by adjustment for unobserved family characteristics using sibling fixed-effects models. Method: Psychiatric conditions were diagnosed by psychologists and psychiatrists at military conscription in sample of 929,191 Swedish men (mean age = 18.4 years) between 1969 and 1989. The average number of days unemployed per year was observed from 1992 to 2012, using the records of the Swedish Public Employment Services. Results: After adjustment for physical health and childhood socioeconomic status those diagnosed with any psychiatric condition experienced approximately an additional 10 days per year unemployment compared to others. Alcohol (16 days unemployment) and other substance use disorders (17 days) were the strongest predictors of exposure to future unemployment, followed by personality disorders (10 days), neurotic and adjustment conditions (nine days), and depressive disorders (six days). Family background factors accounted for approximately half of the observed relationship between mental health conditions and unemployment. Psychiatric conditions interacted with macroeconomic conditions such that those with pre-existing alcohol-related, and neurotic and adjustment disorders were disproportionately more likely to become unemployed following the 1990s crisis in Sweden. Conclusions: Adolescent mental health conditions forecast an elevated risk of unemployment, which endures over the life course and is amplified in times of economic uncertainty. Investment in youth mental health services and alcohol and substance use prevention programs may yield economic benefits by reducing unemployment.

    Item Type: Article
    Additional Information: Cite as: Victoria Mousteri, Michael Daly, Liam Delaney, Per Tynelius, Finn Rasmussen, Adolescent mental health and unemployment over the lifespan: Population evidence from Sweden, Social Science & Medicine, Volume 222 (2019) Pages 305-314, ISSN 0277-9536,
    Keywords: Mental health; Psychiatric conditions; Recession; Sibling comparisons; Siblings fixed-effects; Unemployment;
    Academic Unit: Faculty of Science and Engineering > Psychology
    Item ID: 13621
    Identification Number:
    Depositing User: Michael Daly
    Date Deposited: 23 Nov 2020 16:17
    Journal or Publication Title: Social Science and Medicine
    Publisher: Elsevier
    Refereed: Yes
    Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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