The prevalence and patterns of co-occurring mental health problem symptoms, substance use, and delinquent conduct were examined in a sample of multiple problem, detained youth. Three distinct patterns of co-occurrence were found using cluster analysis. Youth in two of the clusters had moderate mental health problems but differed in the severity of substance abuse and delinquent conduct. A third group displayed serious mental health symptoms and suicidality coinciding with high rates of substance use and crime.
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