Table 1.

Description of the 14 Studies Included in the Systematic Review and Meta-Analysis

Citation	Sample	Setting	Alcohol Use	Sexual Behaviors	Diagnostic Tool and Psychiatric Diagnosis
Abrantes et al. (2006)†	N = 239; 61% F; 94% White; Mage = 15	Inpatient psychiatric hospital; Providence, RI	50% CD	67% sexually active (lifetime)	C-DISC:54% anxiety disorders; 45% mood disorders; ≥44% attention-deficit and disruptive behavior disorders
			42% AA/D	52% sexually active (recent)
				50% condom use (last event)
				45% multiple partners (past 3M)
				29% ≥4 partners (lifetime)
Aruffo et al. (1994)†	N = 100; 44% F; 71% White; Mage = 15	Inpatient psychiatric hospital; Little Rock, AR	64% CD	79% sexually active (lifetime)	Medical Chart/Record:100% emotional and behavioral problems (unspecified)
				44% condom use (lifetime)
				47% condom use (last event)
Bodison (1998)	N = 170 [89]; 30% F; 69% White, Mage = 15	Partial hospital day treatment programs; PA and MD	72% LD	58% sexually active (recent)	Medical Chart/Record: 3% anxiety disorders; 48% mood disorders; 32% attention-deficit and disruptive behavior disorders; 1% psychotic disorders
Psychiatric disorder subsample only (n = 89)				30% ≥2 partners (past 6M)
Brawner et al. (2012)	N = 131 [64]; 100% F; 100% Black, American; Mage = 16	Outpatient mental health treatment programs; USA	16% CD	78% sexually active (lifetime)	PHQ- 9: 100% mood disorders
Clinically depressed subsample only (n = 64)			73% LD	50% condom use (last event)
Brown et al. (2014)†	N = 893; 56% F; 67% Black, non-African; Mage = 15	Outpatient mental health treatment; Atlanta, GA; Chicago, IL; Providence, RI	22% CD	55% sexually active (lifetime)	DISC:34% anxiety disorders; 32% mood disorders; 66% attention-deficit and disruptive behavior disorders
				31% sexually active (recent)
				71% condom use (last event)
				42%≥2 partners (past 90 days)
				15%≥4 partners (past 90 days)
Brown et al. (1997)	N = 102; 63% F; 93% White; Mage = 15	Inpatient psychiatric unit; Providence, RI	29% CD	71% sexually active (lifetime)	Medical Chart/Record:51% mood disorders; 13% attention-deficit and disruptive behavior disorders
				55% sexually active (recent)
				33% condom use (past 6M)
				27% ≥5 partners (past 12M)
Brown et al. (2000)†	N = 307; 40% F; 83% White; Mage = 15	Psychiatric day schools and residential programs; Providence, RI	74% LD	68% sexually active (lifetime)	Admission intake record:
				80% condom use (12M)	8% anxiety disorders
				43% consistent condom use	33% mood disorders
				59% ≥2 partners (past 12M)	7% attention-deficit and disruptive behavior disorders
					3% psychotic disorders
Brown &Reynolds (1997)	N = 24; 54% F; 89% White; Mage = 14	Inpatient psychiatric unit; Providence, RI	23% CD	75% sexually active (lifetime)	Medical Chart/Record:
				45% condom use (lifetime)	9% anxiety disorder
					51% mood disorders
					9% attention-deficit and disruptive behavior disorders
Bryant et al. (1995)†	N = 83; 30% F; 58% White; Mage = 16	State continuum of care program; Columbia, SC	30% CD	79% sexually active (lifetime)	Medical Chart/Record:100% severely emotionally disturbed (i.e., anxiety, mood, attention-deficit and disruptive behavior, or psychotic disorders)
				7% condom use (last event)
				18% ≥4 partners (lifetime)
Cropsey et al. (2008)†	N = 636; 51% F; 58% White; Mage = 15	Inpatient psychiatric units; VA	55% LD	46% sexually active (lifetime)	Medical Chart/Record:26% anxiety disorders; 73% mood disorders; 40% attention-deficit and disruptive behavior disorders; 4% psychotic disorders; 22% personality disorders
			12% AA/D
Deas et al. (2000)	N = 51; 33% F; 75% White; Mage = 16	Inpatient substance abuse program; Charleston, SC	27% AD	sexual risk composite: mean intervention = 25 mean control = 24.5	KSADS:27% anxiety disorders; 68% mood disorders; 79% attention-deficit and disruptive behavior disorders
			25% AA
Donenberg et al. (2011)†	N = 218; 100% F; 100% Black, American; Mage = 14	Outpatient mental health clinicsa; Chicago, IL	33% CD	32% sexually active (lifetime)	DISC: 5% anxiety disorders; 4% mood disorders; 11% attention-deficit and disruptive behavior disorders
				65% condom use (last event)
				57% consistent condom use
				24% ≥2 partners (past 6M)
Riggs et al. (2007)†	N = 106; 33% F; 48% White, Mage = 17	Community and juvenile and social agencies; Denver, CO	≥ 53% LD	94% sexually active (lifetime)	Semi-structured diagnostic interview administered by study physician:100% mood disorders; 100% attention-deficit and disruptive behavior disorders
			53% ADb	30% consistent condom use
			13% AAb
Teplin et al. (2005)†	N = 1,829 [117]; 36% F; 55% Black, American; Mage = 15	Juvenile detention center; Chicago, IL	57% CDc	88% sexually active (lifetime)	DISC:100% mood or psychotic disorders
Psychiatric disorder subsampleonly with or without a substance use disorder (n = 117)			89% LDc	46% condom use (past 1M)
			29% AA/Dbc	51% ≥2 partners (past 3M)
				23% ≥4 partners (past 3M)

Note. If studies included clinical and non-clinical populations, only the clinical samples are reported in this meta-analysis. F, female; CD, current drinkers; LD, lifetime drinkers; AA, alcohol abuse; AD, alcohol dependence; AA/D, alcohol abuse/dependence; M, month; NR, not reported; C-DISC, Columbia-Diagnostic Interview Schedule for Children (Costello, Edelbrock, Dulcan, Kalas, & Klaric, 1984); PHQ-9, The Patient Health Questionnaire (Kroenke & Spitzer, 2002); DISC, Diagnostic Interview Schedule for Children (Schwab-Stone et al., 1996); KSADS, Child Schedule for Affective Disorders and Schizophrenia (Kaufman et al., 1997).

^aParticipants were recruited from inpatient and outpatient mental health clinics but were outpatients at the time of the study.

^bParticipants were selected if they had a substance use disorder; excluded from AA/AD analyses.

^cInformation drawn from the sample who received the HIV/AIDS survey (N = 689) because this information was not reported separately for the subsample who had a a psychiatric disorder (n = 117).

^†Details of the study were obtained from the primary paper and linked papers (see References).