Table 1. Definitions and Prevalence of Adult Derailments.
| Derailmenta | Prevalence, No. (%)b | Definition |
|---|---|---|
| Health | ||
| Serious physical event | 411 (27.2) | Participant reported diagnosis of serious physical illness or serious accident that involved risk of death or chronic disability |
| Psychiatric and substance use disorder | 139 (9.3) | Participant met full criteria for both an emotional disorder and a substance abuse disorder |
| Suicidality | 72 (7.0) | Participant reported recurrent thoughts of death (not just fear of dying), recurrent ideation, a suicide attempt, or specific plan for committing suicide |
| Legal | ||
| Serious criminal activity | 209 (17.7) | Official record of felony charge between ages 16 and 25 y |
| Incarceration | 180 (8.2) | Participant reported time spent in jail or prison across adult assessments |
| Financial | ||
| Did not complete high school | 166 (9.7) | Participant had not received high school diploma, equivalent degree, or GED by last adult observation |
| Unable to keep job | 70 (4.0) | Participant reported being fired from ≥3 jobs over the course of adult observations |
| Low income | 272 (21.8) | Participant fell below poverty line at ages 25 or 30 y |
| Social | ||
| Early parenthood | 95 (5.5) | Participant reported becoming a parent prior to age of majority or legal adulthood, ie, age 18 y |
| No social support | 234 (12.9) | Participant reported no best friend or confidante, little to no relationship with parents, and rare contact with peers across all adult observations |
| Derailments | ||
| ≥2 | 469 (26.0) | Participant reported ≥2 derailments |
| ≥3 | 259 (14.0) | Participant reported ≥3 derailments |
Abbreviation: GED, general equivalency diploma.
a
Except for serious criminal activity, derailments were assessed using the Young Adult Psychiatric Assessment.
b
Numbers are unweighted, and percentages are weighted.