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Chapter 10 - Antisocial Behaviours in Young People

Published online by Cambridge University Press:  10 October 2025

By
Paul A. Tiffin  and
Oliver O’Mara
Edited by
Shermin Imran
Shermin Imran
Affiliation:
Greater Manchester NHS Foundation Trust
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Summary

Antisocial behaviours challenge a society’s ethics, norms and laws, and are common in children and adolescents. Such behaviours are associated with co-existing developmental and mental health issues and a range of poor life outcomes and long-term functioning. In this chapter we describe the diagnostic classification of conduct problems in young people. The epidemiology of youth behaviour problems is also summarised, in particular in relation to evidence of the observed continuities between the diagnostic categories of oppositional defiant disorder (ODD), conduct disorder and antisocial personality disorder. We highlight identified biological, psychological and social factors associated with the development of conduct issues in children, providing some examples of how these can interact. The principles of assessment are outlined, describing the areas that should be covered when gathering information. We provide examples of some of the structured tools that may be helpful when assessing and formulating a young person’s difficulties in relation to conduct issues. A summary of existing, key evidence, relating to the management of conduct problems in children and adolescents is provided. This highlights the limited role that medication is likely to play as well as some of the psychosocial approaches where there is evidence of clinical and cost-effectiveness.

Keywords

antisocial behaviourconduct disorderoppositional defiant disordercallous-unemotional traitsjuvenile delinquency

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Seminars in Child and Adolescent Psychiatry , pp. 144 - 160
Publisher: Cambridge University Press
Print publication year: 2025

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