Objective: To identify risk indicators at ages 6–18 years that are associated with DSM-IV diagnoses in adolescents and young adults with intellectual disabilities five years later. To assess the potential health gain and efficiency of preventive interventions targeting these risk indicators. Method: Parents reported on potential child, parental, and environmental risk indicators. Five years later, parents were interviewed using a standardised psychiatric interview schedule (DISC-IV) to assess DSM-IV diagnoses in children with ID (N = 614) at the age of 11 to 24 years. Logistic regression and linear probability models were used to test the contribution of risk indicators to the prediction of DSM-IV diagnoses. Results: Deviant levels of internalising and externalising problems, inadequate adaptive behaviour, and parental psychopathology predicted psychiatric disorder. Children/adolescents exposed to multiple risk indicators were at greater risk of developing DSM-IV disorders. Conclusions: Strategies aiming for the risk reduction of psychiatric disorders in children/adolescents with ID should focus on intervening at an early age, improving psychopathology and adaptive behaviour skills of the children/adolescents, and supporting their parents.
