Our results indicate that aggression levels in a general pre- and early adolescent population can significantly predict, with useful predictive utility, a serious psychiatric outcome (ASPD) in young adulthood in both sexes. Study findings also lend further support for the collection of behavioral ratings from multiple informants to improve the predictive utility of externalizing disorders. Furthermore, the direct aggression subtype can also consistently and significantly predict ASPD. Taken together, these findings suggest that focusing interventions on children and adolescents with higher aggression levels could reduce future ASPD cases.
