Sariaslan A, Kääriälä A, Pitkänen J, et al. - Children and adolescents placed in out-of-home care are examined to determine the extent to which these are at the risk of experiencing adverse social and health outcomes in adulthood.

• In this cohort and cosibling study, included were all children born in Finland between 1986 and 2000 (N = 855,622).

• Children placed in out-of-home care were noted to be at 1.4- to 5-fold increased risk of adverse social and health outcomes in adulthood compared with their siblings who had never been placed in out-of-home care.

• Those with violent crime arrests, substance misuse, and unintentional poisoning injury were noted to exhibit the highest relative risks.

• The findings did not change significantly following additional adjustments for perinatal factors, childhood behavioral problems, and traumatic injuries, including experiencing violence.

• Overall findings suggest that although children are required to be removed from parents who expose them to severe maltreatment, neglect, or abuse, out-of-home care placement is linked with important outcomes that require careful review.