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We examined the content of the total array of self-cognitions in urban youth to determine whether specific self-concept profiles were associated with early drinking, drinking-related self-cognitions, and conduct problems. We conducted a secondary analysis of data from a cross-sectional study with 9- to 12-year-old predominantly Black and Hispanic youth ( N = 79) who attended urban school and summer youth programs. Measures included an open-ended self-description task and questionnaires to measure presence\/absence of a drinking-related self-cognition, alcohol use, and conduct problems. We content analyzed 677 self-descriptors; cluster analysis revealed six unique self-concept profile groups. In a cluster group distinguished by negative self-content, 37% drank alcohol and 42% had a drinking-related self-cognition. Youth in this group also had conduct problems. School nurses are in prime positions to identify and intervene with youth who have at-risk self-concept profiles.<\/jats:p>","DOI":"10.1177\/1059840520940379","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T06:02:12Z","timestamp":1595311332000},"page":"358-367","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Self-Concept Profiles of Youth at Risk for Maladaptive Behaviors"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7270-6377","authenticated-orcid":false,"given":"Celeste M.","family":"Schultz","sequence":"first","affiliation":[{"name":"College of Nursing, University of Illinois at Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Corte","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Illinois at Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,7,21]]},"reference":[{"key":"bibr1-1059840520940379","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00134"},{"key":"bibr2-1059840520940379","doi-asserted-by":"crossref","unstructured":"Alvanzo A. A., Storr C. L., La Flair L., Green K. M., Wagner F. A., Crum R. M. (2011). Race\/ethnicity and sex differences in progression from drinking initiation to the development of alcohol dependence. 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