Archives of Pediatrics & Adolescent Medicine

Journal Information
ISSN / EISSN : 10724710 / 15383628
Current Publisher: American Medical Association (AMA) (10.1001)
Total articles ≅ 24,547
Current Coverage
Archived in

Latest articles in this journal

Kiera L. Goff, Rachel H. Gormley, Patrick McMahon, Adam I. Rubin, Leslie Castelo‐Soccio
Archives of Pediatrics & Adolescent Medicine, Volume 166; doi:10.1001/2013.jamapediatrics.220

Megan A. Moreno, Fred Furtner, Frederick P. Rivara
Archives of Pediatrics & Adolescent Medicine, Volume 166; doi:10.1001/jamapediatrics.2013.928

Lisa Horowitz, Jeffrey A. Bridge, Stephen J. Teach, Elizabeth D. Ballard, Jennifer Klima, Donald L. Rosenstein, Elizabeth A. Wharff, Katherine Ginnis, Elizabeth Cannon, Paramjit Joshi, et al.
Archives of Pediatrics & Adolescent Medicine, Volume 166, pp 1170-6; doi:10.1001/archpediatrics.2012.1276

To develop a brief screening instrument to assess the risk for suicide in pediatric emergency department patients. A prospective, cross-sectional instrument-development study evaluated 17 candidate screening questions assessing suicide risk in young patients. The Suicidal Ideation Questionnaire served as the criterion standard. Three urban, pediatric emergency departments associated with tertiary care teaching hospitals. A convenience sample of 524 patients aged 10 to 21 years who presented with either medical/surgical or psychiatric chief concerns to the emergency department between September 10, 2008, and January 5, 2011. Participants answered 17 candidate questions followed by the Suicidal Ideation Questionnaire. Sensitivity, specificity, predictive values, likelihood ratios, and area under the receiver operating characteristic curves of the best-fitting combinations of screening questions for detecting elevated risk for suicide. A total of 524 patients were screened (344 medical/surgical and 180 psychiatric). Fourteen of the medical/surgical patients (4%) and 84 of the psychiatric patients (47%) were at elevated suicide risk on the Suicidal Ideation Questionnaire. Of the 17 candidate questions, the best-fitting model comprised 4 questions assessing current thoughts of being better off dead, current wish to die, current suicidal ideation, and past suicide attempt. This model had a sensitivity of 96.9% (95% CI, 91.3-99.4), specificity of 87.6% (95% CI, 84.0-90.5), and negative predictive values of 99.7% (95% CI, 98.2-99.9) for medical/surgical patients and 96.9% (95% CI, 89.3-99.6) for psychiatric patients. A 4-question screening instrument, the Ask Suicide-Screening Questions (ASQ), with high sensitivity and negative predictive value, can identify the risk for suicide in patients presenting to pediatric emergency departments.
Sharon K. Sagiv, Sally W. Thurston, David C. Bellinger, Chitra Amarasiriwardena, Susan A. Korrick
Archives of Pediatrics & Adolescent Medicine, Volume 166, pp 1123-1131; doi:10.1001/archpediatrics.2012.1286

To investigate the association of prenatal mercury exposure and fish intake with ADHD-related behavior. Population-based prospective cohort study. Birth cohort recruited 1993-1998 at main hospital in New Bedford, Massachusetts. 421 8-year old children with mercury measures (515 had fish consumption data). Mercury measured in peripartum maternal hair and fish consumption during pregnancy. Inattentive and impulsive/hyperactive behaviors assessed with a teacher rating scale and neuropsychological testing. Median maternal hair mercury level was 0.45 μg/g (range=0.03-5.14) and 52% of mothers consumed >2 fish servings/week. In multivariable regression models mercury was associated with inattention and impulsivity/hyperactivity; for some outcomes there was an apparent threshold with associations at ≥1 μg/g mercury. For example, at ≥1 μg/g, the adjusted risk ratio (RR) for mild/markedly atypical DSM-IV Inattentive and Impulsive/Hyperactive behaviors was 1.4 (95% confidence interval (CI): 1.0, 1.8) and 1.7 (95% CI: 1.2, 2.4), respectively for an interquartile range (0.5 μg/g) mercury increase; there was no confounding by fish consumption. For neuropsychological assessments, mercury and behavior associations were detected primarily for boys. There was a protective association for fish consumption (>2 servings/week) with ADHD-related behaviors, particularly DSM-IV Impulsive/Hyperactive behaviors (RR=0.4; 95% CI: 0.2, 0.6). Our results indicate that low-level prenatal mercury exposure is associated with greater risk for ADHD-related behaviors and that fish consumption during pregnancy is protective of these behaviors. These findings underscore the difficulties of balancing the benefits of fish with the detriments of low-level mercury in developing dietary recommendations in pregnancy.
Annukka Hannula, Marja Perhomaa, Mika Venhola, Tytti Pokka, Marjo Renko, Matti Uhari
Archives of Pediatrics & Adolescent Medicine, Volume 166; doi:10.1001/archpediatrics.2012.1383

The publisher has not yet granted permission to display this abstract.
Nicola P. Klein, John Hansen, Chun Chao, Christine Velicer, Michael Emery, Jeff Slezak, Ned Lewis, KaMala Deosaransingh, Lina Sy, Bradley Ackerson, et al.
Archives of Pediatrics & Adolescent Medicine, Volume 166; doi:10.1001/archpediatrics.2012.1451

To assess the safety of the quadrivalent human papillomavirus vaccine (HPV4) in females following routine administration.
Russell R. Pate, Jennifer R. O’Neill
Archives of Pediatrics & Adolescent Medicine, Volume 166; doi:10.1001/archpediatrics.2012.1458

Bruce P. Lanphear
Archives of Pediatrics & Adolescent Medicine, Volume 166, pp 1182-4; doi:10.1001/archpediatrics.2012.1900

Matthew W. Gillman
Archives of Pediatrics & Adolescent Medicine, Volume 166, pp 1097-8; doi:10.1001/archpediatrics.2012.1907

Back to Top Top