29 September 2004

Fetal Growth Restriction, Adverse Maternal Conditions Affect Offspring's Suicidal Risk

"Adverse pregnancy and maternal-related conditions are associated with an increased risk of suicide in adolescent offspring, prospective study results from Sweden suggest. Dr. Danuta Wasserman and colleagues at Karolinska Institute in Stockholm performed their cohort study by data linkage of six Swedish registers: the medical birth register, the 1990 population and housing census, the multi-generation register, the cause of death register, the inpatient care register and the register of the total population. "

"As they report in the September 25th issue of The Lancet, their analysis included approximately 700,000 individuals born between 1973 and 1980. They specifically looked at factors affecting attempted or completed suicide between the ages of 10 and 26 years. " Medscape

Fetal Growth Restriction, Adverse Maternal Conditions Affect Offspring's Suicidal Risk. 2004. Lancet (364), p 1102-1103, 1135-1140.

27 September 2004

"Being in a Funk": Teens’ Efforts to Understand Their Depressive Experiences
Jennifer P. Wisdom and Carla A. Green

"Although there is literature about adults’ experiences of depression, little research has focused on teenagers’ experiences. In this article, the authors describe how a sample of adolescents makes sense of depression and responds to a depression diagnosis. Twenty-two adolescents participated in in-depth individual or focus group interviews. Teens discussed their experiences with depression and getting health care for depression, and described a trajectory similar to that found among adults: a slow growth of distress, a time of being in a funk, and a time of consideration of whether they are depressed. Teens who received a diagnosis from a medical provider then sought to make sense of their depression. Teens understood a depression diagnosis as a helpful label, a chronic medical problem, or a significant part of their identity. Understanding the subjective experience of adolescents who are depressed might increase health care providers’empathy and improve their communication with teens. "

Wisdom, J.P and Green, C.A (2004) Being in a funk: Teens' efforts to understand their depressive experiences. Qualitative Health Research (14) 1227-1238

24 September 2004

Methodology of the Youth Risk Behavior Surveillance System
September 24, 2004

"CDC developed the Youth Risk Behavior Surveillance System (YRBSS) to monitor six categories of priority health-risk behaviors among youth behaviors that contribute to unintentional injuries and violence; tobacco use; alcohol and other drug use; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including human immunodeficiency virus (HIV) infection; unhealthy dietary behaviors; and physical inactivity plus overweight. These risk behaviors contribute markedly to the leading causes of death, disability, and social problems among youth and adults in the United States."

21 September 2004

ABC radio
Self harm 16 August 2004
Deliberate self harm is not uncommon in Australian youth, especially among girls. A Queensland study has looked at self harm among high school students on the Gold Coast with worrying results.

Bipolar Disorder 9 August 2004
ABC sports broadcaster Craig Hamilton talks about his own personal experiences with bipolar disorder. And Australian researchers recently published the results of a study looking at the prevalence and disability of bipolar disorder in Australia. Professor Philip Mitchell from the School of Psychiatry at the University of New South Wales talks about the findings of this investigation.



Study identifies adolescents' attitudes about coping and help-seeking strategies in response to suicidal thoughts and behaviours

"Suicide prevention and health promotion programs aimed at encouraging adolescents to seek appropriate help from professionals need to not only enhance [adaptive] coping strategies, but also explicitly address adolescents' maladaptive coping strategies," note the authors of an article published in the September 2004 issue of the Journal of the American Academy of Child & Adolescent Psychiatry. Suicide is the third leading cause of death among adolescents, yet little is known about the factors associated with adolescents' attitudes about coping with suicidal thoughts in their peers or themselves. The article presents findings from a study to identify adolescents' attitudes about coping and help-seeking strategies for suicidal ideation/behavior and to examine the demographic and clinical correlates of these attitudes.

The full citation of the article is:
Gould MS, Velting D, Kleinman M, et al. 2004. Teenagers' attitudes about coping strategies and help-seeking behavior for suicidality. Journal of the American Academy of Child & Adolescent Psychiatry 43(9):1124-1133.
Combination Treatment Most Effective in Adolescents with Depression

A clinical trial of 439 adolescents with major depression has found a combination of medication and psychotherapy to be the most effective treatment. Funded by the NIH's National Institute of Mental Health (NIMH), the study compared cognitive-behavioral therapy (CBT) with fluoxetine, currently the only antidepressant approved by the Food and Drug Administration for use in children and adolescents. John March, M.D., Duke University, and colleagues, report on findings of the multi-site trial in the August 18, 2004, Journal of the American Medical Association (JAMA).