Trauma exposure is pervasive among US youths

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The media is filled with stories about traumatised children and adolescents, such as the school shootings at Sandy Hook and Columbine. However, a range of more common traumatic events, such as accidents and caregiver maltreatment, receive less attention. We sought to understand how common traumatic experiences are in the lives of U.S. youths by conducting a study examining trauma [read the full story…]

Cochrane review finds ‘solid’ evidence for CBT for anxiety in young people, but lacks evidence for long-term benefits

Anxiety disorders, such as generalised anxiety disorder (GAD), social anxiety, panic disorder and phobias, are common and affect between 5 – 19% of all children and adolescents (Costello, 2004; as cited in James et al, 2013, pg. 6).  Anxiety problems in childhood or adolescence can disrupt social and educational life, and may persist into adulthood. [read the full story…]

Suicidal ideation and behaviour may increase when adolescents are exposed to schoolmate and personally known suicides

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Suicidal ideation and behaviours are widespread and serious amongst adolescents (Husky et al., 2012). One theory suggests that suicide in this age group is caused by ‘suicide contagion’ (exposure to a suicide may influence an individual to attempt suicide). Ecological studies have indeed demonstrated this and show that suicide rates increase following a highly publicised [read the full story…]

Cutting across diagnostic categories: Does stimulant medication improve ADHD symptoms in children with autism spectrum disorder?

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Until fairly recently, it was thought that autism spectrum disorder (ASD; previously known as PDD or pervasive developmental disorder) and attention deficit hyperactivity disorder (ADHD) were two entirely separate childhood-onset conditions and that they could not both be diagnosed in one individual. Numerous studies in the last decade have shown that, in reality, a number of [read the full story…]

Are psychotic symptoms predictive of suicide attempts?

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Over the past several years, there has been a lively academic debate about what it means to have psychotic symptoms. Although these symptoms (most commonly auditory hallucinations) can be part of the expression of a psychotic illness, on their own they are neither necessary nor sufficient for a diagnosis. In fact, researchers from many countries [read the full story…]

The cost of living? Early childhood interventions could reduce the impact of socio-economic inequalities on the mental health of children and young people

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In the current economic climate in many countries across the world, the impact of socio-economic inequalities on mental health has become an important topic, not only in terms of supporting people, but in terms of planning a public health response to a rising concern. Poverty and low economic status is known to affect various aspects [read the full story…]

New Australian guidelines for the treatment of ASD and PTSD in children

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Do not use psychological debriefing when a child has been exposed to a traumatic event such as assault or a major car crash. And if you treat a child who has developed Posttraumatic Stress Disorder (PTSD) due to trauma, do not use pharmacotherapy either (that is, not as a first line treatment). Rather, apply the [read the full story…]

What sort of therapy helps children affected by sexual abuse? New Cochrane Review finds that more research is needed

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Childhood sexual abuse has a devastating impact on many of the children and adolescents who are affected by it. It is a significant problem worldwide and has the potential to have serious negative impacts on mental health and physical health. Experiencing childhood sexual abuse often has negative impacts on the individual’s ability to function socially, [read the full story…]

CBT may prevent depression in at-risk children whose parents have a history of depression

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The harmful impact of depression extends far beyond the individual sufferer to caregivers, friends and family members.  Children of people with depression are more likely to suffer from depression themselves.  This may be due to both inherited and environmental factors. This new randomised controlled trial (RCT), published earlier this week in JAMA Psychiatry, set out [read the full story…]

Does racial discrimination affect the mental health of children and young people?

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Recent adult mental health policy initiatives, such as the Delivering Race Equality programme (PDF) show the increasing recognition of racial discrimination in NHS mental health services. In 2012 the NHS Confederation issued guidance on achieving race equality in mental health, which was summarised on the Mental Elf a while ago. These UK policy developments on [read the full story…]