Journal of the Canadian Academy of Child and Adolescent Psychiatry最新文献_第6页

Challenged to Continue to Grapple about Cannabis and Mental Health Practice. 继续探讨大麻与心理健康实践的挑战。

IF 2.9

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-02-01

John D McLennan

引用次数: 0

Evaluation of a Suicide Risk Assessment Tool in a Large Sample of Detained Youth. 在大量被拘留青少年样本中评估自杀风险评估工具。

IF 2.9

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2019-11-01

Hygiea Casiano, Shay-Lee Bolton, Laurence Y Katz, James M Bolton, Jitender Sareen

{"title":"Evaluation of a Suicide Risk Assessment Tool in a Large Sample of Detained Youth.","authors":"Hygiea Casiano, Shay-Lee Bolton, Laurence Y Katz, James M Bolton, Jitender Sareen","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: We evaluated the six-item Inmate Security Assessment (ISA) tool used among detained youth in Manitoba, Canada.Method: Two hundred and forty-one recorded self-harm incidents among all incarcerated youth occurred between January 1, 2005 and December 31, 2010 (N=5102). The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR) and negative likelihood ratio (NLR) for three categories of suicide risk (high, medium, and low) as well as each of the six suicide risk evaluation indicators were determined. Receiver operating characteristic (ROC) curves and area under the curve (AUC) calculations for the three suicide risk levels and the six indicators were created.Results: Having at least a low suicide risk level (93.8%) or at least one suicide risk factor (94.6%) provided high sensitivity. Specificity was high if an individual had at least a medium suicide risk level (94.2%) or at least three suicide risk indicators (96.7%). The PPV was low (8.9-16.2%) and the NPV was high (94.9-99.3%) for all suicide risk levels. The most sensitive risk factor for self-harm was a prior history of suicidal behavior or a family history of suicide (94.6%). All risk indicators had a low PPV (7.4-23.1%) and a high NPV (95.4-99.5%). A very low NLR was found for those without prior suicidal behavior or a family history of suicide (0.107). The AUC was 0.719 (95%CI = 0.692-0.746), indicating a fair test.Conclusion: The ISA is a moderately accurate tool for identifying risk for self-harm in detained youth.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"28 3","pages":"105-114"},"PeriodicalIF":2.9,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Referral Process and Patterns to a Canadian Specialized Eating Disorders Treatment Program. 加拿大专业饮食障碍治疗项目的转诊过程和模式评估。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2019-08-01

Bani Jadiel Falcón, Gisele Marcoux-Louie, Jorge Pinzon

{"title":"Evaluation of the Referral Process and Patterns to a Canadian Specialized Eating Disorders Treatment Program.","authors":"Bani Jadiel Falcón, Gisele Marcoux-Louie, Jorge Pinzon","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To describe the referral process and patterns to the Calgary Eating Disorders Program (CEDP).Method: A retrospective chart review for the study period of May 2014 to May 2016 was completed and a descriptive evaluation of the referral process was outlined.Results: The results summarize the steps in the referral process from initiation of referral to booking an assessment. The CEDP received 918 referrals during the study period, yet 60% did not materialize into a patient assessment. Regardless of age, the two most common reasons were patients declined treatment and did not meet program criteria. Physicians who refer to the CEDP are mostly female, family physician specialty and from Calgary. Patients referred to the CEDP are predominantly females, have an average age of 25 years and are mainly referred for 'eating disorder symptoms-diagnosis unclear', regardless of age. The majority of patients are not severely ill at the time of referral. More than 50% of patients have psychiatric comorbidities, with depression, anxiety and substance abuse being the most common. The average wait times to the CEDP are 12 weeks.Conclusions: This is the first study in Canada to assess referral patterns to a specialized eating disorders program. Results from this study have elucidated the reasons for referral fall-through and highlighted areas of improvement in the referral process. Understanding referral trends is a necessary foundation to advance our knowledge of the factors that contribute to referrals materializing into assessments and ultimately optimizing patient care.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"28 2","pages":"55-65"},"PeriodicalIF":2.3,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences in Real World Executive Function between Children with Pediatric Bipolar Disorder and Children with ADHD. 小儿双相情感障碍儿童与多动症儿童在现实世界中执行功能的差异。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2016-01-01 Epub Date: 2016-11-01

Alessandra M Passarotti, Nidhi Trivedi, Liza Dominguez-Colman, Manharkumar Patel, Scott A Langenecker

{"title":"Differences in Real World Executive Function between Children with Pediatric Bipolar Disorder and Children with ADHD.","authors":"Alessandra M Passarotti, Nidhi Trivedi, Liza Dominguez-Colman, Manharkumar Patel, Scott A Langenecker","doi":"","DOIUrl":"","url":null,"abstract":"Background: Recent research evidence suggests that executive function (EF) is impaired in both pediatric bipolar disorder (PBD) and attention deficit-hyperactivity disorder (ADHD), although the underlying cognitive mechanisms are still unclear. In this study we examined EF, including cognitive and emotional control, in three pediatric groups with overlapping symptoms.Methods: Sixteen children and adolescents with PBD, 17 children and adolescents with ADHD, Type Combined, and 13 children and adolescents with PBD and comorbid ADHD (PBD+ADHD) (mean age=12.70, SD=2.21) were assessed using the Behavioral Rating Inventory of Executive Function - Parental Report (BRIEF-PR), clinical scales and neuropsychological tests of attention, working memory and executive function.Results: All groups showed impairment on the Trails A and B tests. However, there were no significant group differences. On the BRIEF-PR while all three groups were impaired in General Executive Functioning and Metacognition only the two PBD groups revealed more extensive EF dysfunction, in both cognitive and emotional control domains, relative to the ADHD group. Conversely, the ADHD group exhibited selective deficits in cognitive domains such as working memory, planning/organization, monitoring, and metacognition. The two PBD groups showed greater impairment than the ADHD group in the domains of Inhibition, Shifting, Monitoring and Emotional Control. Furthermore, results from regression analyses suggest cognitive predictors of EF impairment in ADHD and mood predictors for inhibition in PBD.Conclusions: The current results contribute new knowledge on domain-specific similarities and differences in executive dysfunction between PBD, ADHD, and the comorbid phenotype, which may inform the diagnostic process and cognitive intervention.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"25 3","pages":"185-195"},"PeriodicalIF":2.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5130092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0