JAACAP Connectfall 2017 • VOLUME 4 • ISSUE 4
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A JAACAP PUBLICATION JAACAP ConnectFALL 2017 • VOLUME 4 • ISSUE 4 A Recommitment Ceremony 3 Oliver M. Stroeh, MD ............................................ Lab to Smartphone 4 David Rettew, MD .............................................. Boys’ Club: Sexual Dimorphism in Autism Spectrum Disorder 6 Emily A. Slat, BSc, Anne L. Glowinski, MD, MPE ....................... The Challenge of Bullying Victimization for Adolescents With Autism Spectrum Disorder 9 Marcus A. Harrison, BS, Gerrit van Schalkwyk, MBChB ................... The Boy Who Lived: Harry Potter, Suicide, and an Opportunity for Mental Health Literacy 13 Mark Sinyor, MSc, MD, FRCPC................................... Review of Possible Etiologies and Treatment Options in a Teen With Coprophagia 17 Candace L. Giles, MD........................................... PROMOTING DEVELOPMENT OF TRANSLATIONAL SKILLS AND PUBLICATION AS EDUCATION 2018 Pediatric Psychopharmacology Update Institute Cutting-Edge Psychopharmacology: Fads vs. Facts? Save the Dates! January 26-27, 2018 Laurence L. Greenhill, MD and Jeremy M. Veenstra-VanderWeele, MD, Co-Chairs New York Marriott at the Brooklyn Bridge—Brooklyn, NY Registration opens in September at www.aacap.org/psychopharm-2018. Questions? Email [email protected]. 06317 AACAP 2018 JanInst Ad updated.indd 1 8/22/17 5:26 PM JAACAP Connect A JAACAP PUBLICATION Welcome to JAACAP Connect! What is JAACAP Connect? mentors when necessary, and work as a team to create All are invited! JAACAP Connect is an online companion the final manuscripts. to the Journal of the American Academy of Child and What are the content requirements for Adolescent Psychiatry (JAACAP), the leading journal JAACAP Connect articles? focused exclusively on psychiatric research and treat- JAACAP Connect is interested in any topic relevant to ment of children and adolescents. A core mission of pediatric mental health that bridges scientific findings JAACAP Connect is to engage trainees and practi- with clinical reality. As evidenced by our first edition, the tioners in the process of lifelong learning via readership, topic and format can vary widely, from neuroscience to authorship, and publication experiences that emphasize teen music choices. translation of research findings into the clinical practice of child and adolescent psychiatry. How can JAACAP Connect help with my educational requirements? Why do we need JAACAP Connect? Motivated by the ACGME/ABPN Psychiatry Milestone The field of child and adolescent psychiatry is Project©, JAACAP Connect aims to promote the devel- rapidly changing, and translation of scientific liter- opment of the skillset necessary for translating scientific ature into clinical practice is a vital skillset that takes research into clinical practice. The process of science- years to develop. JAACAP Connect engages clini- based publication creates a vital set of skills that is rarely cians in this process by offering brief articles based acquired elsewhere, and models the real-life thought on trending observations by peers, and by facilitating process of translating scientific findings into clinical development of lifelong learning skills via mentored care. To bring this experience to more trainees and authorship experiences. providers, JAACAP Connect aims to enhance mastery of translating scientific findings into clinical reality by Who reads JAACAP Connect? encouraging publishing as education. All students, trainees, and clinicians who are interested JAACAP Connect combines education and skill acqui- in child and adolescent mental health will benefit from sition with mentorship and guidance to offer new expe- reading JAACAP Connect, available online at www. riences in science-based publication. We will work jaacap.com/content/connect. AACAP members will with students, trainees, early career, and seasoned receive emails announcing new quarterly issues. physicians, regardless of previous publication experi- ence, to develop brief science-based and skill-building Who writes JAACAP Connect? articles. Opportunities for increasing knowledge and You do! We seek highly motivated students, trainees, skills through publishing as education will be available early career, and seasoned clinicians and researchers through continued contributions and direct involve- from all disciplines with compelling observations about ment with the JAACAP Connect editorial team, using an child and adolescent psychiatry. We pair authors with apprenticeship model. Start Thinking About Authorship With JAACAP Connect What trends have you observed that deserve a closer look? Can you envision reframing key research findings into clinical care? Do you want to educate others on a broader scale, thereby improving the health of children around the country, the world? We encourage all levels of practitioners and researchers, from students to attendings, to join in and participate. All are welcome, and you are invited. 2 Fall 2017 www.jaacap.com/content/connect BACK TO TABLE OF CONTENTS 13% of youth ages 8-15 have a mental illness severe enough to cause significant impairment 13% in day-to-day living 79% of children ages 6-17 with mental illnesses do not receive treatment 79% Nearly 50% of students age 14+ with mental illness drop out of high school (the highest rate of 50% any disability group) More than 4,600 youth die by suicide annually, yet experts believe nearly 80% are preventable 4,600 Studies indicate on average the delay between first onset of symptoms and 8-10 treatment is 8 to 10 years 50% of all lifetime cases of mental illness are diagnosed by age 14 50% ON OUR BIKE RIDE ACROSS THE NATION AND HELP US JOIN US BREAK THE CYCLE OF CHILDREN’S MENTAL ILLNESSES Children’s mental illnesses are REAL, COMMON, and TREATABLE. Yet today in the United States, this vulnerable population is caught in a vicious cycle of limited access to care, delayed treatment, and worsening illnesses. Join us on our ride to Break the Cycle, raising awareness and support to (1) fund new research initiatives, (2) increase the number of child and adolescent psychiatrists, and (3) help ensure that children suffering in silence get the treatment they need. Visit BREAKTHECYCLE.AACAP.ORG and make a donation, take the pledge, or sign up to be a rider. Break Cyclethe infographic flyer.indd 1 1/26/2017 2:13:56 PM JAACAP Connect A JAACAP PUBLICATION A Recommitment Ceremony s I and many clinicians, researchers, and educa- Underscoring the JAACAP Connect mission to engage tors in our field prepare for the 64th Annual clinicians in learning throughout the lifespan via experi- AMeeting of the American Academy of Child and ences that emphasize translation of research into clinical Adolescent Psychiatry (AACAP) in Washington, DC, I practice, the authors who have contributed articles find my excitement building. Since I first attended the to this issue represent multiple stages of professional AACAP Annual Meeting as a trainee, I have viewed it as development (trainees in MD, MD/PhD, and clinical an opportunity to immerse myself in the past, present, fellowship programs, early career psychiatrists, and and future of our field—in its clinical wisdom, its rapidly established clinicians, researchers, and educators) and expanding science, and its passionate community. As a address a variety of topics of clinical pertinence. Slat card-carrying introvert, I appreciate the intimacy of both and Glowinski (p. 6) address the clinical and biological our field and our community, though I also recognize factors that contribute to an observed sexual dimor- the sobering fact that there aren’t enough of us to meet phism in youth with autism spectrum disorder (ASD). the demand for our clinical expertise and that we must Harrison and van Schalkwyk (p. 9) review the problem of resist any tendencies towards insularity and continue to adolescents with ASD being bullied, the current limita- advocate on behalf of those we serve. Each year, I leave tions to better understanding this problem, and several the Annual Meeting re-energized and recommitted to ways that this bullying can be addressed. Building on a learning, educating, advocating, and delivering the best previous JAACAP Connect article, Sinyor (p. 13) high- possible clinical care to our patients and their families. lights the potential utility of J.K. Rowling’s Harry Potter series as a message of hope and resilience in the face of This issue of JAACAP Connect represents for me a trauma and suicidal impulses. Closing this issue, Giles similar experience of recommitment, as it reflects beau- (p. 17) reviews coprophagia, a high-risk complex behav- tifully the purpose and mission with which this publi- ioral disorder that can have various etiologies and, as a cation was established. In recognition of the rapidly result, be difficult to treat. changing field of child and adolescent psychiatry and in support of the skill development necessary to criti- As I approach the second half of my term as Editor, I cally appraise the scientific literature and translate high- am particularly grateful for both the spirit with which quality science into clinical practice, I am thrilled to JAACAP Connect continues and the authors, Edito- introduce the inaugural column of what will be a regular rial Board members, and JAACAP staff who make it recurring series by David Rettew, MD. His column, possible. I very much look forward to joining many of titled “Lab to Smartphone,” will tackle hot-topic issues you in Washington, DC, and to (re)affirming our commit- within the field, including those controversies