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Editorial
Canadian Journal of Psychiatry: New Editor and New Policies
Joel Paris, MD
(PDF)

Guest Editorial
Risk Assessment in Psychiatric Practice
Kenneth Hashman, MD, FRCPC, DABPN
(PDF)

In Review
The Canadian Contribution to Violence Risk Assessment: History and Implications for Current Psychiatric Practice
Hy Bloom, LLB, MD, Christopher Webster, PhD, Stephen Hucker, MB, Karen De Freitas, MD
(PDF)

The Clinical Use of Risk Assessment
Graham D Glancy, MB, ChB, FRCPsych, FRCPC, Gary Chaimowitz, MB, ChB, FRCPC
(PDF)

The State of Contemporary Risk Assessment Research
Michael A Norko, MD, Madelon V Baranoski, PhD
(PDF)

Review Paper
Community Treatment Orders: Profile of a Canadian Experience
Ann-Marie A O’Brien, MSW, RSW, Susan J Farrell, PhD, CPsych*
(PDF)

International Dosage Differences in Fluoxetine Clinical Trials
Scott Patten, MD, Andrea Cipriani, MD, Paolo Brambilla, MD3, Michela Nosè, MD, Corrado Barbui, MD
(PDF)

Original Research
Panic-Agoraphobic Spectrum and Light Sensitivity in a General Population Sample in Italy
Letizia Bossini, MD, Mirko Martinucci, MD, Katia Paolini, MD, Paolo Castrogiovanni, MD
(PDF)

Psychotic Disorders Clinic and First-Episode Psychosis: A Program Evaluation
Suzanne Archie, MD, FRCPC, Jane Hamilton Wilson, RN, Kevin Woodward, BSc, Heather Hobbs, RN, Shelley Osborne, RN, Jean McNiven, RN
(PDF)

Screening for Mild Cognitive Impairment: Comparing the SMMSE and the ABCS
D William Molloy, MB, MRCPI, FRCPC, Timothy IM Standish, David L Lewis, PhD
(PDF)

Attention-Deficit Hyperactivity Disorder With and Without Obsessive–Compulsive Behaviours: Clinical Characteristics, Cognitive Assessment, and Risk Factors
Paul Daniel Arnold, MD, FRCPC, Abel Ickowicz, MD, FRCPC, Shirley Chen, MD, MPH, Russell Schachar, MD, FRCPC
(PDF)

Brief Communication
Validation de la version française de l’inventaire de détresse péritraumatique
Louis Jehel, MD, PhD, Alain Brunet, PhD, Sabrina Paterniti, MD, PhD, Julien D Guelfi, MD, Pr
(PDF)

Book Reviews
(PDF)

The Confinement of the Insane: International Perspectives, 1800–1965
Review by
Laurence Jerome, MD

Suicide in Children and Adolescents
Review by
Paul S Links, MD, FRCPC

Letters to the Editor
(PDF)

A Novel Form of Treatment Resistance in Anorexia Nervosa

Capgras Syndrome in the Modern Era: Self Misidentification on an ID Picture

Effectiveness of Risperidone in Delirium

Family-Oriented Rehabilitation for Unexplained Chronic Pain

Hypokalemia from Risperidone and Quetiapine Overdose

A Renewed Interest in Day Treatment

Quetiapine Therapy for Corticosteroid-Induced Mania

Book Review

Suicide

Suicide in Children and Adolescents Robert A King, Alan Apter, editors. Cambridge (UK): Cambridge University Press; 2003. 320 p. US$65.00

Review by:Paul S Links, MD, FRCPC
                Toronto, Ontario

This book is part of a Cambridge University Press series related to child and adolescent psychiatry. Targeting both practitioners and researchers, the editors aim to present the current state of scientific and clinical knowledge regarding suicidal behaviour in children and adolescents. Overall, this volume is a winner; only a few short comings were evident to me.

Robert King, professor of child psychiatry and psychiatry from the Yale Child Study Center, Yale University, and Alan Apter, director of the Feinberg Department of Child and Adolescent Psychiatry at the Schneider Children’s Medical Center in Israel, bring together an esteemed group of experts on youth suicide, including Madelyn Gould, David Shaffer, David Brent, John Mann, Alan Berman, and Cynthia Pfeffer. These experts deliver. For the clinician, Cynthia Pfeffer’s chapter, “Assessing Suicidal Behavior in Children and Adolescents,” offers many nuances on assessing suicide intent in children. She states that “intent to carry out suicidal behaviour in children does not necessitate that the child has a mature concept of death” (p 213). Cornelia Gallo and Dr Pfeffer coauthor a chapter entitled “Children and Adolescents Bereaved by a Suicidal Death: Implications for Psychosocial Outcomes and Interventions.” The authors impart practical “intervention guidelines” for children and adolescents having family members who died by suicide. For example, children should participate in the family’s funeral and burial proceedings, but a less grief-stricken friend or relative should attend to the children during the funeral. Richard Harrington and Younus Saleem offer a review of cognitive-behavioural therapy for adolescents following deliberate self-harm. Again, these authors provide some useful insights into overly common therapeutic problems. Harrington and Saleem instruct the therapist to persist and not to give up if the adolescent has not done his or her therapy homework.

For researchers, David Brent and John Mann’s chapter, “Familial Factors in Adolescent Suicidal Behavior,” is exceptional. With great clarity, they review the evidence for familial aggregation of suicidal behaviour together with the candidate gene studies and incorporate them into a model for the familial development of suicidal behaviour. The first chapter from Madelyn Gould, David Shaffer, and Ted Greenberg, on the epidemiology of youth suicide, is an enlightening discussion of the benefits and weaknesses of such different sources of data as official mortality statistics, psychological autopsy studies, and epidemiologic surveys of suicide attempters. These authors note a dilemma: anonymous assessments give the most valid estimates of suicide attempts and ideation; therefore, screening programs likely underestimate the number of children and adolescents at risk for suicide.

The book covers biological factors and suicidal behaviour, cross-cultural aspects of suicide, an idiographic approach to understanding suicide, and a summary of follow-up studies of child and adolescent suicide attempters. I stumbled over a couple of shortcomings. Israel Orbach’s chapter, “Suicide Prevention for Adolescents,” seems to be written only for clinicians, as it is written from “a psychodynamic perspective.” The chapter contains little information about community prevention strategies and makes no mention of national suicide prevention approaches. Regrettably, the book also bypasses the topic of childhood and adolescent depression, affective disorders, and suicide behaviour. I suspect that the editors did not want to tread on the toes of an earlier book in the series devoted to depression in children and adolescents.

The book is well written, reasonably priced, nicely laid out, and free of production errors. Given that it contains some unbeatable chapters for both clinicians and researchers, delivered by the best people in the field of child and adolescent suicide, I recommend it to anyone working with vulnerable children and adolescents.

Excellent / Excellent
Very Good / Très bon
Good / Bon
Fair / Passable
Not recommended / Pas recommandé