Firearms Used in Adolescent School Shootings
This cross-sectional study of 262 adolescents who discharged firearms in 253 school shootings examined the type, make, and power of firearms involved in school-related gun violence and methods of obtainment of these weapons. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 27, 2023 Category: Pediatrics Source Type: research

Child Welfare Youth —Psychotropic Use and Implications
To the Editor The study by Radel et al on psychotropic medications and polypharmacy among children and adolescents in the US child welfare system warrants discussion. The results reiterate prevailing concerns regarding high prescription rates in this vulnerable population. The notable discrepancy, with 26.25% of youths in the child welfare system prescribed psychotropic medication compared to 9.06% of Medicaid-enrolled youths, underscores a concern in prescription practices. The 13.27% experiencing psychotropic polypharmacy emphasizes a potential overreliance on pharmacologic interventions. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 27, 2023 Category: Pediatrics Source Type: research

False-Negative Confirmatory Testing in Patients With Cannabinoid-Positive Urine Drug Screens
This cross-sectional study discusses false-negative results associated with a change in the reporting threshold of 11-nor-9-carboxy- Δ9-tetrahydrocannabinol. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 27, 2023 Category: Pediatrics Source Type: research

Error in Figure
This article was corrected o nline. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 27, 2023 Category: Pediatrics Source Type: research

What Parents Should Expect From the New AAP Obesity Guidelines
This JAMA Pediatrics Patient Page describes pediatric weight management according to the obesity guidelines recently published by the American Academy of Pediatrics (AAP). (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 27, 2023 Category: Pediatrics Source Type: research

Sustainably Implementing Social Determinants of Health Interventions in the Pediatric ED
This Viewpoint discusses 5 principal challenges and opportunities for the sustainable implementation of social determinants of health interventions in emergency department settings. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

Impact of Multilevel Implementation Strategies on Adolescent Human Papillomavirus Vaccine Uptake
This study evaluates the individual and combined impact of 2 evidence-based interventions on human papillomavirus vaccination rates among 11- and 12-year-old children. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

High-Dose Docosahexaenoic Acid in Preterm Newborns and Behavior at Age 5 Years
This randomized clinical trial evaluates behavior at age 5 years among children who received high-dose docosahexaenoic acid as preterm infants. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

Contextualizing Depression in Pacific Islander Sexual and Gender Minority Youth —Location, History, and Culture—Reply
In Reply In response to our article, Apana et al emphasized the importance of data analysis that disaggregates Asian American and Native Hawaiian and Pacific Islander populations. Our study used public health data sets from Minnesota and California and included racial and ethnic identities, along with other social identities and experiences, which are often collapsed, disguising differences between and among subgroups. Apana et al rightly noted that our approach still resulted in invisibilizing Native Hawaiian and Pacific Islander adolescents, who were effectively combined with Asian American youth in prevalence estimates....
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

Contextualizing Depression in Pacific Islander Sexual and Gender Minority Youth —Location, History, and Culture
To the Editor The study by Rider et al identified high rates of depressive symptoms among groups of Asian American and Native Hawaiian and Other Pacific Islander youth of sexual and gender minority identities who experienced bias-based bullying. We applaud the authors for investigating a vital intersection of pediatric, sexual and gender minority, and mental health. They implemented the χ2 automatic interaction detection technique—a decisional tree approach developed in the 1980s that was foundational to modern-day gradient boosting machine learning techniques used in health care research. Using surveys from California ...
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

Rare De Novo and Inherited Genes in Familial and Nonfamilial Pediatric ADHD
This case-control study examines the prevalence of rare de novo and inherited sequence variations among children and adolescents with attention-deficit/hyperactivity disorder (ADHD) and siblings and parents without ADHD. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

Distances for Hospitalization for Rural Children
This cohort study uses state inpatient data to assess changes in distance traveled over time for hospitalization of common pediatric conditions in rural-residing children. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

What Health Systems Can Do Now to Improve HPV Vaccination
The human papillomavirus (HPV) vaccine could prevent an estimated 94% of HPV-attributable or 36  500 total cancers in the United States each year. Despite this effectiveness, vaccine coverage is lower than other routine adolescent immunizations. In 2022, for the first time since 2013, HPV vaccine series initiation did not increase among adolescents. This concerning finding highlights the nee d for large-scale measures to support HPV vaccination. Because a majority of vaccination occurs in primary care settings, it makes sense to focus on improving the effectiveness of primary care vaccination efforts. Furthermore, an inc...
Source: JAMA Pediatrics - November 20, 2023 Category: Pediatrics Source Type: research

Ethically Advancing Pediatric Cardiac Xenotransplant
This Viewpoint examines how pediatrics should prepare for the prospect of cardiac xenotransplant, including its ethical implications. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 13, 2023 Category: Pediatrics Source Type: research

Maternal Nativity and Preterm Birth
This cross-sectional study evaluates associations between preterm birth rates and place of birth as well as race and ethnicity. (Source: JAMA Pediatrics)
Source: JAMA Pediatrics - November 13, 2023 Category: Pediatrics Source Type: research