Evidence-based guidelines for management of attention-deficit/hyperactivity disorder in adolescents in transition to adult services and in adults: recommendations from the British Association for Psychopharmacology

Attention-deficit/hyperactivity disorder (ADHD) is an established diagnosis in children, associated with a large body of evidence on the benefits of treatment. Adolescents with ADHD are now leaving children's services often with no readily identifiable adult service to support them, which presents problems as local pharmacy regulations often preclude the prescription of stimulant drugs by general practitioners (GPs). In addition, adults with ADHD symptoms are now starting to present to primary care and psychiatry services requesting assessment and treatment. For these reasons, the British Association for Psychopharmacology (BAP) thought it timely to hold a consensus conference to review the body of evidence on childhood ADHD and the growing literature on ADHD in older age groups. Much of this initial guidance on managing ADHD in adolescents in transition and in adults is based on expert opinion derived from childhood evidence. We hope that, by the time these guidelines are updated, much evidence will be available to address the many directions for future research that are detailed here.

Maternal cigarette smoking during pregnancy and criminal/deviant behavior: a meta-analysis

A growing body of empirical literature has emerged examining the somewhat inconsistent relationship between maternal cigarette smoking (MCS) during pregnancy and children's subsequent antisocial behavior. To systematically assess what existing studies reveal regarding MCS as a criminogenic risk factor for offspring, the authors subjected this body of literature to a meta-analysis. The analysis reveals a statistically significant--yet rather small--overall mean "effect size" of the relationship between MCS and the likelihood children will engage in deviant/criminal behavior. In addition to being rather moderate in size, the MCS-crime/deviance relationship is sensitive to a number of methodological specifications across empirical studies--particularly those associated with sample characteristics. The implications of this modest, and somewhat unstable, relationship are discussed in terms of guidelines for future research on this subject and how existing theoretical perspectives may be integrated to explain the MCS-crime/deviance link.

Evaluating the effects of birth complications on low self-control in a sample of twins

Gottfredson and Hirschi's general theory has generated an abundance of research examining the effects of low self-control on crime and analogous behaviors. Less research, however, has focused on the factors that contribute to the development of low self-control. Gottfredson and Hirschi maintain that ineffective parents are the sole cause for the emergence of low self-control. At the same time, they disregard the possibility that low self-control has a biological or genetic component. This article extends prior research and examines the effects of birth complications and parental involvement on low self-control. Using a sample of twin children, the authors find that parental involvement is only weakly and inconsistently related to low self-control. On the other hand, although most of the birth complications had no appreciable effect on low self-control, anoxia (oxygen starvation) emerged as the strongest and most consistent predictor of low self-control.

Correlates and predictors of self-reported suicide attempts among incarcerated youths

The correlates and predictors of suicidal behaviors among 900 young offenders in detention centers in South Australia are investigated. That young offenders are a high-risk population is confirmed, with a quarter of the youths reporting recent suicidal ideation and more than a quarter reporting having made a suicide attempt. Past suicide attempts are significantly predictive of future suicide attempts. Other variables both concurrently and prospectively associated with suicidal behaviors (even after controlling for prior suicide attempt status) are substance use, prolonged dysphoric mood, attention deficit hyperactivity disorder signs, and having a bad temper. These variables not only have predictive value but should also be considered as appropriate targets when intervening to reduce suicide risk. It is suggested that impulsiveness is an underlying common factor.

Parental efficacy, self-control, and delinquency: A test of a general theory of crime on a nationally representative sample of youth

Criminologists have recently begun examining Gottfredson and Hirschi's (1990) proposition that parenting is the primary influence on children's levels of self-control. The few existing studies on the subject, however, have typically been based on small, nonrandom samples. The current study examines the relationships between parental efficacy, self-control, and delinquent behavior using data from a nationally representative sample of adolescents (the National Longitudinal Study of Adolescent Health). The results indicate that although parental efficacy is an important precursor to self-control, contrary to Gottfredson and Hirschi's proposition, self-control does not completely mediate the relationship between parental efficacy and delinquency. The implications for future research and theoretical development are discussed.