Pediatric Aggression and Violence
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Purpose
Violence and aggression on pediatric psychiatry units has led to staff and patient injuries and even deaths around the country. In an effort to improve safety, the investigators have developed a method (with the Brief Rating of Child and Adolescent Aggression) of identifying children and adolescents at a higher risk for aggression and violence on the units. In order to improve this prediction, the investigators plan to study salivary hormones in low risk children and high risk children. The salivary hormones to be studied include cortisol, testosterone, and dehydroepiandrosterone sulfate (DHEAS). The investigators expect to improve the investigators current ability to predict the severity and type of pediatric aggression and violence on the inpatient units by combining information from the Brief Rating of Child and Adolescent Aggression (BRACHA), the Predatory-Affective Aggression Scale (Vitiello et al., 1990), and salivary hormones.
| Condition |
|---|
|
Pediatric Aggression and Violence |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Salivary Hormones and Pediatric Aggression and Violence: A Feasibility Study |
- Salivary hormones [ Time Frame: Collected on one or two days ] [ Designated as safety issue: No ]
- BRACHA and The Predatory Affective Aggression Scales [ Time Frame: One Day ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 24 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | September 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
| inpatient high aggression |
| inpatient low aggression |
Eligibility| Ages Eligible for Study: | 7 Years to 9 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
A total of 24 male subjects (ages 7-11) will be recruited to two groups from inpatient units at CCHMC:
- Inpatient high aggression: Twelve inpatient males (6 African-American and 6 Caucasian) will be recruited based on completion of the BRACHA and the Predatory-Affective Aggression Scale.
- Inpatient low aggression: Twelve inpatient males (6 African-American and 6 Caucasian) will be recruited based on completion of the BRACHA and the Predatory-Affective Aggression Scales.
Inclusion Criteria:
- Prepubescent males (per parent report), African American or Caucasian, between 7 and 9 years old
- Ability of the subject to provide assent
- Ability of the guardian to give parental permission
- Completion of the BRACHA questionnaire
- Completion of the PAAS questionnaire
Exclusion Criteria:
- Viral or bacterial infection or treatment with antibiotics within two weeks of screening
- Recent surgery (within 8 weeks of screening)
- Bleeding gums (within 8 weeks of screening)
- Currently detained in a juvenile detention
- Currently taking medications such as antipsychotic medications (besides Aripiprazole), steroids and beta adrenergic agonists that affect hormones
- If it is the investigator's clinical judgment that the subject should be excluded if it is in the subject's best interest or due to any other factor that may interfere with study results
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Children's Hospital Medical Center, Cincinnati |
| ClinicalTrials.gov Identifier: | NCT01253343 History of Changes |
| Other Study ID Numbers: | 2010-0892 |
| Study First Received: | November 1, 2010 |
| Last Updated: | January 12, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Aggression Behavioral Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013