title: Adverse effects of psychotropic medications in children: predictive factors.
abstract: OBJECTIVE
  Despite limited information related to efficacy in children, psychotropic medications are commonly prescribed as a first-line treatment for a range of psychiatric diagnoses in children in a variety of clinical settings. Usage has increased over the past three decades. Although psychotropic medications are often effective at treating psychiatric symptoms, the risk of adverse effects (AE) in children is unclear. The current research seeks to identify the mental health characteristics of those children at highest risk of experiencing potential AE from psychotropic medications.
  
  
  METHODS
  Psychotropic medication monitoring checklists were used to record possible AE for 99 pediatric clients in a tertiary mental health residential treatment centre for the duration of one to eight weeks. Client characteristics, including the number of diagnoses and behavioural variables, were explored for predictive value of potential AE observed.
  
  
  RESULTS
  Results showed that the total number of potential AE was positively predicted by the number of DSM-IV categories diagnosed, as well as behavioural symptoms of impulsiveness and uncooperativeness.
  
  
  CONCLUSIONS
  The findings of this study indicate that the number of potential AE from psychotropic medications may be predictable based on client characteristics. Predicting this likelihood during initial assessment can be useful in directing and monitoring treatment, as well as preventing serious events related to medication use.
authors.affiliation: Child and Parent Resource Institute, London, Ontario ; Western University, London, Ontario.
authors.forename: Ajit
authors.initials: A
authors.lastname: Ninan
authors.affiliation: Western University, London, Ontario ; Child and Parent Resource Institute, London, Ontario.
authors.forename: Shannon L
authors.initials: SL
authors.lastname: Stewart
authors.affiliation: Child and Parent Resource Institute, London, Ontario.
authors.forename: Laura A
authors.initials: LA
authors.lastname: Theall
authors.affiliation: Western University, London, Ontario.
authors.forename: Shehan
authors.initials: S
authors.lastname: Katuwapitiya
authors.affiliation: University of Macau, Macau, China.
authors.forename: Chester
authors.initials: C
authors.lastname: Kam
keywords: adverse effects; children; psychotropic medication monitoring checklist; residential care