Among US families with children aged 6 to 17 years, spending on pediatric behavioral health rose substantially from 2011 to 2022, reaching $41.8 billion and representing a major share of pediatric health costs. bit.ly/4tkHODf

Survey study documents high rates of #PTSD, depression, and suicidality among Ukrainian adolescents exposed to the war, with cumulative effects for those affected by both Russian invasions. bit.ly/4r5ZX6h

Buprenorphine and medications for #ADHD are frequently implicated in emergency department visits and hospitalizations for unintentional oral prescription medication exposures among children younger than 6 years. bit.ly/3MxRDNr

💬 Viewpoint: Recent meta-analyses highlight stasis in long-term neurodevelopmental outcomes for children born very preterm (VPT), showing no substantial improvement over the past four decades. ja.ma/3NJT7Vg

A meta-analysis of 190 studies substantiates that #FoodAllergy incidence by age 6 years is approximately 5%, with major risk factors including early allergic conditions, delayed allergen introduction, antibiotic exposure, genetic variants, and parental migration. bit.ly/4koYDsx

In Swedish men and women born between 1945 and 1968, remission of childhood #overweight before young adulthood resulted in normalized adult #CHD risk, highlighting the importance of early intervention and prevention. ja.ma/4tso40y

Regulatory changes have expanded #Naloxone and #Buprenorphine access, but adolescents remain under-treated for opioid overdose and use disorder despite persistently high overdose fatalities. bit.ly/4kmhvZ6

Among children born in Brazil, this cohort study found that CZS is associated with early childhood #epilepsy-related hospital admissions, regardless of head circumference status. ja.ma/4thU2MU

Youth with #Autism, intellectual disability, or cerebral palsy experienced higher mortality than the general population, with cause-of-death profiles indicating complex medical needs and co-occurring conditions. bit.ly/4ryZjhd

💬 Viewpoint: Exaggerated messaging around new #SickleCellDisease therapies has undermined patient trust and transparent, patient-centered communication is needed to support informed decision-making. ja.ma/4td5HMS

EEG-guided anesthesia was associated with a lower incidence of emergence delirium, reduced pediatric anesthesia emergence delirium scores, and shorter postanesthesia care unit stays among children compared with standard practice. ja.ma/4qlzCjj

Among more than 340 000 Oregon births, transferred community deliveries carried increased odds of fetal death, low Apgar scores, and medical interventions versus planned hospital births. bit.ly/4a7jFsk

Nirsevimab immunization was associated with lower odds of LRTI-related hospitalizations and emergency visits in infants, but not with reductions in all-cause hospitalizations. ja.ma/4kfDv80

EEG-guided anesthesia was associated with a lower incidence of emergence delirium, reduced pediatric anesthesia emergence delirium scores, and shorter postanesthesia care unit stays among children compared with standard practice. bit.ly/45R5Hbv

Global pooled prevalence rates of suicidal ideation and NSSI approach 50% among #TGD youth, with 1 in 4 reporting a suicide attempt, supporting regular mental health screening and intervention. bit.ly/4kuR6bF

In this systematic review, community-based lifestyle interventions were found to be effective at reducing blood pressure in the pediatric population, with a multicomponent intervention likely to be most effective. bit.ly/4a4APoU

EEG-guided anesthesia was associated with a lower incidence of emergence delirium, reduced pediatric anesthesia emergence delirium scores, and shorter postanesthesia care unit stays among children compared with standard practice. ja.ma/4c8T4fF

Neonatal hydrocortisone for preventing Bronchopulmonary Dysplasia (#BPD) in preterm infants did not affect rates of cognitive, motor, academic, or exercise impairments at school age compared with placebo. ja.ma/4qUBv7R

EEG-guided anesthesia was associated with a lower incidence of emergence delirium, reduced pediatric anesthesia emergence delirium scores, and shorter postanesthesia care unit stays among children compared with standard practice. ja.ma/4a6lQei

All current @who.int IMCI algorithm clinical signs were associated with mortality or culture-confirmed sepsis, and additional signs such as prolonged capillary refill and central cyanosis may improve risk identification in young infants. ja.ma/3O1sqeC

Standardized CRAFFT screening in pediatric EDs revealed high rates of substance use risk among youth in behavioral crisis, supporting referral protocols. ja.ma/4a9KwT8

Higher family connection in adolescence was associated with greater adult social connection, suggesting that safe, stable, nurturing relationships may reduce risk for loneliness. ja.ma/49NRAGc

Provision of free, full-day universal pre-kindergarten (#UPK) in New York City was linked to fewer child neglect investigations, with declines most pronounced among racial and ethnic minority populations. ja.ma/4qa6nQq

This JAMA Pediatrics Patient Page describes steps to promote fire safety, including fire prevention, the use of smoke alarms, and how to prepare a fire escape plan. ja.ma/3LROCaz

Standardized CRAFFT screening in pediatric EDs revealed high rates of substance use risk among youth in behavioral crisis, supporting referral protocols. ja.ma/3Z6eDWw

Parental technology use in a child’s presence was associated with poorer cognition, social outcomes, and increased screen time among children younger than 5 years. 📽️ Watch the video and read the full study: ja.ma/3NKizKe

Systematic review: Brief resolved unexplained event (BRUE) is usually benign; serious diagnoses are infrequent, and most routine diagnostic tests have very low diagnostic yield. ja.ma/4qJMfFP

Higher family connection in adolescence was associated with greater adult social connection, suggesting that safe, stable, nurturing relationships may reduce risk for loneliness. ja.ma/3M519HG

The national rate of pediatric firearm deaths increased by 54% from 2004 to 2023, with most US youth now living in states where firearm injury is the leading cause of death. ja.ma/4bOFspK

Editorial: Social policies such as universal pre-kindergarten (#UPK), income supports, food and housing programs are associated with reduced child neglect, especially in disadvantaged populations. ja.ma/4pY6s9C

Provision of free, full-day universal pre-kindergarten (#UPK) in New York City was linked to fewer child neglect investigations, with declines most pronounced among racial and ethnic minority populations. ja.ma/3LWgjih

💬 Viewpoint: School-based mental health services have proven benefits for youth wellbeing and academic success, but recent funding cuts threaten their stability. Sustained investment and advocacy are needed to protect these essential supports. ja.ma/4qK1nTN

Parent-led early intervention in very preterm infants improved executive function at school age compared with usual care, supporting long-term neurodevelopmental benefits for #Preterm children. ja.ma/3M11ZoO

In children with obstructive sleep-disordered breathing, 12 weeks of intranasal saline achieved symptom resolution in about half, with no added benefit from intranasal steroid therapy. ja.ma/4qEtuUa

Comprehensive policy changes restricting vaccine exemptions were associated with improved vaccination coverage among kindergartners during a period of elevated vaccine hesitancy. ja.ma/45sXude

From 2020 to 2023, 0.27% of Medicaid-enrolled youth received new OUD diagnoses and 0.09% had a nonfatal opioid overdose—most with additional psychiatric or substance use conditions. ja.ma/49W7KMD

Among US youth aged 8 to 19 years, nearly all with #BMI-defined #obesity also had excess adiposity. The overall prevalence of commission-defined obesity was more than double the prevalence of BMI-defined obesity. ja.ma/4qFupnv

#Medicaid paid for 48% of #pediatric hospitalizations and 51% of total hospital charges; pending funding cuts could strain health systems, especially in rural communities that rely heavily on Medicaid support. ja.ma/4pUpj5G

#GLP-1 receptor agonist access for US adolescents with obesity remains limited, with marked disparities by sex, race/ethnicity, insurance type, and socioeconomic status. ja.ma/4jS2lKZ

💬 Viewpoint: Suppression, censorship, and politicization jeopardize science; sustaining independence and transparency is critical to protecting research integrity and public health. ja.ma/3NVXKeI

Parent-led early intervention in very preterm infants improved executive function at school age compared with usual care, supporting long-term neurodevelopmental benefits for #Preterm children. ja.ma/465wKQa

Exposure to childhood adversity was associated with elevated all-cause mortality risk among adults with diabetes, hypertension, or mild-to-moderate emergency visits. ja.ma/3NwCQCT

In children with obstructive sleep-disordered breathing, 12 weeks of intranasal saline achieved symptom resolution in about half, with no added benefit from intranasal steroid therapy. ja.ma/4qyalU2

In a randomized trial of parents with neonatal ICU experience, clinician disclosure of personal opinion in a simulated tracheostomy decision did not affect parental preparation for decision-making or treatment choices. ja.ma/4pMUwYs

Children and young adults with neurodevelopmental conditions in New Zealand have a 4.7-fold higher mortality risk, with elevated risks for medical, injury, and suicide-related deaths. ja.ma/4sIPjDH

Momentary screen use was linked to lower positive and negative affect in young children, but interactive activities and co-use with others boosted positive mood. ja.ma/3LTSMyu

County-level data indicate a sharp rise in nonmedical childhood #vaccination exemptions in the US from 2010 to 2024, with post-pandemic rates highest in Utah, Idaho, Oregon, Wisconsin, and Arizona. ja.ma/45gXcpJ

Comprehensive policy changes restricting vaccine exemptions were associated with improved vaccination coverage among kindergartners during a period of elevated vaccine hesitancy. ja.ma/3NnG0Zz

💬 Editorial: The One Big Beautiful Bill Act introduces historic Medicaid funding cuts, challenging states to safeguard children's health coverage and prompting calls for innovative, comprehensive care solutions. ja.ma/45JBpXW

Prepandemic NHANES data show similar diet quality for WIC participants and eligible nonparticipants aged 1-4. Despite higher food insecurity, WIC may help protect intake for at-risk children; overall diet quality remains suboptimal. ja.ma/4qs20kM