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Arch Pediatr Adolesc Med. 2004;158:824-825.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This issue provides a veritable international smorgasbord of high-quality investigations into the prevalence, burdens, risk and protective factors, and outcomes of children and adolescents with psychosocial difficulties. The bad news is that these problems are pervasive, persistent, and interrelated. The good news is that we have some clues about how to better detect, prevent, and treat some of these conditions. Let's look a little closer at what these articles are trying to teach us.

The first broad issue is that these conditions are common. Bullying, depression, and somatic complaints, for example, are present in a significant minority of the population.^1-4 Moreover, there are increasing attempts on the part of health care professionals to respond to these difficulties through increasing rates of psychiatric hospitalization and use of psychotropic drugs.^5-7 Unfortunately, our use of these interventions far outstrips our knowledge of their safety and efficacy. The poor long-term outcome documented in patients . . . [Full Text of this Article]

David A. Brent, MD