How do you taper off an antipsychotic? Swapnil Gupta gives a practical approach, and discusses dopamine hypersensitivity, a controversial theory that suggests antipsychotic withdrawal can cause dyskinesias, prolactinemia, and rebound psychosis.

Teen suicidality is rising and child psychiatrists need support in knowing how to address suicidality in everyday practice. In this lead article we discuss office assessment, treatment, planning, and prevention for at risk children and teens. For reference we also include the Ask Suicide-Screening Questions Toolkit Questionnaire as well as a table presenting some of the evidence-based approaches for suicide screening.

In the March/April 2019 issue we unpacked a study on the popular Netflix series, 13 Reasons Why, which portrayed the bullying and suicide of a teenager. Although the program increased awareness of these issues, some clinicians argued that it glamorized suicide and would be detrimental to vulnerable viewers. In this issue we cover a follow up study examining the potential impact of the series on the suicide rate in teens.