Discrepant Reports Research Articles

Parent and adolescent perceptions of parent–child developmental relationships: The role of family routines

AbstractObjectiveThis study examined family routines in relation to the strength of parent–child developmental relationships and discordant perceptions among parents and their adolescent children.BackgroundPositive parent–child relationships and regular engagement in family routines are known to create a positive environment in which adolescents can thrive. Yet both parents and their children hold unique perspectives on family structure and functioning. Agreement between parent and child reports tend to be low and often become increasingly discrepant during adolescence. Engaging in consistent and predictable family routines may not only strengthen parent–child relationships but also result in more concordant perceptions of the quality of their shared relationship.MethodUsing data from 633 matched parents and their children, we examined the association between engagement in family routines and the strength of parent–adolescent relationships including discrepant reports using a latent congruence model.ResultsFamily routines were positively associated with stronger parent–adolescent relationships and less discrepant reports of this critical relationship.ConclusionEngagement in family routines plays an important role in parent–adolescent developmental relationships.ImplicationsFindings have important implications for practices and research focused on improving adolescent outcomes through family structures and parent–child relationships.

Stepfamily Variation in Parent-Child Relationship Quality in Later Life.

We use a family systems approach to examine how stepfamily structure is associated with both positive and negative parent-child relationships while considering mothers' and fathers' discrepant reports. Two in five older couples with children are in stepfamilies. Past research on later-life stepfamily dynamics has focused mainly on positive aspects of relationships and compared reports of mothers and fathers from different families. Using the U.S. Health and Retirement Study, we estimated multilevel models with data from married couples in which both spouses reported living children and answered all questions about positive and negative parent-child relationships (N = 2,150). Couples in stepfamilies reported less positive and more negative relationships with their children than did couples in non-stepfamilies. Mothers reported more positive relationships than fathers, but there was no gender difference in reports of negative relationships. The patterns of perceived parent-child relationships and divergent reports between mothers and fathers also varied by stepfamily structure. Structural complexity was not consistently related to positive or negative relationships. This study underscores the importance of considering mothers' and fathers' different points of view in the same family and examining both positive and negative parent-child interactions as negative relationships are not merely the reverse of positive relationships.

B-122 Estimated Improvement of Sigma Error Metrics Associated with Manual Secondary Result Review, and Subsequent Artificial Intelligence Driven Quality Assurance

Abstract Background Analytical and post-analytical errors are a persistent problem, which can be benchmarked using sigma metrics. Manual processes are associated with error rates of 3–4 sigma. Secondary review of manual reporting is meant to reduce/eliminate errors and is widely used, yet the true efficacy of manual secondary review is difficult to assess. Kidney stone analysis is a manually intensive process, requiring personnel to identify stone composition from spectra and to transcribe stone percent composition into an LIS system. Recently, we developed an AI program that allows for quantitative determination of kidney stone composition from spectra. This allows for a unique opportunity to estimate error rates associated with manual reporting and those following secondary review by means of subsequent AI quality assurance analysis. Methods Experienced technologists assessed stone composition and estimated the percent of each component (± 10%), based on Fourier transform infrared (FTIR) spectroscopy. These manual spectral composition assessments are secondarily reviewed by other experienced technologists for identity and percentage composition accuracy. The recently described Kidney stone AI spectral analysis (RokkStar) was implemented to assess reported stone composition identity and percent composition for agreement following secondary review in 159 334 stone reports. AI flagged discrepant reports were reviewed by personnel and reports were revised when appropriate. Secondary reviewer error detection rate was obtained by monitoring detection in a subset of 7440 kidney stones, and was that rate was extrapolated to establish secondary review error detection rate over the entire data set. The sum (total error) of estimated secondary reviewer error detection, and well as AI-mediated error detection, and all client reported errors were used to determine error rates in sigma following manual reporting, secondary review, and AI quality assurance. Results Manual entry led to an estimated 2060 errors in 159 334 stone reports, yielding an initial sigma value of 3.73. Secondary manual review resulted in an estimated 1909 (error detection rate of 92.5%) of these errors being detected over the entire report set, improving the sigma value to 4.61. Post-verification AI caught an additional 138 errors, leading to an improved post-AI sigma value of 5.27. Post-AI quality assurance, there were 13 remaining errors, 9 of which were manual reporting process deviations subsequently caught by laboratory staff, and 4 were reporting errors observed by client physicians. All 13 of these errors involved usual stone constituents or typographical errors that were not assessed by the current AI quality assurance version. Conclusion This study represents a unique large-scale estimate of efficacy of secondary result review by means of AI quality assurance review. While the presence of undetected errors cannot be completely ruled out, in this case the relative paucity of client reported errors, as well the alignment of the estimated rate of manual errors with previous reports may indicate that most errors were detected in this system. Importantly, manual secondary review improved errors rates by ∼0.9 sigma, and the use of AI further improved estimated overall sigma metric by ∼0.7, leading to a “world class” 5+ sigma level for this complex reporting process.

Family functioning, well-being, and mental health among new immigrant families.

The present study was conducted to identify latent profiles of adolescent-reported and parent-reported family functioning, as well as their links with adolescent and parent well-being and mental health, among recent immigrants from the Former Soviet Union to Israel. A sample of 160 parent-adolescent dyads completed measures of parent-adolescent communication, parental involvement, positive parenting, family conflict, self-esteem, optimism, depressive symptoms, and anxiety. Results indicated four latent profiles-Low Family Functioning, Moderate Family Functioning, High Family Functioning, and High Parent/Low Adolescent Family Functioning (i.e., discrepant reports of family functioning). Adolescent depressive symptoms and anxiety were highest in the discrepant profile and lowest in the High Family Function profile; adolescent self-esteem and optimism were highest in the High Family Function profile and lowest in the Low Family Function profile; and parent depressive symptoms and anxiety were highest in the Low Family Function profile and lowest in the High Family Function profile. Parent self-esteem and optimism did not differ significantly across profiles. These results are discussed in terms of cultural and developmental contexts of adolescence and parenting within immigrant families, in terms of family systems theory, and in terms of the need for clinical services among families with discrepant reports of family functioning between parents and adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Terminal type-specific cannabinoid CB1 receptor alterations in patients with schizophrenia: A pilot study

BackgroundIndividuals with schizophrenia are at elevated genetic risks for comorbid cannabis use, and often experience exacerbations of cognitive and psychotic symptoms when exposed to cannabis. These findings have led a number of investigators to examine cannabinoid CB1 receptor (CB1R) alterations in schizophrenia, though with conflicting results. We recently demonstrated the presence of CB1R in both excitatory and inhibitory boutons in the human prefrontal cortex, with differential levels of the receptor between bouton types. We hypothesized that the differential enrichment of CB1R between bouton types – a factor previously unaccounted for when examining CB1R changes in schizophrenia – may resolve prior discrepant reports and increase our insight into the effects of CB1R alterations on the pathophysiology of schizophrenia. MethodsUsing co-labeling immunohistochemistry and fluorescent microscopy, we examined total CB1R levels and CB1R levels within excitatory (vGlut1-positive) and inhibitory (vGAT-positive) boutons of prefrontal cortex samples from ten pairs of individuals (nine male pairs and one female pair) diagnosed with schizophrenia and non-psychiatric comparisons. ResultsSignificantly higher total CB1R levels were found within samples from individuals with schizophrenia. Terminal type-specific analyses identified significantly higher CB1R levels within excitatory boutons in samples from individuals with schizophrenia relative to comparisons. In contrast, CB1R levels within the subset of inhibitory boutons that normally express high CB1R levels (presumptive cholecystokinin neuron boutons) were lower in samples from individuals with schizophrenia relative to comparison samples. ConclusionGiven CB1R's role in suppressing neurotransmission upon activation, these results suggest an overall shift in excitatory and inhibitory balance regulation toward a net reduction of excitatory activity in schizophrenia.

Risk stratification of clinically relevant delayed gastric emptying after pancreaticoduodenectomy

BackgroundDelayed gastric emptying (DGE) remains one of the major complications after pancreaticoduodenectomy (PD), with discrepant reports of its contributing factors. This study aimed to develop a nomogram to identify potential predictors and predict the probability of DGE after PD.MethodsThis retrospective study enrolled 422 consecutive patients who underwent PD from January 2019 to December 2021 at our institution. The LASSO algorithm and multivariate logistic regression were performed to identify independent risk and protective factors associated with clinically relevant delayed gastric emptying (CR-DGE). A nomogram was established based on the selected variables. Then, the calibration curve, ROC curve, decision curve analysis (DCA), and clinical impact curve (CIC) were applied to evaluate the predictive performance of our model. Finally, an independent cohort of 45 consecutive patients from January 2022 to March 2022 was enrolled to further validate the nomogram.ResultsAmong 422 patients, CR-DGE occurred in 94 patients (22.2%). A previous history of chronic gastropathy, intraoperative plasma transfusion ≥ 400 ml, end-to-side gastrointestinal anastomosis, intra-abdominal infection, incisional infection, and clinically relevant postoperative pancreatic fistula (CR-POPF) were identified as risk predictors. Minimally invasive pancreaticoduodenectomy (MIPD) was demonstrated to be a protective predictor of CR-DGE. The areas under the curve (AUCs) were 0.768 (95% CI, 0.706–0.830) in the development cohort, 0.766 (95% CI, 0.671–0.861) in the validation cohort, and 0.787 (95% CI, 0.633–0.940) in the independent cohort. Then, we built a simplified scale based on our nomogram for risk stratification.ConclusionsOur study identified seven predictors and constructed a validated nomogram that effectively predicted CR-DGE for patients who underwent PD.

More than Measurement Error: Discrepant Reporting of Contraceptive Use and the Role of Wives' and Husbands' Educational Attainment.

This paper describes discrepancies in spouses' reports of the use of female-controlled, nonvisible contraceptive methods using data from rural Nepal that were collected monthly from both spouses of 822 couples between 2008 and 2016. We find that spouses in about half of couples provided discrepant reports during the period of observation, and these discrepancies occurred in 14 percent of the months of observation. We then investigate these discrepant reports as possible indicators of incomplete transparency regarding reproductive choices and examine whether they are associated with wives' education and spouses' relative education levels. We find, first, that wife's educational attainment was negatively associated with discrepant reports of contraceptive use, independent of spouses' relative educational attainment. At the same time, these models suggest that educational differences between husbands and wives were associated with discrepant reports. Couples in which wives had more education than their husbands faced greater odds of discrepant reports of contraceptive use, relative to couples in which spouses had similar education. Among couples in which husbands had more education than wives odds of wife-only reporting were lower, relative to couples with similar levels of education. These findings offer important new insights into spousal dynamics that may influence transparency regarding contraceptive use.

Diagnostic performance of PET/CT in the detection of liver metastases in well-differentiated NETs

BackgroundThe aim of this retrospective study was to compare the diagnostic accuracy of somatostatin receptor (SSR)-PET/CT to liver MRI as reference standard in the evaluation of hepatic involvement in neuroendocrine tumors (NET).MethodsAn institutional database was screened for “SSR” imaging studies between 2006 and 2021. 1000 NET Patients (grade 1/2) with 2383 SSR-PET/CT studies and matching liver MRI in an interval of +3 months were identified. Medical reports of SSR-PET/CT and MRI were retrospectively evaluated regarding hepatic involvement and either confirmed by both or observed in MRI but not in SSR-PET/CT (false-negative) or in SSR-PET but not in MRI (false-positive).ResultsMetastatic hepatic involvement was reported in 1650 (69.2%) of the total 2383 SSR-PET/CT imaging studies, whereas MRI detected hepatic involvement in 1685 (70.7%) cases. There were 51 (2.1%) false-negative and 16 (0.7%) false-positive cases. In case of discrepant reports, MRI and PET/CT were reviewed side by side for consensus reading. SSR-PET/CT demonstrated a sensitivity of 97.0% (95%CI: 96.0%, 97.7%), a specificity of 97.7% (95%CI: 96.3%, 98.7%), a PPV of 99.0% (95%CI: 98.4%, 99.4%) and NPV of 93.0% (95%CI: 91.0, 94.8%) in identifying hepatic involvement. The most frequent reason for false-negative results was the small size of lesions with the majority < 0.6 cm.ConclusionThis study confirms the high diagnostic accuracy of SSR-PET/CT in the detection of hepatic involvement in NET patients based on a patient-based analysis of metastatic hepatic involvement with a high sensitivity and specificity using liver MRI imaging as reference standard. However, one should be aware of possible pitfalls when a single imaging method is used in evaluating neuroendocrine liver metastases in patients.

Epistemic Contextualism as Semantic Thesis and Knowledge-Attribution Standards in Qoheleth

The concept of knowledge plays an important role in Qoheleth. Both linguistic and philosophical perspectives remain popular trends in current related research. Developments in the two auxiliary disciplines that remain largely ignored include those associated with “Epistemic Contextualism.” The theory has been used as both a substantive-epistemological and a descriptive-semantic thesis, both of which concern the way variable epistemic standards are seen to supervene in different contexts of knowledge attributions. Initially offered as a solution to the challenges of radical scepticism, it has recently sought to show how an utterance affirming and denying a subject “knows” that something is the case could both be meaningful in virtue of changing propositional contents expressed in response to variable contextual stakes, interests, and needs. The original contribution of this study lies in constructing the relevant data set in Qoheleth and illustrating the possibilities and problems of applying the semantic format of the theory to discrepant propositional attitude reports in the world of the text.

Future Directions in Understanding and Interpreting Discrepant Reports of Suicidal Thoughts and Behaviors Among Youth

ABSTRACT Both the quality and utility of youth suicide research depend on how we assess our outcomes of interest: suicidal thoughts and behaviors (STBs). We now have access to more STB assessments than ever before, with measures for youth that vary in what exact experiences are asked about, how such measures elicit information, when and how frequently measures are administered, and who the informants are. This growing armamentarium of assessments has the potential to improve the study and treatment of STBs among youth, but it hinges on meaningful interpretation of assessment responses. Interpretation can be especially challenging when different STB assessments yield conflicting information. Determining how to manage discrepant reports of STBs is a pivotal step toward achieving meaningfully comprehensive STB assessment batteries. Here, we outline several discrepant reporting patterns that have been detected, discuss the potential significance of these observed discrepancies, and present initial steps to formally investigate discrepant reports of STBs among youth. Developing coherent, interpretable, and comprehensive batteries assessing STBs among youth would address a fundamental step to uncovering etiology, improving clinical decision-making and case management, informing intervention development, and tracking prognosis.

Factors Associated with Discrepancy of Child-Adolescent/Parent Reported Quality of Life in the Era of COVID-19.

Billions of children/adolescents experienced unprecedented changes in their daily lives that impacted their health-related quality of life (HRQoL) during the first wave of the coronavirus disease 2019. The purpose of this study was to describe child-parent discrepancies in reporting on HRQoL and explore factors associated with such discrepancies at the end of the first lockdown in France. A cross-sectional study was conducted among French school-aged children from 8 to 18 years and their parents living in the Grand Est region in France during the first wave of the epidemic. The impact of individual, self-reported health status and environmental data on discrepant parent-child reports of HRQoL was assessed by multinomial multivariable logistic regression models. A total of 471 parent-child pairs were included. Among 50% of the discordant pairs, parents underestimated HRQoL more frequently than they overestimated it. Home location, social support score, children's education level, parents' education level, tensions and conflicts with neighbors reported by children, whether they had access to a garden, and parents' professional activity were significantly associated with parental overestimation (adjustedOR from 2.08 to 11.61; p &lt; 0.05). Factors associated with parental underestimation were children's education level, SF12 score, home location, the child's gender, parent's level of education, the presence of noise in the residence reported by children, whether a household member was infected with COVID-19, whether they had access to a garden, and family structure (adjustedOR from 1.60 to 4.0; p &lt; 0.05). This study revealed differences between child-reported and parent-reported HRQoL. The COVID-19 pandemic accentuated the discrepancies in observable dimensions and attenuated them in unobservable dimensions of HRQoL but did not impact the directional discrepancy; parents underestimated their child's HRQoL more. These discrepancies appear to be explained by parent and child sociodemographic factors.

Transfer Patient Imaging: Assessment of the Impact of Discrepancies Identified by Emergency Radiologists.

Advanced imaging examinations of emergently transferred patients (ETPs) are overread to various degrees by receiving institutions. The practical clinical impact of these second opinions has not been studied in the past. The purpose of this study is to determine if emergency radiology overreads change emergency medicine decision making on ETPs in the emergency department (ED). All CT and MRI examinations on patients transferred to a level I trauma center during calendar year 2018 were routinely overread by emergency radiologists and discrepancies with the outside report electronically flagged. All discrepant reports compared with the outside interpretations were reviewed by one of four emergency medicine physicians. Comparing the original and finalreports, reviewers identified changes in patient management that could be attributed to the additional information contained inthe final report. Changes in patient care were categorized as affecting ED management, disposition, follow-up, or consulting services. Over a 12-month period, 5,834 patients were accepted in transfer. Among 5,631 CT or MRI examinations with outside reports available, 669 examinations (12%) had at least one discrepancy in the corresponding outside report. In 219 examinations (33%), ED management was changed by discrepancies noted on the final report; patient disposition was affected in 84 (13%), outpatient follow-up in 54 (8%), and selection of consulting services in 411 (61%), and ED stay was extended in 544 (81%). Discrepant findings affected decision making in 613 of 669 of examinations (92%). Emergency radiology overreading of transferred patients' advanced imaging examinations provided actionable additional information to emergency medicine physicians in the care of 613 of 669 (92%) examinations with discrepant findings. This added value is worth the effort to design workflows to routinely overread CT and MRI examinations of ETPs.

22.1 Grappling With Discrepant Parent-Youth Reports About Self-Injurious Thoughts and Behaviors in Community and Healthcare Settings

Accurately assessing the nature and history of an adolescent’s self-injurious thoughts and behaviors (SITBs) is critical but comes with challenges. Assessment of youth is both enriched and complicated by the presence of multiple informants (eg, parents, teachers, adolescents) often reporting conflicting information. This presentation will first report rates of interinformant agreement between adolescents and their parents as observed across community and psychiatric samples, and then, drawing from case examples and existing literature, explore the clinical implications of discrepant reports.

Discrepant Parent-Adolescent Reports of Parental Monitoring And Their Relations to Cannabis Use Among Justice-Involved Youth.

Increased parental monitoring is protective against cannabis use (CU) for justice involved youth, although discrepancies across parent/adolescent reports of monitoring may confer risk. Baseline data were drawn from two randomized clinical trials (152 adolescents; Mage= 15.9; 68% male). Adolescents reported on past 60-day CU and adolescents and parents completed a measure of parental knowledge, parental solicitation, parental control, and child disclosure. Multiple regression models that varied operationalization of discrepancies were performed, in which CU was predicted from each monitoring construct. Inclusion of main effects of parent and adolescent reports improved prediction of CU, particularly parental knowledge and child disclosure. When operationalized categorically, discrepancies improved prediction of CU for parental knowledge. Discrepancies did not improve prediction of CU for the other aspects of parental monitoring. Findings diverge from previous research on adolescent alcohol use; explanations of findings and implications for treatment are discussed.

Hospitalized Children With Limited English Proficiency: The Strive to Improve Analgesia.

Hospitalized Children With Limited English Proficiency: The Strive to Improve Analgesia.

Longitudinal inconsistencies in women\u2019s self-reports of lifetime experience of physical and sexual IPV: evidence from the MAISHA trial and follow-on study in North-western Tanzania

BackgroundIntimate partner violence (IPV) against women is pervasive throughout the world, with profound consequences for women’s health. Research to understand the extent, causes and consequences of IPV relies on self-reported data on violence, and yet there is a paucity of research into the consistency with which women report lifetime IPV over time.MethodsWe use data from the control group of the cluster randomised trial and a follow-on longitudinal study in Tanzania to examine discrepancies in women’s reported experience of lifetime physical IPV and sexual IPV over three time-points (T0, T29, T53 months). Among those reporting lifetime history of IPV at T0, we calculate the proportion who subsequently report no lifetime history at T29 and/or T53 (‘discrepant’ reporting). We use logistic regression to explore associations between discrepant reporting and respondent baseline characteristics, the nature of their IPV experiences at baseline, and situational factors at T53.ResultsComplete IPV data were available for 301 women. At T0, 154 (51%) women reported lifetime history of physical IPV, of whom 62% gave a discrepant ‘never’ report in a subsequent round. Among 93 (31%) with lifetime history of sexual IPV at T0, 73% provided a subsequent discrepant report. 73% of women reported lifetime physical IPV, and 55% lifetime sexual IPV in at least one survey round. For both IPV outcomes, women were less likely to provide discrepant reports if they had recent IPV at baseline, poor mental health (T53) and poor communication with partner (T53). For physical IPV only, reduced discrepant reporting was also associated with baseline household-level financial hardship and more severe or extensive experience of IPV.ConclusionsA large proportion of women provided discrepant reports over the course of the study. Prevalence estimates of lifetime IPV from one-off cross-sectional surveys are likely to be underestimates, biased towards more recent and severe cases. To improve the stability of IPV measures, researchers should explicitly clarify the meaning of reference periods such as ‘ever’, consider using shorter reference periods (e.g. past-year), and avoid filter questions that use positive reports of lifetime IPV as a gateway to asking about more recent experiences.Trial registration: Maisha CRT01 registered at ClinicalTrials.gov #NCT02592252, registered retrospectively (13/08/2015).

Discrepant Parent-Adolescent Reports of Parenting Practices: Associations with Adolescent Internalizing and Externalizing Symptoms.

Discrepancies in multi-informant reports of parenting practices represent a meaningful clinical construct that can be harnessed to predict adolescent mental health outcomes and shed light on the nature of parent-adolescent relationships. To date, however, no research has sought to examine discrepancies in perceptions of parenting practices among adolescents with histories of substance use disorders, a population for whom supportive parenting is a critical protective factor during the recovery process. This study examined parent-adolescent informant discrepancies of parenting practices and their associations with externalizing and internalizing symptomology among a sample of adolescents with substance use disorder histories. Data were analyzed from 294 adolescents (M adolescent age = 16 years; 45% female, 72% white) and their parents (87% female, 83% white) from a larger longitudinal study. Parenting practices of interest were positive parenting, inconsistent discipline, and poor monitoring. Polynomial regression analyses were used to test the discrepancy hypotheses. The results generally suggested null associations between single informant reports and internalizing and externalizing symptoms. Discrepancies were noted, however, in multi-informant reports of positive parenting, such that higher levels of adolescent-reported positive parenting were associated with higher levels of internalizing symptoms at high (but not low) levels of parent-reported positive parenting. Similarly, discrepancies were noted in multi-informant reports of poor monitoring, such that lower levels of adolescent-poor monitoring were associated with higher externalizing symptoms at low levels of parent-reported poor monitoring. The findings are discussed in terms of research and clinical implications of collecting and utilizing multi-informant data among clinical samples of adolescents with unique risk profiles.

Evaluating discrepancy rates of radiology resident provisional reports for cross-sectional body imaging studies at a tertiary hospital

Introduction Urgent radiological studies obtained during on-call hours are often preliminarily read by on-call residents before consultant radiologists finalise the reports at a later time. Such provisional radiology reports provide important information to guide initial patient management. This study aims to determine discrepancy rates between provisional reports and final interpretations, and to assess the clinical significance of such discrepancies. Methods This retrospective quality assurance project reviewed a total of 1218 cross-sectional imaging studies of the body (thorax, abdomen and pelvis) done between July 2015 and May 2016 during on-call hours. The studies included 1201 Computed tomography (CT) scans and 17 Magnetic Resonance Imaging (MRI) scans. Studies with incomplete or unavailable reports were excluded. Conclusions of both the provisional and final reports of each study were reviewed for concordance, with reference to the full report if needed. Discrepancies were graded according to the ACR 2016 RADPEER scoring system. Results There were 1210 studies with complete reports. Discrepant reports were noted in 183 (15.1%) studies. Of these, 89 (7.3%) were assessed to be clinically significant and the majority of these (55) were due to interpretations which should be made most of the time. CT of the abdomen and pelvis were the most prone to discrepant reports, accounting for 148 cases (80.9%). Conclusion The majority of preliminary reports for on-call body scans were concordant with final interpretations. The discrepancy rates for provisional body scan reports provided by residents while on call were comparable to those previously reported in literature.

Changes in Stroke Hospital Care During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.

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Examining Discrepant Reports of Adolescents’ Self-Injurious Thoughts and Behaviors: A Focus on Racial and Ethnic Minority Families

Introduction Adolescents and their parents do not always see eye to eye. This principle applies to multi-informant reports of adolescents’ self-injurious thoughts and behaviors. Although prior work has revealed the presence of parent-adolescent discrepant reports, we have little insight into exactly who is most likely to display such discrepancies. To address this knowledge gap, the present investigation examines demographic correlates of parent-adolescent reports of adolescents’ self-injurious thoughts and behaviors, with a focus on race and ethnicity. Method The sample included 45 dyads of adolescents (M = 15.79 years, SD = 1.42) and their parents reporting on adolescents’ history of suicide ideation, suicide plan, suicide gesture, suicide attempt, and nonsuicidal self-injury (NSSI). Results Greater discrepancies in reports of adolescents’ suicide ideation and NSSI were observed among racial minority parent-adolescent dyads (Black, Asian, Multiracial, Other) relative to White dyads. Racial minority parents tended to report less suicide ideation and NSSI observed in their adolescents compared to adolescents’ self-report. Moreover, Hispanic parents tended to report less NSSI relative to adolescents’ self-report. Parent-adolescent discrepancies did not consistently correspond with other characteristics such as age and sexual orientation. Conclusion Racial minority parent-adolescent dyads, relative to White parent-adolescent dyads, are less likely to see eye to eye on adolescents’ suicidal and nonsuicidal self-harming tendencies.