Pediatric emergency medicine trisk 0392 0392
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FIGURE 13.1 Approach to the diagnosis and initial disposition of the acutely agitated child.
Patients who have suicidal or homicidal intent are usually hospitalized, as are
patients who are unable to maintain their own safety. Patients with ADHD or
disruptive behavior disorders sometimes require brief inpatient hospitalization
when current outpatient and community supports are inadequate to prevent
further violence. In the absence of suicidal ideation, homicidal ideation, impaired
decision making leading to unsafe behaviors, inability to carry out basic daily
functions, or extreme acts of aggression, the ability of the family and social
