Approach to Children with Aggressive Behavior for General Pediatricians and Hospitalists: Part 1—Epidemiology and Etiology

There has been a definite increase in visits to primary care and emergency care settings for mental health problems for both children and adolescents, as visits to the pediatric emergency department for behavioral health problems have doubled in the past decade.1 This is thought to be secondary to a shortage of community resources to manage psychiatric behaviors prior to escalation of symptoms and necessity of acute intervention. These patients also tend to have prolonged inpatient stays and are admitted to the hospitals 7 times more often than nonpsychiatric patients that come to the

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