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Chapter 18 - Diagnosis and Management of Agitation in Children and Adolescents

Published online by Cambridge University Press:  09 March 2017

Scott L. Zeller
Affiliation:
University of California, Riverside
Kimberly D. Nordstrom
Affiliation:
Denver Health Medical Center, Colorado
Michael P. Wilson
Affiliation:
University of California, San Diego
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Publisher: Cambridge University Press
Print publication year: 2017

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References

Aagaard, L., & Hansen, E. H. (2010). Adverse drug reactions from psychotropic medicines in the paediatric population: analysis of reports to the Danish Medicines Agency over a decade. BMC Research Notes, 3, 176.Google Scholar
Addonizio, G., & Alexopoulos, G. S. (1988). Drug-induced dystonia in young and elderly patients. American Journal of Psychiatry, 145, 869871.Google ScholarPubMed
Ageranioti-Bélanger, S., Brunet, S., D’Anjou, G., Tellier, G., Boivin, J., & Gauthier, M. (2012). Behaviour disorders in children with an intellectual disability. Paediatrics & Child Health, 17, 8488.Google ScholarPubMed
Anand, K. J. S., Willson, D. F., Berger, J., Harrison, R., Meert, K. L., Zimmerman, J., … Nicholson, C. (2010). Tolerance and withdrawal from prolonged opioid use in critically ill children. Pediatrics, 125, e1208e1225.CrossRefGoogle ScholarPubMed
Blair, J., Scahill, L., State, M., & Martin, A. (2005). Electrocardiographic changes in children and adolescents treated with ziprasidone: a prospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 7379.Google Scholar
Bleakley, S. (2012). Identifying and reducing the risk of antipsychotic drug interactions. Progress in Neurology and Psychiatry, 16, 2024.Google Scholar
Bögels, S., Hoogstad, B., Van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioural and Cognitive Psychotherapy, 36. doi:10.1017/S1352465808004190.Google Scholar
Brownlie, E. B., Beitchman, J. H., Escobar, M., Young, A., Atkinson, L., Johnson, C., … Douglas, L. (2004). Early language impairment and young adult delinquent and aggressive behavior. Journal of Abnormal Child Psychology, 32, 453467.Google Scholar
Centers for Medicare & Medicaid Services, Department of Health and Human Services. (2006, December 8). 42 CFR Part 482. Medicare and Medicaid Programs; Hospital Conditions of Participation: Patients’ Rights; Final Rule. Federal Register, 71, 7137871428.Google Scholar
Chapman, L. L., Katz, E. R., & Chun, T. H. (2010). The disturbed child. In Fleisher, G. R. & Ludwig, S. (Eds.), Textbook of Pediatric Emergency Medicine (6th ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health.Google Scholar
Cole, J. W., Murray, D. J., McAllister, J. D., & Hirshberg, G. E. (2002). Emergence behaviour in children: defining the incidence of excitement and agitation following anaesthesia. Pediatric Anesthesia, 12, 442447.Google Scholar
English, A., Bass, L., Boyle, A. D., & Eshragh, F. (2010). State Minor Consent Laws: A Summary (3rd ed.). Chapel Hill, NC: Center for Adolescent Health Law. Retrieved from http://www.cahl.org/state-minor-consent-laws-a-summary-third-edition/Google Scholar
Fallot, R. D., & Harris, M. (2001). A trauma-informed approach to screening and assessment. New Directions for Mental Health Services, 2001, 2331.Google Scholar
Feudtner, C., Dai, D., Hexem, K. R., Luan, X., & Metjian, T. A. (2012). Prevalence of polypharmacy exposure among hospitalized children in the United States. Archives of Pediatrics & Adolescent Medicine, 166, 916.Google Scholar
Flora, G., Gupta, D., & Tiwari, A. (2012). Toxicity of lead: a review with recent updates. Interdisciplinary Toxicology, 5, 4758.Google Scholar
Gaskin, C. J., McVilly, K. R., & McGillivray, J. A. (2013). Initiatives to reduce the use of seclusion and restraints on people with developmental disabilities: A systematic review and quantitative synthesis. Research in Developmental Disabilities, 34, 39463961.Google Scholar
Gee, S. W., Lin, A., & Tobias, J. D. (2015). Dexmedetomidine infusion to control agitation due to anticholinergic toxidromes in adolescents, a case series. The Journal of Pediatric Pharmacology and Therapeutics: JPPT, 20, 329334.Google Scholar
Goldstein, A. B., & Horwitz, S. M. (2006). Child and adolescent psychiatric emergencies: the need for a clear research agenda. Pediatric Emergency Care, 22, 282.Google Scholar
Gutgesell, H., Atkins, D., Barst, R., Buck, M., Franklin, W., Humes, R., … Staff, A. H. A. (1999). Cardiovascular monitoring of children and adolescents receiving psychotropic drugs: a statement for healthcare professionals from the Committee on Congenital Cardiac Defects, Council on Cardiovascular Disease in the Young, American Heart Association. Circulation, 99, 979982.Google Scholar
Harris, D., & Morrison, E. F. (1995). Managing violence without coercion. Archives of Psychiatric Nursing, 9, 203210.Google Scholar
Harris, M., & Fallot, R. D. (2001). Trauma-informed inpatient services. New Directions for Mental Health Services, 2001, 3346.Google Scholar
Holloman, G., & Zeller, S. (2012). Overview of Project BETA: Best Practices in Evaluation and Treatment of Agitation. Western Journal of Emergency Medicine, 13, 12.CrossRefGoogle ScholarPubMed
Hopfer, C. (2014). Implications of marijuana legalization for adolescent substance use. Substance Abuse, 35, 331335.Google Scholar
Khan, S. S., & Mican, L. M. (2006). A naturalistic evaluation of intramuscular ziprasidone versus intramuscular olanzapine for the management of acute agitation and aggression in children and adolescents. Journal of Child & Adolescent Psychopharmacology, 16, 671677.Google ScholarPubMed
Klassen, T. P., Hartling, L., Craig, J. C., & Offringa, M. (2008). Children are not just small adults: the urgent need for high-quality trial evidence in children. PLoS Med, 5, e172.CrossRefGoogle Scholar
Knox, D., & Holloman, G. (2012). Use and avoidance of seclusion and restraint: consensus statement of the American Association for Emergency Psychiatry Project BETA Seclusion and Restraint Workgroup. Western Journal of Emergency Medicine, 13, 3540.Google Scholar
Kumar, R., & Sachdev, P. S. (2009). Akathisia and second-generation antipsychotic drugs. Current Opinion in Psychiatry, 22, 293299.Google Scholar
Mancuso, C. E., Tanzi, M. G., & Gabay, M. (2004). Paradoxical reactions to benzodiazepines: literature review and treatment options. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 24, 11771185.CrossRefGoogle ScholarPubMed
Masters, K. J., & Wandless, D. (2005). Use of pulse oximetry during restraint episodes. Psychiatric Services, 56, 13131314.Google Scholar
Mathews, M., Gratz, S., Adetunji, B., George, V., Mathews, M., & Basil, B. (2005). Antipsychotic-induced movement disorders. Psychiatry (Edgmont), 2, 3641.Google Scholar
McGonigle, J. J., Venkat, A., Beresford, C., Campbell, T. P., & Gabriels, R. L. (2014). Management of agitation in individuals with autism spectrum disorders in the emergency department. Child and Adolescent Psychiatric Clinics of North America, 23, 8395.Google Scholar
Mohr, W. K., Mahon, M. M., & Noone, M. J. (1998). A restraint on restraints: the need to reconsider the use of restrictive interventions. Archives of Psychiatric Nursing, 12, 95106.Google Scholar
Murray, M. (2006). Role of CYP pharmacogenetics and drug-drug interactions in the efficacy and safety of atypical and other antipsychotic agents. The Journal of Pharmacy and Pharmacology, 58, 871885.Google Scholar
Neuhut, R., Lindenmayer, J.-P., & Silva, R. (2009). Neuroleptic malignant syndrome in children and adolescents on atypical antipsychotic medication: a review. Journal of Child and Adolescent Psychopharmacology, 19, 415422.Google Scholar
Nordstrom, K., Zun, L., Wilson, M., Stiebel, V., Ng, A., Bregman, B., & Anderson, E. (2012). Medical evaluation and triage of the agitated patient: consensus statement of the American Association for Emergency Psychiatry Project BETA Medical Evaluation Workgroup. Western Journal of Emergency Medicine, 13, 310.Google Scholar
Nunno, M. A., Holden, M. J., & Tollar, A. (2006). Learning from tragedy: a survey of child and adolescent restraint fatalities. Child Abuse & Neglect, 30, 13331342.Google Scholar
Paddick, S.-M., Kalaria, R. N., & Mukaetova-Ladinska, E. B. (2015). The prevalence and clinical manifestations of delirium in sub-Saharan Africa: a systematic review with inferences. Journal of the Neurological Sciences, 348, 617.Google Scholar
Richmond, J. S., Berlin, J. S., Fishkind, A. B., Holloman, G. H., Zeller, S. L., Wilson, M. P., … Ng, A. T. (2012). Verbal de-escalation of the agitated patient: consensus statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup. Western Journal of Emergency Medicine, 13, 1725.Google Scholar
Rozel, J. S. (2015). Child and adolescent emergency psychiatry: a review of recent developments. Current Emergency and Hospital Medicine Reports. doi:10.1007/s40138-015-0086-6.Google Scholar
Santillanes, G., Donofrio, J. J., Lam, C. N., & Claudius, I. (2014). Is medical clearance necessary for pediatric psychiatric patients? The Journal of Emergency Medicine, 46, 800807.Google Scholar
Schieveld, J. N. M., Valk, J. A., Van der Smeets, I., Berghmans, E., Wassenberg, R., Leroy, P. L. M. N., … Os, J.. (2009). Diagnostic considerations regarding pediatric delirium: a review and a proposal for an algorithm for pediatric intensive care units. Intensive Care Medicine, 35, 18431849.Google Scholar
Schonert-Reichl, K. A., & Lawlor, M. S. (2010). The effects of a mindfulness-based education program on pre- and early adolescents’ well-being and social and emotional competence. Mindfulness, 1, 137151.Google Scholar
Sharma, T., Guski, L. S., Freund, N., & Gøtzsche, P. C. (2016). Suicidality and aggression during antidepressant treatment: systematic review and meta-analyses based on clinical study reports. BMJ, 352, i65.Google Scholar
Sikich, L., Hamer, R. M., Bashford, R. A., Sheitman, B. B., & Lieberman, J. A. (2003). A pilot study of risperidone, olanzapine, and haloperidol in psychotic youth: a double-blind, randomized, 8-week trial. Neuropsychopharmacology, 29, 133145.Google Scholar
Silva, R. R., Munoz, D. M., Alpert, M., Permutter, I. R., & Diaz, J. (1999). Neuroleptic malignant syndrome in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 187194.Google Scholar
Singh, N. N., Lancioni, G. E., Manikam, R., Winton, A. S. W., Singh, A. N. A., Singh, J., & Singh, A. D. A. (2011). A mindfulness-based strategy for self-management of aggressive behavior in adolescents with autism. Research in Autism Spectrum Disorders, 5, 11531158.Google Scholar
Stone, M. H. (2015). Marijuana and psychosis: the effects of adolescent abuse of marijuana and other drugs in a group of forensic psychiatric patients. Journal of Child and Adolescent Behavior, 03. doi:10.4172/2375-4494.1000188.Google Scholar
Stowell, K., Florence, P., Harman, H., & Glick, R. (2012). Psychiatric evaluation of the agitated patient: consensus statement of the American Association for Emergency Psychiatry Project BETA Psychiatric Evaluation Workgroup. Western Journal of Emergency Medicine, 13, 1116.Google Scholar
Turkel, S. B., & Tavaré, C. J. (2003). Delirium in children and adolescents. The Journal of Neuropsychiatry and Clinical Neurosciences, 15, 431435.Google Scholar
Van Putten, T. (1975). The many faces of akathisia. Comprehensive Psychiatry, 16, 4347.Google Scholar
Vlajkovic, G. P., & Sindjelic, R. P. (2007). Emergence delirium in children: many questions, few answers. Anesthesia & Analgesia, 104, 8491.Google Scholar
Weiss, E. M. (1998, November 11). Hundreds of the nation’s most vulnerable have been killed by the system intended to care for them. Hartford Courant, p. 1. Hartford, CT.Google Scholar
Young, N., & Findling, R. L. (2015). An update on pharmacotherapy for autism spectrum disorder in children and adolescents: Current Opinion in Psychiatry, 1.Google Scholar
Zavodnick, J. M., & Sternlicht, H. C. (1997). Combined drug therapy debate. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 1.Google Scholar
Zito, J. M., Derivan, A. T., Kratochvil, C. J., Safer, D. J., Fegert, J. M., & Greenhill, L. L. (2008). Off-label psychopharmacologic prescribing for children: history supports close clinical monitoring. Child and Adolescent Psychiatry and Mental Health, 2, 24.CrossRefGoogle ScholarPubMed

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