Nonpharmacological Response in Hospitalized Children With Conduct Disorder

A Double-Blind Placebo-Controlled Study of Lithium in Hospitalized Aggressive Children and Adolescents With Conduct Disorder

“…The purpose of the baseline period was to (1) allow for stabilization of behavior, (2) eliminate possible placebo-baseline responders, and (3) provide for frequency and severity ratings of aggression. 38 Randomization was performed by the research pharmacist with the use of a computer-generated schedule. The blind was broken for each subject after final ratings were completed.…”

Characterizing Aggressive and Noncompliant Behaviors in a Children’s Psychiatric Inpatient Setting

“…12,13 One notable exception is overt categorical aggression, a subtype of aggressive behavior that has received empirical support specifically in psychiatrically hospitalized children. 14,15 Following the characterization of Yudofsky, 16 four categories of aggression include verbal threats, property damage, and self-and other-directed aggression. Categorical aggression among psychiatrically hospitalized children has been found associated with male gender, younger age, longer hospitalization, and discharge to more restrictive treatment settings.…”

“…17,33 On the other hand, sizable proportions of children with conduct disorder and histories of aggression do not behave aggressively during hospitalization. 15,20 Consequently, we examined the differences in the association of categorical aggression and noncompliance with diagnostic, demographic, and clinical characteristics of children.…”

Collaborative Problem Solving (CPS) as a Primary Method of Addressing Acute Pediatric Pathological Aggression Along with Other Modalities

“…This reflects that aggression in inpatient units may improve without initiating medications and thus further avoiding the risk of side effects these medications. Another study [10] demonstrated the beneficial effect of psychiatric hospitalization (without medication) on lowering aggression in children and adolescents (ages 9-17) with conduct disorder. On the other hand, a child's aggressive behavior can easily be worsened if the child and adolescent inpatient setting is poorly controlled, disorganized, and/or unstable [11].…”

“…Within two months, a total of 215 assaults occurred. One-third of the total 111 hospitalized children and adolescents (ages [6][7][8][9][10][11][12][13][14][15][16][17] assaulted the staff. 46% of these assaults resulted in physical injuries, and 3% of the assaults needed medical assistance due to the severity of these injuries.…”