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