Evidence map›Paper›PMID 42239833›Full record

ArticleThe mental health clinician2026

Pharmacotherapy for pediatric and adolescent agitation in an inpatient behavioral health unit.

Michelle Yang, Christine M Rarrick, Clint Ross

Abstract read
In one paragraph

Article in The mental health clinician, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Michelle Yang(Corresponding author) Clinical Pharmacy Specialist, The Johns Hopkins Hospital, Baltimore, MD, myang.pharm@gmail.com.ORCID https://orcid.org/0009-0006-2837-7100
Christine M RarrickClinical Inpatient Manager, Medical University of South Carolina, Charleston, South Carolina.ORCID https://orcid.org/0000-0002-8906-9332
Clint RossPharmacy Manager, Medical University of South Carolina, Charleston, South Carolina.ORCID https://orcid.org/0000-0002-2684-782X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pro re nata (PRN) medications can be administered for the treatment of agitation. Evidence-based recommendations for the pharmacologic treatment of agitation in children and adolescents admitted to a behavioral health unit are limited. The primary objective of this study was to analyze medication use patterns for managing agitation in a pediatric and adolescent inpatient behavioral health unit. The secondary objective was to evaluate the effectiveness and safety of commonly administered PRN medications in this population. Methods: This retrospective chart review included patients who received a 1-time or PRN medication for agitation while admitted to a pediatric and adolescent behavioral health unit between July 1, 2020, and June 31, 2022. Primary outcomes examined agents administered and the route and rate of concurrent medication administration. Secondary outcomes included administration of subsequent medications, the use of restraint or seclusion as a surrogate marker for effectiveness, and rate of adverse events for safety. Results: A total of 191 patients were included in the final analysis. There were 1238 doses of 1-time or PRN medication administered for agitation during the study period. Antipsychotics were administered most frequently (661, 53.4%). However, the most commonly administered medications were diphenhydramine (327, 26.4%), lorazepam (235, 19%), and olanzapine (224, 18.1%). Antipsychotic-induced extrapyramidal symptoms (EPS) occurred in 3 instances (0.24%), with all being managed with diphenhydramine. Discussion: When treating agitation in pediatric and adolescent patients admitted to an inpatient behavioral health unit, antipsychotics were administered most frequently. It appears that most doses were well tolerated, except for EPS in a subset of patients.

Indexed as

adolescentagitationbehavioral healthinpatientpediatric

Identifiers

PMID42239833
PMCPMC13229529

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