Current Psychiatry Reports

, Volume 11, Issue 2, pp 127–133 | Cite as

The behavioral organization, temporal characteristics, and diagnostic concomitants of rage outbursts in child psychiatric inpatients

  • Michael PotegalEmail author
  • Gabrielle A. Carlson
  • David Margulies
  • Joann Basile
  • Zinoviy A. Gutkovich
  • Melanie Wall


Angry outbursts, sometimes called rages, are a major impetus for the psychiatric hospitalization of children. In hospitals, such outbursts are a management problem and a diagnostic puzzle. Among 130 4- to 12-year-olds successively admitted to a child psychiatry unit, those having in-hospital outbursts were likely to be younger, have been in special education, have had a preadmission history of outbursts, and to have a longer hospital stay. Three subsets of behaviors, coded as they occurred in 109 outbursts, expressed increasing levels of anger; two other subsets expressed increasing levels of distress. Factor structure, temporal organization, and age trends indicated that outbursts are exacerbations of ordinary childhood tantrums. Diagnostically, children with outbursts were more likely to have language difficulty and a trend toward attention-deficit/hyperactivity disorder. Outbursts of children with anxiety diagnoses showed significantly more distress relative to anger. Outbursts were not especially associated with our small sample of bipolar diagnoses.


Risperidone Acad Child Adolesc Psychiatry Language Disorder Temper Tantrum Youth Care Forum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Current Medicine Group, LLC 2009

Authors and Affiliations

  • Michael Potegal
    • 1
    Email author
  • Gabrielle A. Carlson
  • David Margulies
  • Joann Basile
  • Zinoviy A. Gutkovich
  • Melanie Wall
  1. 1.Department of PediatricsUniversity of Minnesota Medical SchoolMinneapolisUSA

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