From the Assistant Professor (Wolpert) and Associate Professor (Uspal), Division of Emergency Medicine, Department of Pediatrics, University of Washington.
Associate Professor (Kim and Kodish), Department of Psychiatry and Behavioral Sciences, University of Washington.
Pediatr Emerg Care. 2023 Jan 1;39(1):45-50. doi: 10.1097/PEC.0000000000002886.
Autism spectrum disorder (ASD) is characterized by impaired social communication in conjunction with patterned behaviors. Often associated with emotional dysregulation, irritability, aggression, depression, and suicidality, ASD youth frequently present to the emergency department for behavioral and mental health evaluation. Psychiatric comorbidities, agitation, and depression are commonly encountered. During these visits, practitioners must thoughtfully consider organic etiologies for presenting symptoms, formulate plans to address risk of agitation, and understand how to effectively formulate disposition options in this patient population.
自闭症谱系障碍(ASD)的特征是社交沟通受损,同时伴有刻板行为。ASD 患者常伴有情绪失调、易怒、攻击行为、抑郁和自杀倾向,因此他们经常因行为和心理健康评估而到急诊科就诊。常见的合并症有精神疾病、激越和抑郁。在这些就诊中,医生必须仔细考虑患者症状的潜在病因,制定解决激越风险的计划,并了解如何在该患者群体中有效地制定处置方案。