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Irritability has important clinical significance: the combination of irritability with aggression accounts for approximately 40% of emergency psychiatric evaluations in hospitals for youth (Dickstein, 2016). At least 20% of pediatric psychiatric outpatient
evaluations are initiated because of irritability and aggression  Worse, irritability in childhood is not only associated with difficulties
in youth, but is also associated with problems in adulthood, such as suicide, lack of financial stability, and psychopathology (Leibenluft et al., 2006; Pickles et al., 2010). Therefore, irritability in childhood is an important symptom for psychiatric nurses to recognize and assess.
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