Aggressive behavior is one of the most common reasons for referrals of youth to mental health treatment. While there are multiple publications describing different types of aggression in children, it remains challenging for clinicians to diagnose and treat aggressive youth, especially those with impulsively aggressive behaviors. The reason for this dilemma is that currently several psychiatric diagnoses include only some of the common symptoms of aggression in their criteria. However, no single diagnosis or diagnostic specifier adequately captures youth with impulsive aggression (IA). Here we review select current diagnostic categories, including behavior and mood disorders, and suggest that they do not provide an adequate description of youth with IA. We also specifically focus on the construct of IA as a distinct entity from other diagnoses and propose a set of initial, provisional diagnostic criteria based on the available evidence that describes youth with IA to use for future evaluation.

攻击性行为是将青少年转介到心理健康治疗的最常见原因之一。虽然有多种出版物描述了不同类型的儿童攻击行为，但临床医生诊断和治疗攻击性青少年，尤其是那些具有冲动攻击性行为的青少年，仍然具有挑战性。造成这种困境的原因是，目前一些精神病学诊断的标准中仅包括一些常见的攻击症状。然而，没有任何单一的诊断或诊断说明符能够充分捕捉具有冲动攻击 (IA) 的青少年。在这里，我们回顾了选择的当前诊断类别，包括行为和情绪障碍，并建议它们没有提供对患有 IA 的青少年的充分描述。