Impulsivity is elevated in schizophrenia and is a risk factor for aggression in the disorder, but it is a multidimensional construct. Recently, the impulsivity subconstruct of urgency, which refers to rash action in the face of strong mood states, has been shown to be highly correlated with aggression in schizophrenia, especially impulsive aggression. This review discusses recent neuroimaging findings regarding urgency and its relation to impulsive aggression in schizophrenia. In addition, potential relationships between urgency and emotional regulation are discussed, along with potential treatments for impulsive aggression in schizophrenia that could be developed via a consideration of the urgency construct.