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Development and evaluation of a de-escalation training intervention in adult acute and forensic units: the EDITION systematic review and feasibility trial.
Health Technol Assess
January 2024
Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.
Background: Containment (e.g. physical restraint and seclusion) is used frequently in mental health inpatient settings.
View Article and Find Full Text PDF[Rapid tranquilisation in adults : algorithm proposed for psychopharmacological treatment].
Rev Med Suisse
September 2020
Unité de pharmacogénétique et de psychopharmacologie clinique, Centre de neurosciences psychiatriques, Département de psychiatrie, CHUV, 1011 Lausanne.
Acute treatment of agitation in psychiatry is one of the urgent situations for which management recommendations are needed. Various existing international recommendations have been evaluated and adapted to our clinical practice and to the drugs available in Switzerland in order to propose a uniform management strategy in our hospital. This strategy includes a treatment choice algorithm with different options depending on the clinical situation and the possible route of administration.
View Article and Find Full Text PDFPharmacological Approaches to Managing Violence and Aggression in Prison Populations: Clinical and Ethical Issues.
Drugs
November 2020
Forensic Mental Health Team, Top End Mental Health Service, Tamarind Centre, 12 Ross Smith Avenue, Parap, Northern Territory, 0820, Australia.
Violence and aggression are common problems encountered in prison, which frequently require clinical intervention. This increased prevalence is partially attributable to the high morbidity of psychiatric and personality disorders in prison inmates. As prisons are non-therapeutic environments, the provision of clinical care becomes more complex.
View Article and Find Full Text PDFInternational research into 22 years of use of chemical restraint: An evidence overview.
J Eval Clin Pract
June 2020
College of Nursing and Health Sciences, Flinders University, South Australia, Australia, 5042.
Background: Chemical restraint (CR) (also known as rapid tranquilisation) is the forced (non-consenting) administration of medications to manage uncontrolled aggression, anxiety, or violence in people who are likely to cause harm to themselves or others. Our population of interest was adults with mental health disorders (with/without substance abuse). There has been a growing international movement over the past 22 years towards reducing/eliminating restrictive practices such as CR.
View Article and Find Full Text PDFThe pharmacological management of agitated and aggressive behaviour: A systematic review and meta-analysis.
Eur Psychiatry
April 2019
Antwerp University (UA), Collaborative Psychiatric Research Institute (CAPRI), Edegem, Belgium.
Introduction: Non-pharmacological interventions preferably precede pharmacological interventions in acute agitation. Reviews of pharmacological interventions remain descriptive or compare only one compound with several other compounds. The goal of this study is to compute a systematic review and meta-analysis of the effect on restoring calmness after a pharmacological intervention, so a more precise recommendation is possible.
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