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Published on: January 15, 2017
Violent behavior of patients admitted in emergency following drug suicidal attempt: a specific staff educational
Lionel Cailhol1, Michael Allen, Anne-Hélène Moncany
1Service d'accueil d'urgence et de liaison psychiatrique, Cantonal University Hospital Geneva, 24 rue Micheli-du-Crest, Universitary Hospital Geneva 24, 1211 Geneva, Switzerland.
Objective:
In spite of much effort to create guidelines on the management of violent behavior (VB) in emergency departments, little is known about the impact of such guidelines on a real-life emergency environment. The aim of this study is to investigate the impact of a staff educational crisis intervention (SECI) on the reduction of VB in patients admitted to emergency departments following drug suicidal attempt.
Method:
The impact of a SECI on VB of patient consulting the ER following a drug suicide attempt was assessed by comparing the occurrence of VB before (5 months) and after (5 months) the introduction of a SECI.
Results:
A significant reduction in VB (from 17.32% to 7.14%) was found with the comparison of two 5-month periods: before (254 patients) and after (224 patients) the introduction of a SECI program (chi(2)=11.238; P=.0008).
Conclusion:
These preliminary data suggest the need for further prospective randomized studies aiming to prevent VB in emergency departments by developing specific SECI programs.
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