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Safety and the violent person: guidelines for emergency services
1Harvard Medical School and The University of Massachusetts Medical School, USA. raymond_flannery@hms.harvard.edu
Emergency service providers can enhance safety when assisting violent individuals by using six general guidelines. Understanding medical issues, behavioral cues, and violence theories aids in risk reduction and improved service quality.
Area of Science:
- Public Health
- Emergency Medicine
- Criminology
Background:
- Helping professionals frequently encounter violent or potentially violent individuals.
- Ensuring safety is paramount when providing services in high-risk situations.
Purpose of the Study:
- To present six general guidelines for enhancing safety when providing services to violent individuals.
- To identify strategies for reducing the risk of violence or managing existing violence.
Main Methods:
- Review of factors including medical/psychiatric illnesses, call log data, and scene surveillance.
- Analysis of theories of violence and early warning signs of loss of control.
- Consideration of brain stem functioning in behavioral assessment.
Main Results:
- Implementation of six general guidelines can reduce violence risk.
- Understanding specific factors aids in developing effective safety strategies.
- Proactive assessment enhances both safety and quality of care.
Conclusions:
- Adopting a comprehensive approach incorporating medical, behavioral, and theoretical factors is crucial.
- These strategies empower professionals to manage challenging encounters more effectively.
- Improved safety and service quality are achievable through informed practice.
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