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Related Experiment Videos

The dangerous patient.

R G Lande1

  • 1Department of Psychiatry, Walter Reed Army Medical Center, Washington, DC 20012.

The Journal of Family Practice
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

Managing dangerous patients is crucial for preventing harm and evolving legal standards. Understanding aggression, environmental factors, and coping mechanisms aids in critical decision-making for patient safety.

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Area of Science:

  • Forensic Psychiatry
  • Clinical Psychology
  • Public Health

Background:

  • The management of dangerous patients presents significant challenges in clinical practice.
  • Increasing public awareness and legal scrutiny are shaping the standard of care for patient safety.
  • Legal duties to protect potential victims from violence are emerging in some jurisdictions.

Purpose of the Study:

  • To outline essential considerations for the effective management of dangerous patients.
  • To inform clinicians on assessing and mitigating risks associated with aggressive behavior.
  • To highlight the evolving legal landscape impacting patient disposition and safety protocols.

Main Methods:

  • Review of factors contributing to human aggression.
  • Assessment of environmental influences and individual coping strategies.

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  • Evaluation of behavioral controls and statistical risk correlates.
  • Description of management strategies including interview, medication, and restraints.

    • Main Results:

    • Understanding aggression, environmental factors, and coping mechanisms is key to management.
    • Assessment of behavioral controls and statistical correlates aids disposition decisions.
    • Initial stabilization involves interview, potentially followed by medication or restraints.

    Conclusions:

    • Effective management of dangerous patients requires a comprehensive understanding of aggression and risk factors.
    • A multi-faceted approach, from initial assessment to crisis resolution, is necessary.
    • Adherence to evolving standards of care is essential for patient safety and legal compliance.