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Related Experiment Videos

The violent patient: what to do?

C R Tobias1, D M Turns, S Lippmann

  • 1Department of Psychiatry, University of Louisville School of Medicine, Ky.

Southern Medical Journal
|May 1, 1988
PubMed
Summary

Quickly assess and manage clinical violence using a firm, nonthreatening approach. Initial strategies include verbal intervention, medication, and restraints, followed by comprehensive assessment and treatment.

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Area of Science:

  • Clinical Medicine
  • Psychiatry
  • Emergency Medicine

Background:

  • Violence presents a significant and frequent challenge in clinical settings.
  • Rapid assessment and effective management are crucial for patient and staff safety.

Purpose of the Study:

  • To outline a systematic approach for the assessment and management of violent patients.
  • To provide guidance on initial interventions and subsequent treatment strategies.

Main Methods:

  • Maintaining a safe distance and using a firm, nonthreatening interview technique.
  • Employing verbal intervention, pharmacotherapy, and physical restraints as first-line measures.
  • Initiating treatment for underlying medical or psychiatric conditions.

Main Results:

  • Effective control of violent behavior is achievable through a structured approach.
  • Comprehensive management includes diagnostic evaluation, pharmacotherapy, psychotherapy, and community resource integration.

Conclusions:

  • A multi-faceted strategy is essential for managing violent patients.
  • Addressing underlying causes alongside immediate behavioral control leads to better outcomes.

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