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Safe Spaces: Mitigating Potential Aggression in Acute Care Psychiatry
Layla Soliman1, Abhishek Jain1, John Rozel1
1Department of Psychiatry, Atrium Health/Wake Forest University School of Medicine, Charlotte, North Carolina (Soliman, Rachal); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York (Jain); Department of Psychiatry and School of Law, University of Pittsburgh, and University of Pittsburgh Medical Center Western Psychiatric Hospital, Pittsburgh, Pennsylvania (Rozel).
Healthcare workers in psychiatric settings need to recognize and manage potential patient aggression. This overview provides practical strategies for risk mitigation, patient safety, and staff well-being in acute care psychiatry.
Area of Science:
- Psychiatry
- Emergency Medicine
- Mental Health Care
Background:
- Patient aggression and violence pose significant risks in psychiatric emergency and inpatient settings.
- Effective management is essential for patient safety and staff well-being.
Purpose of the Study:
- To provide a practical overview of violence management for healthcare workers in acute care psychiatry.
- To summarize literature and clinical considerations regarding patient aggression.
Main Methods:
- Literature review and clinical considerations synthesis.
- Analysis of clinical contexts, impact, and risk mitigation strategies.
- Highlighting early identification and intervention approaches.
Main Results:
- Identified clinical contexts and impacts of violence on patients and staff.
- Reviewed nonpharmacological and pharmacological interventions for risk mitigation.
- Emphasized early identification of at-risk patients and situations.
Conclusions:
- Effective violence management strategies are crucial for optimizing patient care and safety.
- Implementing these strategies enhances staff well-being and workplace satisfaction.
- Further research and practical directions are needed to support psychiatric care providers.
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