Abstract：
OBJECTIVE:Patient violence and aggression is prevalent in critical care settings, yet clinicians are often inadequately trained to assess and respond to these types of behaviors. Targeted toward trainees as well as seasoned clinicians, this articles provides an updated review of the literature regarding the management of violence in the emergency department. METHODS:This narrative review is largely derived from research articles and reviews published since 2000. We conducted a systematic search of electronic databases for review articles or studies examining patient violence and aggression in critical care settings. Electronic searches were supplemented by manual searches of reference lists. RESULTS:Current statistics, risk factors and imminent signs of violent patient behavior are presented. We conclude with recommendations for pharmacological and psychological interventions that can help manage aggressive behavior in the emergency department. CONCLUSIONS:The relatively high frequency of aggressive and violent behavior in critical care settings increases the likelihood that clinicians working in this environment will encounter this situation. It is our hope that providing additional information about the factors associated with and techniques for managing violent patient behavior will reduce the occurrence of injuries in health care professionals in emergency departments.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
Tishler CL,Reiss NS,Dundas Jdoi
10.1016/j.genhosppsych.2012.10.012subject
Has Abstractpub_date
2013-03-01 00:00:00pages
181-5issue
2eissn
0163-8343issn
1873-7714pii
S0163-8343(12)00330-1journal_volume
35pub_type
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journal_title：General hospital psychiatry
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更新日期：2014-07-01 00:00:00
abstract：:Outpatient consultation-liaison (C-L) psychiatry has been beset with problems concerning funding and patient acceptance. Though the consultation, liaison, and referral clinic models for outpatient C-L psychiatry each offer advantages, they have not conquered these fundamental problems. This paper introduces the multid...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(93)90005-9
更新日期：1993-11-01 00:00:00
abstract：:A study was conducted of all 51 patients admitted on 64 occasions with self-inflicted burns to the Welsh Regional Burns Unit between January 1979 and January 1991. Two different groups of patients were identified, namely, patients who attempted suicide and patients with self-mutilative behavior. Their differences on a...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(92)90007-w
更新日期：1992-11-01 00:00:00
abstract：:The treatment of adolescents in a general hospital setting is fraught with difficulty. There are significant limitations to time, space, finances, and the physical plant. There are limitations to the numbers, types, mix of patients with other patients, and the types of treatment available. To deal with these issues, a...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(88)90097-7
更新日期：1988-03-01 00:00:00
abstract：:Both electroconvulsive therapy (ECT) and paliperidone (PLP) can induce, though infrequently, severe cardiac side-effects. Thus far, no studies are available on the cardiac safety of their co-administration. We report on the cardiac safety of the ECT-PLP combination in nine female inpatients who underwent this treatmen...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2010.09.012
更新日期：2011-01-01 00:00:00
abstract：:We describe a schizophrenic man whose lack of pain and related objective signs of a perforated small bowel led to a delay in diagnosis and surgical intervention. A review of the literature suggests that both psychodynamic and specific biologic factors can produce atypical presentations in psychotic patients with illne...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(90)90050-m
更新日期：1990-09-01 00:00:00
abstract：:Catatonia is a rare syndrome that occurs in mood and psychotic disorders, and general medical conditions. Postpartum depression affects 10%-15% of women within 6 months after delivery. Postpartum psychosis affects 0.1%-0.5% of women within weeks after delivery, though it can occur within hours; it carries risk for sui...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2011.11.010
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:Primary care providers are increasingly taking on the role of ad hoc mental health provider. However, before patients in primary care can be treated, they must be identified. This study set out to validate a very brief screening instrument for identifying primary care patients with anxiety and depression. ME...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2005.08.010
更新日期：2006-03-01 00:00:00
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journal_title：General hospital psychiatry
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doi：10.1016/0163-8343(79)90029-x
更新日期：1979-09-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章,多中心研究
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更新日期：1997-09-01 00:00:00
abstract：:Post-stroke depression is a potentially persistent complication of stroke. Electroconvulsive therapy (ECT) is an effective treatment for depression, but with limited data regarding safety in stroke patients. We report the case of a 30-year-old woman with a history of stroke and antiphospholipid syndrome, who became de...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2011.08.006
更新日期：2012-01-01 00:00:00
abstract：:Detection of cognitive impairment among hospitalized older individuals has shown to be insufficient. A point prevalence study in two geriatric hospitals in Helsinki, Finland, was performed among 219 acutely ill individuals over 70 years to assess the detection of dementia and delirium. Documentation of dementia and de...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2003.08.003
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:Although breast cancer patients' depression changes over time, most longitudinal studies have assessed the influence of only baseline depression on quality of life (QoL). Therefore, this study investigated the influence of changes in depression status on QoL in the year after surgery. METHODS:Participants we...
journal_title：General hospital psychiatry
pub_type： 杂志文章
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更新日期：2018-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 更正并重新发布的文章,杂志文章
doi：10.1016/0163-8343(89)90056-x
更新日期：1989-03-01 00:00:00
abstract：:Interviews with patients and staff of the New York Hospital Burn Unit in which they discuss their reactions to a variety of unit milieu stresses were videotaped. These were then edited together and played back at staff conference. This intervention increased staff awareness of unit stresses, facilitated discussion abo...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(86)90058-7
更新日期：1986-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2018.03.007
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To settle the best cutoffs for inventories to diagnose depression in chronic hepatitis C (CHC) patients. METHOD:Seventy-five CHC patients were assessed using a standard psychiatric interview (Mini International Neuropsychiatric Interview) to establish Diagnostic and Statistical Manual of Mental Disorders, Fo...
journal_title：General hospital psychiatry
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doi：10.1016/j.genhosppsych.2011.09.002
更新日期：2012-01-01 00:00:00
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journal_title：General hospital psychiatry
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journal_title：General hospital psychiatry
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更新日期：2021-01-08 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(84)90026-4
更新日期：1984-10-01 00:00:00
abstract：OBJECTIVE:Previous epidemiologic studies have documented a link between anxiety disorders and ulcer among adults. Few studies have examined these associations over time and little is understood about the pathways underlying these relationships. METHOD:Data were drawn from n = 2101 adult participants in the Midlife Dev...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2014.07.005
更新日期：2014-11-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(85)90020-9
更新日期：1985-04-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2011.11.012
更新日期：2012-05-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2008.07.008
更新日期：2008-11-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/s0163-8343(01)00182-7
更新日期：2002-03-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2006.03.007
更新日期：2006-07-01 00:00:00
abstract：:This paper presents a checklist of conceptual issues and operational guidelines determining the organization of clinical services within a general hospital department of psychiatry. Issues emphasized include philosophy, target population, definition, structure, location, financing, and cost effectiveness of services, ...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(81)90039-6
更新日期：1981-12-01 00:00:00
