Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa

Aggressive and violent behaviour is very common in the hospital setting. Simple agitation may unpredictably progress to overt aggression and violence by any patient in the emergency centres (ECs). Aggressive behaviour often manifests in forms of verbally abusive language, verbal threats and intimida...

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Autores principales:	Oladele V. Adeniyi, Ntandazo Puzi
Formato:	article
Lenguaje:	EN
Publicado:	AOSIS 2021
Materias:	aggressive and violent behaviour assisted user emergency centres involuntary user mental health care act Medicine R
Acceso en línea:	https://doaj.org/article/c74ba2386413447da9983f23e2e0a2f0
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spelling	oai:doaj.org-article:c74ba2386413447da9983f23e2e0a2f02021-11-24T07:44:19ZManagement approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa2078-61902078-620410.4102/safp.v63i1.5393https://doaj.org/article/c74ba2386413447da9983f23e2e0a2f02021-10-01T00:00:00Zhttps://safpj.co.za/index.php/safpj/article/view/5393https://doaj.org/toc/2078-6190https://doaj.org/toc/2078-6204Aggressive and violent behaviour is very common in the hospital setting. Simple agitation may unpredictably progress to overt aggression and violence by any patient in the emergency centres (ECs). Aggressive behaviour often manifests in forms of verbally abusive language, verbal threats and intimidating physical behaviour. Violent behaviour comprises the intentional use of physical force or power, threatened or actual, against self (suicidal), or another (homicidal) or properties, group or community, that could potentially result in injuries, death, psychological harm or deprivation. Therefore, individuals with unusual agitation and aggression should be treated as an emergency in both the community and healthcare settings in order to mitigate the progression to physical violence. Whilst the incidence and prevalence of aggressive and violent behaviour are higher in individuals with an underlying mental disorder, substance use disorder or comorbid mental disorder and substance use disorder, other individuals can also present with these behaviours in the ECs. Therefore, the front-line clinicians must be knowledgeable and competent in managing patients with aggressive behaviour with a view to de-escalate the situation and preventing or curtailing violence. This paper presents an evidence-based approach for managing patients with aggressive and violent behaviour, including a review of the steps for admitting patients for assisted or involuntary care.Oladele V. AdeniyiNtandazo PuziAOSISarticleaggressive and violent behaviourassisted useremergency centresinvoluntary usermental health care actMedicineRENSouth African Family Practice, Vol 63, Iss 1, Pp e1-e7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aggressive and violent behaviour assisted user emergency centres involuntary user mental health care act Medicine R
spellingShingle	aggressive and violent behaviour assisted user emergency centres involuntary user mental health care act Medicine R Oladele V. Adeniyi Ntandazo Puzi Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
description	Aggressive and violent behaviour is very common in the hospital setting. Simple agitation may unpredictably progress to overt aggression and violence by any patient in the emergency centres (ECs). Aggressive behaviour often manifests in forms of verbally abusive language, verbal threats and intimidating physical behaviour. Violent behaviour comprises the intentional use of physical force or power, threatened or actual, against self (suicidal), or another (homicidal) or properties, group or community, that could potentially result in injuries, death, psychological harm or deprivation. Therefore, individuals with unusual agitation and aggression should be treated as an emergency in both the community and healthcare settings in order to mitigate the progression to physical violence. Whilst the incidence and prevalence of aggressive and violent behaviour are higher in individuals with an underlying mental disorder, substance use disorder or comorbid mental disorder and substance use disorder, other individuals can also present with these behaviours in the ECs. Therefore, the front-line clinicians must be knowledgeable and competent in managing patients with aggressive behaviour with a view to de-escalate the situation and preventing or curtailing violence. This paper presents an evidence-based approach for managing patients with aggressive and violent behaviour, including a review of the steps for admitting patients for assisted or involuntary care.
format	article
author	Oladele V. Adeniyi Ntandazo Puzi
author_facet	Oladele V. Adeniyi Ntandazo Puzi
author_sort	Oladele V. Adeniyi
title	Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
title_short	Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
title_full	Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
title_fullStr	Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
title_full_unstemmed	Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
title_sort	management approach of patients with violent and aggressive behaviour in a district hospital setting in south africa
publisher	AOSIS
publishDate	2021
url	https://doaj.org/article/c74ba2386413447da9983f23e2e0a2f0
work_keys_str_mv	AT oladelevadeniyi managementapproachofpatientswithviolentandaggressivebehaviourinadistricthospitalsettinginsouthafrica AT ntandazopuzi managementapproachofpatientswithviolentandaggressivebehaviourinadistricthospitalsettinginsouthafrica
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Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa

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