Afficher la notice abrégée

Managing acutely aggressive or agitated people in a psychiatric setting: a survey in Lebanon

dc.rights.licenseopenen_US
dc.contributor.authorDIB, J. E.
dc.contributor.authorADAMS, C. E.
dc.contributor.authorKAZOUR, F.
dc.contributor.authorTAHAN, F.
dc.contributor.authorHADDAD, G.
dc.contributor.authorHADDAD, C.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHALLIT, Souheil
dc.date.accessioned2020-11-03T15:12:12Z
dc.date.available2020-11-03T15:12:12Z
dc.date.issued2018-07
dc.identifier.issn1016-1430 (Print) 2251-6840 (Electronic)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/11609
dc.description.abstractEnBackground: Violent patients constitute 10% of all psychiatric admissions. Treatment options and clinical practice interventions vary across the globe and no survey of practice in a Middle Eastern setting exists. Surveying treatments in Lebanon will show treatment interventions used in this part of the world and, most importantly, provide the treatment options that could potentially be used for clinical trials pertaining to emergency psychiatry. Methods: A survey of clinicians' opinions and practice was conducted between July and August 2017 at the largest psychiatric hospital in Lebanon. Results: Five of seven experienced psychiatrists provided opinions when interviewed of their preferred intervention when dealing with an emergency psychiatric episode. Whilst this varied in detail, there was a consistent view that there should first be verbal control, then use of medications, and finally physical restrain of the patient. A total of 39 emergency episodes (28 people) occurred in the one month (64% men in their 30s). Bipolar disorder was the most frequent single diagnosis behind the aggression (n=16, 41%; 12 people 43%) but the combined schizophrenia-like illnesses underlay 18 of the 39 episodes (46%; 13/28 people 46%). In clinical life, we found evidence of high family involvement, but little attempts made at initial verbal control in the hospital. All 39 episodes involved administration of pharmacological interventions. Medications were used in 29 of cases (74%) and non-medication interventions used in the remaining 10/39 (26%). Conclusion: This survey provides some evidence that clinicians' preferences may not fully reflect clinical practice but also that experienced clinicians are using several clearly effective techniques to manage these very difficult situations. However, as for other parts of the world, treatment in Lebanon has limited or no underpinning by evidence from well-designed, conducted and reported evaluative studies.
dc.language.isoENen_US
dc.subject.enEPICENE
dc.title.enManaging acutely aggressive or agitated people in a psychiatric setting: a survey in Lebanon
dc.title.alternativeMed J Islam Repub Iranen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.14196/mjiri.32.60en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed30175086en_US
bordeaux.journalMedical Journal of The Islamic Republic of Iranen_US
bordeaux.page60en_US
bordeaux.volume32en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamEPICENE_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03285383
hal.version1
hal.date.transferred2021-07-13T09:59:26Z
hal.exporttrue
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Medical%20Journal%20of%20The%20Islamic%20Republic%20of%20Iran&rft.date=2018-07&rft.volume=32&rft.spage=60&rft.epage=60&rft.eissn=1016-1430%20(Print)%202251-6840%20(Electronic)&rft.issn=1016-1430%20(Print)%202251-6840%20(Electronic)&rft.au=DIB,%20J.%20E.&ADAMS,%20C.%20E.&KAZOUR,%20F.&TAHAN,%20F.&HADDAD,%20G.&rft.genre=article


Fichier(s) constituant ce document

FichiersTailleFormatVue

Il n'y a pas de fichiers associés à ce document.

Ce document figure dans la(les) collection(s) suivante(s)

Afficher la notice abrégée