Hostname: page-component-54dcc4c588-m259h Total loading time: 0 Render date: 2025-09-12T05:59:44.061Z Has data issue: false hasContentIssue false
  • English
  • Français

Rapid tranquillisation: a global perspective

Published online by Cambridge University Press:  02 January 2018

Pallavi Nadkarni ,
Mahesh Jayaram ,
Shailesh Nadkarni ,
Ranga Rattehalli  and
Clive E. Adams
Pallavi Nadkarni
Affiliation:
Department of Psychiatry, Queen's University, Kingston, Ontario, Canada, email nadkarnp@kgh.kari.net
Mahesh Jayaram
Affiliation:
Department of Psychiatry, University of Melbourne, Australia
Shailesh Nadkarni
Affiliation:
National Research Corporation Canada, Markham, Ontario, Canada
Ranga Rattehalli
Affiliation:
Newsam Centre, Seacroft Hospital, Leeds, UK
Clive E. Adams
Affiliation:
University of Nottingham, UK
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Violence and aggression among patients suffering from mental health problems undoubtedly pose a challenge to healthcare professionals, families and carers. Aggressive behaviours affect all aspects of clinical care. The goal of professionals is to ensure safety while effectively managing behavioural emergencies. ‘Rapid tranquillisation’ implies prescribing pharmacological agents to manage these behaviours. This article highlights changing prescription trends. Appraisal of global guidelines suggests that factors other than scientific evidence dictate their evolution. High-quality randomised controlled trials are needed to develop a global guideline.

Information

Type
Special Papers
Information
BJPsych International , Volume 12 , Issue 4 , November 2015 , pp. 100 - 102
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 2015

References

AGREE Collaboration (2003) Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE Project. Quality and Safety in Health Care, 12, 18–23.CrossRefGoogle Scholar
APA (2004) Practice guideline for the treatment of patients with schizophrenia. Second edition. American Journal of Psychiatry, 161 (suppl. 2), 1–6.Google Scholar
CPA (2005) Clinical practice guidelines: treatment of schizophrenia. Canadian Journal of Psychiatry, 50 (suppl. 1), 7–57.Google Scholar
Cunnane, J. G. (1994) Drug management of disturbed behaviour by psychiatrists. Psychiatric Bulletin, 18, 138–139.Google Scholar
Expert Consensus Panel for Behavioural Emergencies (2005) Expert consensus guideline series: treatment of behavioural emergencies. Journal of Psychiatric Practice, 11 (suppl. 1), 5–108.Google Scholar
Huf, G., Coutinho, E., Fagundes, H. Jr, et al (2002) Current practices in managing acutely disturbed patients at three hospitals in Rio de Janeiro, Brazil: a prevalence study. BMC Psychiatry, 2, 4.Google Scholar
Hunter, M. & Carmel, H. (1992) The cost of staff injuries from inpatient violence. Hospital Community Psychiatry, 43, 586–588.Google Scholar
Institute of Medicine (1990) Clinical Practice Guidelines: Directions for a New Program. Institute of Medicine.Google Scholar
McGorry, P. (2004) Royal Australian and New Zealand College of Psychiatrists: clinical practice guidelines for the treatment of schizophrenia and related disorders. Australian and New Zealand Journal of Psychiatry, 39, 1–30.Google Scholar
Nadkarni, P., Jayaram, M., Nadkarni, S., et al (2014) Rapid tranquillisation – an AGREEable ground? Open Journal of Psychiatry, 4, 269–274.Google Scholar
National Health Service (2005) Press release: new measures to tackle violence against staff in mental health and learning disability services. NHS.Google Scholar
NICE (2005) Clinical Guideline 25. Violence: The Short-Term Management of Disturbed/Violent Behaviour in In-patient Psychiatric Settings and Emergency Departments. National Institute for Health and Care Excellence.Google Scholar
Pilowsky, L. S., Ring, H., Shine, P. J., et al (1992) Rapid tranquillisation: a survey of emergency prescribing in a general psychiatric hospital. British Journal of Psychiatry, 160, 831–835.Google Scholar
TREC Collaborative Group (2003) Rapid tranquillisation for agitated patients in emergency psychiatric rooms: a randomised trial of midazolam versus haloperidol plus promethazine. BMJ, 327, 708–713.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.