Abstract | INTRODUCTION: Chemical restraint is controversial. Appropriate use is ill-defined and chemical restraint may be overutilized. During the period of an unrelated observational study for patients with acute psychomotor agitation in a psychiatric emergency service, we noticed a significant reduction in the number of involuntary intramuscular injections administered. RESULTS: We observed a 27% decrease (P=.015) in the number of involuntary intramuscular injections in the 3-month observational study period, compared to 3-month periods before and after the study. CONCLUSION: We suggest that the observation process itself may have been beneficial and may have reduced the incidence of unnecessary intramuscular injections.
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Authors | Cristian Damsa, Douglas Ikelheimer, Eric Adam, Susanne Maris, Antonio Andreoli, Coralie Lazignac, Michael H Allen |
Journal | General hospital psychiatry
(Gen Hosp Psychiatry)
2006 Sep-Oct
Vol. 28
Issue 5
Pg. 431-3
ISSN: 0163-8343 [Print] United States |
PMID | 16950380
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Acute Disease
- Antipsychotic Agents
(administration & dosage, adverse effects)
- Emergency Services, Psychiatric
(statistics & numerical data)
- Health Services Misuse
(statistics & numerical data)
- Humans
- Injections, Intramuscular
(statistics & numerical data)
- Observation
- Psychiatric Status Rating Scales
- Psychomotor Agitation
(drug therapy, epidemiology)
- Psychotic Disorders
(drug therapy, epidemiology)
- Switzerland
- Treatment Outcome
- Utilization Review
(statistics & numerical data)
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