Rapid tranquillisation. A survey of emergency prescribing in a general psychiatric hospital

Rapid tranquillisation--giving a psychotropic to control behavioural disturbances--is common in medical practice, yet few surveys describe its use in psychiatric populations. Over five months, 102 incidents, involving 60 patients, were retrospectively surveyed. Patients most often involved were youn...

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Veröffentlicht in:British journal of psychiatry 1992-06, Vol.160 (6), p.831-835
Hauptverfasser: Pilowsky, LS, Ring, H, Shine, PJ, Battersby, M, Lader, M
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container_end_page 835
container_issue 6
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container_title British journal of psychiatry
container_volume 160
creator Pilowsky, LS
Ring, H
Shine, PJ
Battersby, M
Lader, M
description Rapid tranquillisation--giving a psychotropic to control behavioural disturbances--is common in medical practice, yet few surveys describe its use in psychiatric populations. Over five months, 102 incidents, involving 60 patients, were retrospectively surveyed. Patients most often involved were young white men. The commonest diagnosis was affective disorder (manic phase) (39%) followed by schizophrenia (33%). Fifteen patients were involved in 57% of the incidents. The majority of incidents involved injury to people or damage to property. The most frequently used drugs were diazepam and haloperidol, alone or in combination. Droperidol, chlorpromazine, sodium amytal and paraldehyde were rarely used. Diazepam alone or in combination with haloperidol delivered intravenously was most rapidly effective and was associated with greatest staff satisfaction. Serious side-effects were rare.
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Cambridge University Press Journals Complete
subjects Aggression - psychology
Antipsychotic Agents - administration & dosage
Antipsychotic Agents - classification
Antipsychotic Agents - therapeutic use
Body Constitution - physiology
Chlorpromazine
Dangerous Behavior
Diazepam
Emotional disorders
Ethnic Groups
Female
Haloperidol
Health services
Hospitals, Psychiatric
Humans
Injections, Intravenous
Injuries
Male
Medical diagnosis
Men
Mental disorders
Mental Disorders - drug therapy
Mental Disorders - psychology
Pilot Projects
Property
Schizophrenia
Side effects
Sodium
Surveys and Questionnaires
Valium
title Rapid tranquillisation. A survey of emergency prescribing in a general psychiatric hospital
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