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 |
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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. |
doi_str_mv | 10.1192/bjp.160.6.831 |
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A survey of emergency prescribing in a general psychiatric hospital</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Cambridge University Press Journals Complete</source><creator>Pilowsky, LS ; Ring, H ; Shine, PJ ; Battersby, M ; Lader, M</creator><creatorcontrib>Pilowsky, LS ; Ring, H ; Shine, PJ ; Battersby, M ; Lader, M</creatorcontrib><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.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.160.6.831</identifier><identifier>PMID: 1352166</identifier><language>eng</language><publisher>England: RCP</publisher><subject>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</subject><ispartof>British journal of psychiatry, 1992-06, Vol.160 (6), p.831-835</ispartof><rights>Copyright © The Royal College of Psychiatrists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c213t-ba420988eb805e281630b32919d65322aff5e301a748c140fa4a531ad0252fbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,12825,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1352166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pilowsky, LS</creatorcontrib><creatorcontrib>Ring, H</creatorcontrib><creatorcontrib>Shine, PJ</creatorcontrib><creatorcontrib>Battersby, M</creatorcontrib><creatorcontrib>Lader, M</creatorcontrib><title>Rapid tranquillisation. A survey of emergency prescribing in a general psychiatric hospital</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><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.</description><subject>Aggression - psychology</subject><subject>Antipsychotic Agents - administration & dosage</subject><subject>Antipsychotic Agents - classification</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Body Constitution - physiology</subject><subject>Chlorpromazine</subject><subject>Dangerous Behavior</subject><subject>Diazepam</subject><subject>Emotional disorders</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Haloperidol</subject><subject>Health services</subject><subject>Hospitals, Psychiatric</subject><subject>Humans</subject><subject>Injections, Intravenous</subject><subject>Injuries</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Men</subject><subject>Mental disorders</subject><subject>Mental Disorders - drug therapy</subject><subject>Mental Disorders - psychology</subject><subject>Pilot Projects</subject><subject>Property</subject><subject>Schizophrenia</subject><subject>Side effects</subject><subject>Sodium</subject><subject>Surveys and Questionnaires</subject><subject>Valium</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkE1Lw0AQhhdRaq0ePQorgrfEnf1KcpTiFxQE0ZOHZbPdtFvSJN1NlP57V1tQPA0z78PL8CB0DiQFKOhNuepSkCSVac7gAI2BZzQBLsUhGhNCsgSoIMfoJIRVXBmn2QiNgAkKUo7R-4vu3Bz3XjebwdW1C7p3bZPiWxwG_2G3uK2wXVu_sI3Z4s7bYLwrXbPArsEax7P1usZd2Jql0713Bi_b0Lle16foqNJ1sGf7OUFv93ev08dk9vzwNL2dJYYC65NSc0qKPLdlToSlOUhGSkYLKOZSMEp1VQnLCOiM5wY4qTTXgoGeEypoVZZsgq53vZ1vN4MNvVq7YGxd68a2Q1AZI4zIIo_g1T9w1Q6-ib8pylhWCOA8i1Syo4xvQ_C2Up13a-23Coj6Vq6ichWVK6mi8shf7FuHcm3nv_TOccwvd_nSLZafzlvlzY-uPx1fvSiHNA</recordid><startdate>199206</startdate><enddate>199206</enddate><creator>Pilowsky, LS</creator><creator>Ring, H</creator><creator>Shine, PJ</creator><creator>Battersby, M</creator><creator>Lader, M</creator><general>RCP</general><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>199206</creationdate><title>Rapid tranquillisation. 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A survey of emergency prescribing in a general psychiatric hospital</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>1992-06</date><risdate>1992</risdate><volume>160</volume><issue>6</issue><spage>831</spage><epage>835</epage><pages>831-835</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>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. 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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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