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. 2007 Jan-Feb;29(1):42-4.
doi: 10.1016/j.genhosppsych.2006.10.007.

Violent behavior of patients admitted in emergency following drug suicidal attempt: a specific staff educational crisis intervention

Lionel Cailhol  1 , Michael Allen, Anne-Hélène Moncany, Andrei Cicotti, Salvatore Virgillito, Rémy P Barbe, Coralie Lazignac, Cristian Damsa
Affiliations

Violent behavior of patients admitted in emergency following drug suicidal attempt: a specific staff educational crisis intervention

Lionel Cailhol et al. Gen Hosp Psychiatry. 2007 Jan-Feb.

Abstract

Objective: In spite of much effort to create guidelines on the management of violent behavior (VB) in emergency departments, little is known about the impact of such guidelines on a real-life emergency environment. The aim of this study is to investigate the impact of a staff educational crisis intervention (SECI) on the reduction of VB in patients admitted to emergency departments following drug suicidal attempt.

Method: The impact of a SECI on VB of patient consulting the ER following a drug suicide attempt was assessed by comparing the occurrence of VB before (5 months) and after (5 months) the introduction of a SECI.

Results: A significant reduction in VB (from 17.32% to 7.14%) was found with the comparison of two 5-month periods: before (254 patients) and after (224 patients) the introduction of a SECI program (chi(2)=11.238; P=.0008).

Conclusion: These preliminary data suggest the need for further prospective randomized studies aiming to prevent VB in emergency departments by developing specific SECI programs.

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