De-escalation techniques for managing non-psychosis induced aggression in adults.

The Cochrane Database of Systematic Reviews
Sally SpencerIan C Smith

Abstract

Aggression occurs frequently within health and social care settings. It can result in injury to patients and staff and can adversely affect staff performance and well-being. De-escalation is a widely used and recommended intervention for managing aggression, but the efficacy of the intervention as a whole and the specific techniques that comprise it are unclear. To assess the effects of de-escalation techniques for managing non-psychosis-induced aggression in adults in care settings, in both staff and service users. We searched CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL and 14 other databases in September 2017, plus three trials registers in October 2017. We also checked references, and contacted study authors and authorities in the field to identify additional published and unpublished studies. We included randomised controlled trials (RCTs) and quasi-RCTs comparing de-escalation techniques with standard practice or alternative techniques for managing aggressive behaviour in adult care settings. We excluded studies in which participants had psychosis. We used the standard methodological procedures expected by Cochrane. This review includes just one cluster-randomised study of 306 older people with dementia and an average age o...Continue Reading

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Citations

Jun 5, 2020·Issues in Mental Health Nursing·Maria WemrellKajsa Landgren
Sep 9, 2020·The Cochrane Database of Systematic Reviews·Steve GeoffrionStéphane Guay
Sep 3, 2020·Journal of Clinical Medicine·Damián Fernández-CostaJuan Jesús García-Iglesias

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