TY - JOUR PY - 2003// TI - Pharmacological management of aggression and violence JO - Human psychopharmacology A1 - Humble, F. A1 - Berk, M. SP - 423 EP - 436 VL - 18 IS - 6 N2 - The pharmacological management of violence and aggression is a common and substantial clinical dilemma in the emergency psychiatric situation. A literature search was conducted through PubMed and using the Cochrane Library. This was followed by a manual search of selected literature. Randomised controlled trials were sought that specifically addressed the acute situation, rather than the ongoing management of chronic conditions. There was a paucity of well-controlled data and insufficient evidence to support the use of many agents in emergency situations. Many studies had considerable limitations making comparison difficult. Efficacy data for a range of treatment options exists, including the use of classical and atypical anti-psychotic agents, benzodiazepines and combination therapies. Clinical risk, tolerability and environmental factors need to form part of a careful and considered judgement in the choice of treatment. Safety, tolerability and the potential for a positive experience are major considerations, thus paving the way for long term compliance.
Language: en
LA - en SN - 0885-6222 UR - http://dx.doi.org/10.1002/hup.504 ID - ref1 ER -