https://doi.org/10.4081/ecj.2022.10609

Management of acute behavioral disturbance in the Emergency Department: An Italian position paper from AcEMC, CNI-SPDC, SIP-Lo, SITOX

Vol. 18 No. 2 (2022)
Published: 27 June 2022
Behavioral disturbance, psychomotor agitation, psychiatric emergency, toxicology
Abstract Views: 2390
PDF: 395
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Authors

Ciro Paolillo
ciropaolillo@gmail.com
http://orcid.org/0000-0002-8027-5551
Emergency Room, AOUI Verona-Borgo Trento, Verona, Italy.
Ivo Casagranda
Adjunct Professor, University of Pavia, Italy.
Stefano Perlini
Emergency Department, Fondazione Policlinico San Matteo IRCCS, Pavia; Internal Medicine and Therapeutics Department, University of Pavia, Italy.
Emi Bondi
Mental Health and Addictions Department, ASST Papa Giovanni XXIII, Bergamo, Italy.
Carlo Fraticelli
Mental Health and Addictions Department, ASST Lariana, Como, Italy.
Giancarlo Cerveri
Mental Health and Addictions Department, ASST Lodi, Italy.
Fabrizio Pavone
Mental Health and Addictions Department, ASST Pavia, Italy.
Davide Lonati
Toxicology Unit, Pavia Poison Centre, National Toxicology Information Centre, Laboratories of clinical and experimental toxicology, IRCCS Hospital of Pavia, Istituti Clinici Scientifici Maugeri SpA-SB, Pavia, Italy.
Valeria Margherita Petrolini
Toxicology Unit, Pavia Poison Centre, National Toxicology Information Centre, Laboratories of clinical and experimental toxicology, IRCCS Hospital of Pavia, Istituti Clinici Scientifici Maugeri SpA-SB, Pavia, Italy.
Carlo Alessandro Locatelli
Toxicology Unit, Pavia Poison Centre, National Toxicology Information Centre, Laboratories of clinical and experimental toxicology, IRCCS Hospital of Pavia, Istituti Clinici Scientifici Maugeri SpA-SB, Pavia, Italy.
Roberto Lerza
Emergency Room and Emergency Department, P.O. Levante, DEA Ospedale di Savona, Asl 2 Liguria, Italy.

The phenomenon of acute behavioral disturbance is an underrecognized and potentially life-threatening syndrome, and sometimes an emergency in psychiatric settings. Patients presenting to the Italian emergency department (ED) with acute behavioral disturbances account for approximately 3.2% of all ED visits. The  spectrum of behaviors and signs overlap with many clinical disease processes. In addition to patients with behavioral problems related to mental disorders or substance abuse, there is also a large group whose behavioral emergencies directly result from medical illness. The complexity of these patients, as well as the interdisciplinary nature of their care, requires a clear and consensual framework for care. A network of Italian scientific societies developed ten reccomendations for good clinical practice. The main purpose is to draw up a  document  that presents a standardized method for the organization of the care  of patients with acute behavioral disorders in ED

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Crossref
Scopus
Google Scholar
Europe PMC
Gregory RJ, Nihalani ND, Rodriguez E. Medical screening in the emergency department for psychiatric admissions: a procedural analysis. Gen Hosp Psychiatry 2004;26:405-10. DOI: https://doi.org/10.1016/j.genhosppsych.2004.04.006
Bellelli G, Morandi A, Trabucchi M, et al. Italian intersociety consensus on prevention, diagnosis, and treatment of delirium in hospitalized older persons. Eur Geriatr Med 2017;8:293-8. DOI: https://doi.org/10.1016/j.eurger.2017.06.010
Di Cesare M, Magliocchetti N, Romanelli M, Santori E. Rapporto salute mentale. Analisi dei dati del Sistema Informativo per la Salute Mentale (SISM). Ministero della Salute, ottobre 2021. Available from: https://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?lingua=italiano&id=3081
Stowell KR, Florence P, Harman HJ, et al. Psychiatric evaluation of the agitated patient: consensus statement of the American Association for Emergency Psychiatry Project BETA Psychiatric Evaluation Workgroup. West J Emerg Med 2012;13:11–6. DOI: https://doi.org/10.5811/westjem.2011.9.6868
National Collaborating Centre for Nursing and Supportive Care (UK). Violence: The short-term management of disturbed/violent behaviour in in-patient psychiatric settings and emergency departments. London: Royal College of Nursing (UK); 2005.
Mental Health in the Emergency Department. Consensus statement. Australian College for Emergency Medicine. Available from: https://acem.org.au/Content-Sources/Advancing-Emergency-Medicine/Better-Outcomes-for-Patients/Mental-Health-in-the-Emergency-Department/Mental-Health-in-the-Emergency-Department-Consensu
Chauvin A, Massoubre C, Gil-Jardine C et al. Clinical practice recommendations on the management of the adult patient with psychiatric presentation in emergency facilities. [Recommandations de pratique clinique sur la prise en charge du patient adulte à présentation psychiatrique dans les structures d’urgences.] [Article in French] Ann Fr Med Urgence 2021;11:184-98. DOI: https://doi.org/10.3166/afmu-2021-0321
Adult Psychiatric Emergencies. Policy statement of American College of Emergency Phsysicians. Ann Eerg Med 2021;77:e121-6 DOI: https://doi.org/10.1016/j.annemergmed.2021.03.002

How to Cite

Paolillo, C., Casagranda, I., Perlini, S., Bondi, E., Fraticelli, C., Cerveri, G., Pavone, F., Lonati, D., Petrolini, V. M., Locatelli, C. A., & Lerza, R. (2022). Management of acute behavioral disturbance in the Emergency Department: An Italian position paper from AcEMC, CNI-SPDC, SIP-Lo, SITOX. Emergency Care Journal, 18(2). https://doi.org/10.4081/ecj.2022.10609

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