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: 2348
PDF: 364
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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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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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