Original Article

Treatment And Approaches On Acute Agitation Among in Patients in a Private Psychıatry Hospital

Darçın Aslı Enez,Noyan Cemal Onur,Nurmedov Serdar,Kaya Hasan,Dilbaz Nesrin
2017, 1(1), s:26-32

Aim: It is aimed to determine the association between the indications of acute agitation call, applied treatment, applied restraint and seclusion with the
sociodemographical and clinical characteristics of psychopathology.
Method: Among inpatients in a private psychiatry hospital, medical records of whom has a form filled for acute agitation between June 2013-April 2014 examined
retrospectively, 137 medical records enrolled. Acute intervation form and brief psychiatric rating scale points that had been filled in the same day were determined.
Results: In the duration of the study acute agitation call applied for 16.4% of inpatients, 1.9% were restrained, 8% were secluded and 9.4% were given acute medication.
While the applied physical restraint and seclusion rates did not differ during the day, drug applications were found in higher rates during daytime hours (p<0.05). According to the hours of application, the duration of physical restraints were constant throughout the day while the duration of seclusions were longer in the night hours (p<0.05). The most common causes of acute agitation were aggression, threat of violence and treatment rejection. There was no difference approaches to acute agitation in terms of the diagnosis. The majority of selected drug treatments for acute agitation were intramuscular injections. No association was found between scale scores and the duration of any application.
Conclusion: Lower rates of restraints in our study could be associated with that the sample of this study was chosen from a private psychiatry hospital. There is need
for further training among treatment team and studies in this area to shed light on the development of approaches.