Current practices in managing acutely disturbed patients at three hospitals in Rio de Janeiro-Brazil: a prevalence study

Huf, Gisele; Coutinho, Evandro da Silva Freire; Fagundes Jr., Hugo M.; Oliveira, Edmar S.; Lopez, Jose Ramon R. A.; Gewandszajder, Marcio; Carvalho, Andreia da Luz; Keusen, Alexandre; Adams, Clive E.
January 2002
BMC Psychiatry;2002, Vol. 2, p4
Academic Journal
Background: The medical management of aggressive and violent behaviour is a critical situation for which there is little evidence. In order to prepare for a randomised trial, due to start in the psychiatric emergency rooms of Rio de Janeiro in 2001, a survey of current practice was necessary. Methods: A seven day survey of pharmacological management of aggressive people with psychosis in the emergency rooms of all four public psychiatric hospitals in Rio de Janeiro, Brazil. Results: In one hospital data were not available. Of the 764 people with psychosis attending these ERs, 74 were given IM medication for rapid tranquillisation (9.7%, 2.1/week/100,000). A haloperidol-promethazine mix (with or without other drugs) was used for the majority of patients (83%). Conclusion: The haloperidol-promethazine mix, given intramuscularly for rapid tranquilization, is prevalent in Rio, where it is considered both safe and efficient. However, scientific evaluation of all pharmacological approaches to rapid tranquilization of psychotic people is inadequate or incomplete and a randomized trial of IM haloperidol-promethazine is overdue.


Related Articles

  • Ocena czÄ™stotliwoÅ›ci i rodzaju agresji u pacjentów hospitalizowanych z powodu zachowaÅ„ agresywnych. Adamowski, Tomasz; Piotrowski, Patryk; Trizna, Mikołaj; Kiejna, Andrzej // Psychiatria Polska;2009, Vol. 43 Issue 6, p739 

    Aim. The aim of the study was the assessment of types and incidence of aggressive behaviours amongst psychiatric patients with violent acts marked in the referrals. Methods. 107 patients with aggressive or autoaggressive behaviours admitted to the General Hospital of Mental Disorders in...

  • Trends in service use and treatment for mental disorders in adults throughout Great Britain. Brugha, Traolach S.; Bebbington, Paul E.; Singleton, Nicola; Melzer, David; Jenkins, Rachel; Lewis, Glyn; Farrell, Michael; Bhugra, Dinesh; Lee, Alison; Meltzer, Howard // British Journal of Psychiatry;Nov2004, Vol. 185, p378 

    Background: Trends in health treatments and outcomes in the general population may be used to monitor achievement of health targets.Aims: To investigate changes in mental health services and treatment in Britain over a 7-year period.Method: National surveys...

  • Der 'schwierige' Patient in der psychiatrischen Versorgung. Weig, W. // Nervenarzt;Jul2009, Vol. 80 Issue 7, p847 

    A small subgroup of patients who access psychiatric care proves to be'difficult' in many respects. Characteristic features include excessive use of services that entail high costs, enormous problems involved in interacting with the professional staff and fellow patients, and a high complication...

  • Aggressive behaviour in patients with schizophrenia is associated with catechol-O-methyltransferase genotype. Jones, G.; Zammit, S.; Norton, N.; Hamshere, M. L.; Jones, S. J.; Milham, C.; Sanders, R. D.; McCarthy, G. M.; Jones, L. A.; Cardno, A. G.; Gray, M.; Murphy, K. C.; Owen, M. J. // British Journal of Psychiatry;Oct2001, Vol. 179, p351 

    Background: Evidence exists for an association between aggression and schizophrenia. Although the aetiology of aggression is multifactorial, three studies have reported associations between polymorphisms of the catechol-O-methyltransferase (COMT) gene and aggression in...

  • EVALUAREA MEDIULUI DE LUCRU PSIHIC ÃŽN UNITÄ‚Å¢I ECONOMICE ROMÂNEÅžTI, UTILIZÂND CHESTIONARUL COPSOQ ADAPTAT. Hărătău, Mihaela; Stoia, Mihaela; Bardac, D. // Acta Medica Transilvanica;mar2012, Vol. 17 Issue 1, p10 

    Along with reducing the physical effort, industrial development brings an increase in the neuro-psychological demands at work, which predicts an increase in stress-sensitive psychiatric disorders in the coming years (anxiety and depression). Aggressive and violent behavior has grown worldwide....

  • Lorazepam provocation test in purported schizophrenia with lack of treatment response. Berg, John E. // Mental Illness (2036-7457);2014, Vol. 6 Issue 2, p47 

    Some patients with severe mental disorders are refractory to psychotherapeutic or psychopharmacological interventions. We present a patient who at the age of 19 developed several schizophrenia - suspect symptoms. Soon inexplicable general seizures where observed. He was treated with...

  • Orta-ileri ve Genç YaÅŸ Mani Hastalarının KarşılaÅŸtırılması. Özkorumak, Evrim; Aykut, Demet Sağlam; Tiryaki, Ahmet // Journal of Mood Disorders;2014, Vol. 4 Issue 2, p47 

    Objective: The data about clinical features on Bipolar Disorder-type I manic episode in the elderly individuals is limited. This article aims to compare patients admitted for manic episode in moderate-to-advanced aged patients with the young patients in terms of various clinical features and...

  • First-episode non-affective psychosis in a total urban population: a 5-year follow-up. Svedberg, B.; Mesterton, A.; Cullberg, J. // Social Psychiatry & Psychiatric Epidemiology;2001, Vol. 36 Issue 7, p332 

    Background: The aim of this study is to investigate incidence rates, treatment, and outcome of a total in- and outpatient population of 71 patients (of 18-45 years of age) treated for a first-episode psychosis (DSM-IV) in three catchment areas in Stockholm.Methods: The...

  • Schizophrenia With Aggressive and Violent Behaviors. Krakowski, Menahem // Psychiatric Annals;Jan2005, Vol. 35 Issue 1, p44 

    Discusses the symptoms of violent behavior in schizophrenic patients. Clinical symptoms associated with violence in psychotic patients; Role of substance abuse in violent behavior of schizophrenics; Differentiating patterns of violence in schizophrenia.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics