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Aggression 2 (Prevention (Combined interventions (Patient Education, Staff…

- - - - Staff/Patient
  - - - legistlation
      - crisis managment
      - physical intervention startegies
      - antecedents
      - warning signs
      - de-escalation techniques
- - - - Violence may be reduced
- - - - Well accepted by Patient
      - Rapid Acting
      - Oral
        
        Effective
        
        Olanzapine, resperidone, Lorazepam, Haolperidol, aripiprazole,quetiapine
      - Intramuscular
        
        More Rapid Onset than oral
        
        Olanzapine, Lorazepam, Ziprasidone, Haloperidole, Aripiprazole, midazolam, and droperidol
      - Intravenous
        
        Droperidol, Lorazepam
    - - 2 RCT
        
        Showed efficacy
        
        Limitations
        
        Small sample sizes
        
        Selection Biases
        
        Heterogenous samples
        
        No control for Personality Factors
        
        No control / treatment contamination
    - - Effective for what Diagnosis?
      - Large RCT needed!
  - - - Compared to forensic settngs
- - - - Combo Quantitative/Qualitative papers
        
        Literature Reviews were excluded to avoid papers being included twice
        
        Non Psychiatric settings excluded