4.2.1.1 Rapid control of agitation and aggression

Management of agitation and agression

  • Management depends on the underlying cause and consideration should always be given to physical illness or an acute confusional state.
  • For patients with behavioural and psychological symptoms of dementia (BPSD) see section 4.11.1.
  • Arrange for urgent assessment by mental health services. Consider use of the mental health order if appropriate.
  • Refer to NICE NG10: violence and aggression.
  • Note: Whilst the NICE guidance does cover violence and aggression in primary care settings the focus is on avoiding violence, prevention, de-escalation and breakaway techniques. In situations of high risk staff should remove themselves from the situation and, if there is immediate risk to life, contact the police.