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Home Formulary 4.0 Central Nervous System 4.2 Drugs used in psychoses and related disorders 4.2.1 Antipsychotic drugs 4.2.1.1 Management of agitation and aggression

4.2.1.1 Management of agitation and aggression

Management of agitation and aggression

  • 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

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