دورية أكاديمية
Recognizing, Managing and Treating Acute Agitation in Youths.
| العنوان: | Recognizing, Managing and Treating Acute Agitation in Youths. |
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| المؤلفون: | Salvi V; Unit of Clinical Psychiatry, Ospedali Riuniti, Ancona, Italy.; Department of Clinical Neurosciences/DIMSC, Faculty of Medicine, Università Politecnica delle Marche, Ancona, Italy., Orsolini L; Unit of Clinical Psychiatry, Ospedali Riuniti, Ancona, Italy.; Department of Clinical Neurosciences/DIMSC, Faculty of Medicine, Università Politecnica delle Marche, Ancona, Italy., Martino LM; Unit of Clinical Psychiatry, Ospedali Riuniti, Ancona, Italy., Pompili S; Department of Clinical Neurosciences/DIMSC, Faculty of Medicine, Università Politecnica delle Marche, Ancona, Italy., Volpe U; Unit of Clinical Psychiatry, Ospedali Riuniti, Ancona, Italy.; Department of Clinical Neurosciences/DIMSC, Faculty of Medicine, Università Politecnica delle Marche, Ancona, Italy. |
| المصدر: | Current pharmaceutical design [Curr Pharm Des] 2022 Oct 13; Vol. 28 (31), pp. 2554-2568. |
| نوع المنشور: | Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Bentham Science Publishers Country of Publication: United Arab Emirates NLM ID: 9602487 Publication Model: Print Cited Medium: Internet ISSN: 1873-4286 (Electronic) Linking ISSN: 13816128 NLM ISO Abbreviation: Curr Pharm Des Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Saif Zone, Sharjah, U.A.E. : Bentham Science Publishers Original Publication: Schiphol, The Netherlands : Bentham Science Publishers, c1995- |
| مواضيع طبية MeSH: | Psychomotor Agitation*/diagnosis , Psychomotor Agitation*/drug therapy , Psychotic Disorders*/complications, Humans ; Adolescent ; Young Adult ; Aggression/psychology ; Emergency Service, Hospital ; Anxiety |
| مستخلص: | Acute agitation is common in youths presenting to emergency departments, and, in some cases, may escalate into aggression and violence. Therefore, acute agitation in youths should be immediately and appropriately recognized and treated to avoid the consequences of its escalation. Agitation is widespread in youths, reported in around 7% of all youths admitted to emergency departments due to psychiatric reasons. Overall, the most frequent causes of youth acute agitation include the exacerbation of neurodevelopmental disorders, such as ADHD, autism, or intellectual disabilities, or the onset of mood and psychotic disorders. Substance abuse is also common in adolescents and young adults with acute agitation. Management of agitation should be individualized, multidisciplinary, and collaborative. Along with a diagnostic assessment, the needs of the young patients should be understood and addressed, and de-escalation strategies should be immediately prompted. Rapid recognition and management are warranted, in order to assure the safety of the patient and healthcare staff jeopardized by the acute crisis. Firstly, environmental and de-escalation strategies should be acted with the aim to reduce agitation and, if possible, avoid the use of physical restraint. In case these strategies fail to succeed, pharmacological treatment should be rapidly implemented. Although youth agitation and aggression is transdiagnostic, prior diagnosis of psychiatric disorder should guide the choice of the tranquilizing medication whenever possible. This review will examine these aspects in detail and provide guidance on how to recognize, manage, treat and resolve acute agitation in youths. (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.) |
| فهرسة مساهمة: | Keywords: Adolescents; aggression; agitation; de-escalation; treatment; youth |
| تواريخ الأحداث: | Date Created: 20220606 Date Completed: 20221024 Latest Revision: 20221214 |
| رمز التحديث: | 20221215 |
| DOI: | 10.2174/1381612828666220603144401 |
| PMID: | 35658887 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1873-4286 |
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| DOI: | 10.2174/1381612828666220603144401 |