Aggressive/violent mental illness Mental and Behavioural Disorders Aggressive/violent mental illness
Conditions
Interventions
1. Use of four point physical restraint (cotton bands) and policy of close recording of mental state, behaviour, wellbeing, in addition to standard use of medication.
2. Use of secure seclusion room a
Sponsors
National Institute of Quality Control in Health (Brazil)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Anyone (no age or gender limits) thought to have a serious mental illness admitted to the hospital who has a degree or risk of aggression or violent behaviour that endangers themselves or others 2. Who is thought by medical and nursing staff to need some form of physical restriction 3. For whom the medical and nursing staff have doubt as to whether one form of restriction is better than the other
Exclusion criteria
Exclusion criteria: 1. Anyone for whom either or both packages of care are contraindicated by either medical or nursing staff 2. Anyone already randomised in this trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to release from restraints or seclusion | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Safe resolution of episode, measured 24 hours after the beginning of the episode 2. Time in restriction, measured 24 hours after the beginning of the episode 3. Further episode, measured 24 hours after the beginning of the episode 4. Need to call the doctor on an emergency basis, measured 24 hours after the beginning of the episode 5. Refusal of oral medication, measured 24 hours after the beginning of the episode 6. Amount of medication and how administered, measured 24 hours after the beginning of the episode 7. Acceptability to patient/staff, measured 24 hours after the beginning of the episode 8. Adverse effects, measured at 2 weeks 9. Time to discharge, measured at 2 weeks | — |
Countries
Brazil
Outcome results
None listed