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Commentary on: Price O, Armitage CJ, Bee P, et al. De-escalating aggression in acute inpatient mental health settings: a behaviour change theory-informed, secondary qualitative analysis of staff and patient perspectives. BMC Psychiatry. 2024 Aug 6;24(1):548. doi: 10.1186/s12888-024-05920-y.
Implications for practice and research Successful de-escalation of agitation requires being mindful of the content of verbal and non-verbal interactions and is a skill that may not come naturally. Training will require changing caregiver perceptions and local culture; leadership is essential.
Agitation is an acute behavioural emergency requiring immediate intervention in order to avoid further escalation to aggression/violence. Verbal de-escalation involves engaging the patient and helping him or her become an active partner in their evaluation and treatment in tandem with nonverbal approaches, such as voluntary medication and environment planning.
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