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Home > Violence and aggression overview.

National Institute for Health and Care Excellence. (2019) Violence and aggression overview.

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Violence and aggression refer to a range of behaviours or actions that can result in harm, hurt or injury to another person, regardless of whether the violence or aggression is physically or verbally expressed, physical harm is sustained or the intention is clear.

This interactive flowchart covers the short-term management of violence and physically threatening behaviour in mental health, health and community settings. This includes inpatient psychiatric care, emergency and urgent care, secondary mental health care (such as care provided by assertive community teams, community mental health teams, early intervention teams and crisis resolution and home treatment teams), community healthcare, primary care, social care and care provided in people's homes. The recommendations cover anticipating and reducing the risk of violence and aggression, prevention methods (including searching, de-escalation and pharmacological strategies, including 'pro re nata' medication), restrictive interventions (for example, restraint, rapid tranquillisation and seclusion), staff training and post-incident debrief and review.

The interactive flowchart covers adults (aged 18 and over), children (aged 12 and under) and young people (aged 13 to 17) with a mental health problem who are currently service users within mental health, health and community settings. It also covers carers of service users with mental health problems in these settings.

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