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.
-
-
Rapid
Tr .
-
:
Management of Aggressive
Behaviour in the Psychiatric Settings:
The Use of De-escalation and Restraint Techniques in
Controlling Aggressive Behaviours
Dr. , MBBS, MPH, MRC Psych.(UK), ,
, .
Tamil Psychiatry Journal, Vol-2, Issue-3, Jul-Sep 2026, Page 34-39
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.
(LEVEL OF OBSERVATION)
-
DE-ESCALATION
.
.
.
:
.
.
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-
res
.
.
.
.
(In
Rapid Tranquillisation
.
Nominated Representative (NR)-
.
Restraint
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.
One-
to-One Observation Close Observation-
.
.
.
.
- )
Verbal De-escalation
. -
(Personal Space)
-
-
.
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(Safe Positioning)
(Escape Route)
.
(Body Language)
--
.
Communication Style
(Congruent
Communication)
.
. Delir
.
.
.
-- (Post-incident Debriefing)
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.
Verbal De-escalation
.
REFERENCES
1. Government of India. The Mental Healthcare Act, 2017 (Act No. 10 of 2017). Ministry of Law
and Justice, Government of India, New Delhi, 2017.
2. Ministry of Health and Family Welfare. Mental Healthcare Act, 2017 Rules and Regulations.
Government of India, New Delhi.
3. Richmond JS, Berlin JS, Fishkind AB, et al. Verbal De-escalation of the Agitated Patient:
Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-
escalation Workgroup. Western Journal of Emergency Medicine. 2012;13(1):1725.
doi:10.5811/westjem.2011.9.6864.
4. Raveesh BN, Lepping P. Restraint Guidelines for Mental Health Services in India. Indian Journal
of Psychiatry. 2019;61(Suppl 4)S705. doi: 10.4103/psychiatry.IndianJPsychiatry_106_19.
5. National Institute for Health and Care Excellence (NICE). Violence and Aggression: Short-term
Management in Mental Health, Health and Community Settings (NG10). London: NICE; 2015.
6. World Health Organization (WHO). Quality Rights Guidance and Training Tools. Geneva:
World Health Organization; 2019.
7. World Health Organization. Mental Health Atlas. Geneva: World Health Organization; Latest
Edition.
8. American Psychiatric Association. The American Psychiatric Association Practice Guideline for
the Psychiatric Evaluation of Adults. 3rd Edition. American Psychiatric Association Publishing;
2016.
