Acute behavioural disturbance: a physical emergency psychiatrists need to understand

被引:9
作者
Stevenson, Richard [1 ]
Tracy, Derek K. [2 ,3 ]
机构
[1] NHS Greater Glasgow & Clyde, Glasgow Royal Infirm, Emergency Med, Glasgow, Lanark, Scotland
[2] Oxleas NHS Fdn Trust, London, England
[3] Kings Coll London, Inst Psychiat Psychol & Neurosci, London, England
关键词
Acute behavioural disorder; novel psychoactive substances; legal highs; EXCITED DELIRIUM SYNDROME; SUDDEN-DEATH; AGITATED DELIRIUM; METABOLIC-ACIDOSIS; NONFATAL USE; RESTRAINT; KETAMINE; PATIENT; CATECHOLAMINES; INDIVIDUALS;
D O I
10.1192/bja.2020.67
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The phenomenon of acute behavioural disturbance (ABD) (also known as acute behavioural disorder or excited delirium) is an underrecognised and potentially life-threatening syndrome, and an emergency in psychiatric settings. Causes are discussed and the pathophysiology explained. The challenges faced by practitioners are highlighted, including how 'standard' control and restraint can exacerbate symptoms. Initial treatment strategies are suggested.
引用
收藏
页码:333 / 342
页数:10
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