Diretrizes brasileiras para o manejo da agitação psicomotora: cuidados gerais e avaliação

Autores

  • Leonardo Baldaçara Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ. 2 Universidade Federal do Tocantins (UFT), Palmas, TO. 3 Secretaria de Estado de Saúde do Tocantins, Palmas, TO. 4 Coordenadoria de Saúde Mental, São Caetano do Sul, SP; Universidade de São Caetano do Sul, São Caetano do Sul, SP; Secretaria de Saúde do Município de Palmas, Palmas, TO.
  • Flávia Ismael Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Coordenadoria de Saúde Mental, São Caetano do Sul, SP; Universidade de São Caetano do Sul, São Caetano do Sul, SP.
  • Verônica S. Leite Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Universidade Federal do Tocantins (UFT), Palmas, TO; Secretaria de Saúde do Município de Palmas, Palmas, TO.
  • Renata N.S. Figueiredo Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Associação Psiquiátrica de Brasília, Brasília, DF.
  • Lucas A. Pereira Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Universidade Salvador (UNIFACS), Salvador, BA; Escola Bahiana de Medicina e Saúde Pública (EBMSP), Salvador, BA.
  • Daniel Augusto Corrêa Vasques Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Faculdade de Medicina da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP.
  • Elie Leal de Barros Calfat Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; 10 Faculdade de Medicina da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP; Centro de Atenção Integrada à Saúde Mental, Franco da Rocha, SP.
  • Alexandre Rizkalla Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Secretaria de Estado de Saúde do Tocantins, Palmas, TO; Universidade Federal do Oeste da Bahia (UFOB), Barreiras, BA.
  • Cintia A. M. Périco Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Faculdade de Medicina do ABC, Santo André, SP; Coordenadoria de Saúde Mental, São Bernardo do Campo, SP.
  • Deisy M. Porto Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; 15 Associação Catarinense de Psiquiatria, Florianópolis, SC.
  • Carlos E. K. Zacharias Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Secretaria de Estado da Saúde de São Paulo, São Paulo, SP; Secretaria de Saúde do Município de Sorocaba, São Paulo, SP.
  • Roberto M. dos Santos Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Hospital Universitário Lauro Wanderley, Universidade Federal da Paraíba (UFPB), João Pessoa, PB; Pronto Atendimento em Saúde Mental, João Pessoa, PB.
  • Vicente de P. Gomes Júnior Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Associação Psiquiátrica do Piauí (APPI), Teresina, PI.
  • Quirino Cordeiro Secretaria de Cuidados e Prevenção às Drogas, Ministério da Cidadania, Brasília, DF.
  • Antônio Geraldo da Silva Diretoria Executiva da Associação Brasileira de Psiquiatria (ABP) https://orcid.org/0000-0003-3423-7076
  • Teng C. Tung Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ; Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP.
  • Alexandre Paim Díaz Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA; Laboratório de Psiquiatria Translacional, Programa de Pós-Graduação em Ciências da Saúde, Universidade do Extremo Sul Catarinense (UNESC), Criciúma, SC.

DOI:

https://doi.org/10.25118/2763-9037.2021.v11.12

Palavras-chave:

Agitação psicomotora, agressividade, tranquilização farmacológica, emergência psiquiátricas, avaliação de risco, manejo não farmacológico

Resumo

Neste primeiro artigo, apresentamos os aspectos gerais dessa diretriz. Na sequência, apresentamos os cuidados gerais do ambiente e equipe e, posteriormente, a avaliação de pacientes agitados, principalmente focada no diagnóstico diferencial. Número de registro da revisão sistemática: CRD42017054440.

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Publicado

2021-03-31

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1.
Baldaçara L, Ismael F, Leite VS, Figueiredo RN, Pereira LA, Vasques DAC, Calfat EL de B, Rizkalla A, Périco CAM, Porto DM, Zacharias CEK, Santos RM dos, Gomes Júnior V de P, Cordeiro Q, Silva AG da, Tung TC, Díaz AP. Diretrizes brasileiras para o manejo da agitação psicomotora: cuidados gerais e avaliação. Debates em Psiquiatria [Internet]. 31º de março de 2021 [citado 21º de novembro de 2024];11(1):8-20. Disponível em: https://revistardp.org.br/revista/article/view/12

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