Brazilian guidelines for the management of psychomotor agitation: communication techniques and physical restraint

Authors

  • Leonardo Baldaçara Comissão de Emergências Psiquiátricas, Associação Brasileira de Psiquiatria (ABP), Rio de Janeiro, RJ.
  • 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; 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; 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), Rio de Janeiro, RJ; Diretoria Executiva da Asociación Psiquiátrica de América Latina (APAL); Faculdade de Medicina, Universidade do Porto, Porto, Portugal. 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.v11.13

Keywords:

Psychomotor agitation, aggression, pharmacological tranquilization, psychiatric emergencies, risk assessment, non-pharmacological management

Abstract

In this second article, we present the technique for the verbal approach to psychomotor agitation. Subsequently, we present the technique for physical restraint, which should be used as a last resource, where all other measures have failed. Systematic review registration: CRD42017054440.

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Published

2021-03-31

How to Cite

1.
Baldaçara L, Ismael F, Leite VS, Figueiredo RN, Pereira LA, Vasques DAC, et al. Brazilian guidelines for the management of psychomotor agitation: communication techniques and physical restraint. Debates Psiquiatr. [Internet]. 2021 Mar. 31 [cited 2026 May 30];11(1):22-7. Available from: https://revistardp.org.br/revista/article/view/13

Issue

Vol. 11 No. 1 (2021): Agitação Psicomotora - edição especial

Section

Review Articles

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