Reducing the use of physical restraint in clinical practice, including face-down restraint, is a challenge for professionals. The aim of this literature review was to assess the use of de-escalation techniques to prevent aggressive behaviour or decrease its intensity. A systematic search of electronic databases was undertaken for articles published between 2000 and 2015. Evidence was found for the use of physical and pharmacological interventions to de-escalate aggressive behaviour; limited to no evidence was found to support the use of verbal de-escalation techniques in similar clinical settings. Research is needed to identify evidence-based strategies for the prevention and de-escalation of aggressive behaviour without using restraint.
Mental Health Practice. 21, 2, 22-28. doi: 10.7748/mhp.2017.e1221Correspondence
None declaredPeer review
This article has been subject to external double-blind peer review and checked for plagiarism using automated softwareFor author guidelines, go to rcni.com/writeforus
Received: 18 October 2016
Accepted: 06 March 2017
Alternatively, you can purchase access to this article for the next seven days. Buy now