Scoping Review of Verbal De-Escalation in Psychiatric Emergency
Abstract
This article presents an in-depth literature review on the practices and significance of verbal de-escalation in psychiatric emergency situations. Verbal de-escalation is a communication strategy aimed at reducing tension and conflict in psychiatric patients experiencing crises. The aim of this research is to explore the effectiveness of various training methods in implementing verbal de-escalation techniques in psychiatric emergencies. The research method with scoping review, this article provides an overview of the concept of verbal de-escalation, commonly used techniques, and its positive impact on enhancing safety and intervention effectiveness in psychiatric emergencies. Additionally, the article identifies factors influencing the success of implementing verbal de-escalation and emphasizes the need for training and a holistic approach in managing psychiatric emergencies. The findings of this research can offer insights for practitioners, researchers, and policymakers in improving the quality of psychiatric emergency services through the effective implementation of verbal de-escalation strategies.
References
Bodic, M. (2023). Avoiding the Chill Pill- Results from a Simulation-Based Verbal De-escalation Training for Psychiatry Residents in a Community Mental Health Center. https://doi.org/10.37191/mapsci-2582-7367-4(1)-058
Čelofiga, A., Plesničar, B. K., Koprivšek, J., Moškon, M., Benkovič, D., & KUMPERŠČAK, H. G. (2022). Effectiveness of De-Escalation in Reducing Aggression and Coercion in Acute Psychiatric Units. A Cluster Randomized Study. https://doi.org/10.3389/fpsyt.2022.856153
Choi, K. R., Omery, A. K., & Watkins, A. M. (2019). An Integrative Literature Review of Psychiatric Rapid Response Teams and Their Implementation for De-escalating Behavioral Crises in Nonpsychiatric Hospital Settings. JONA: The Journal of Nursing Administration, 49(6), 297–302. https://doi.org/10.1097/NNA.0000000000000756
Du, M., Wang, X., Yin, S., Shu, W., Hao, R., Zhao, S., Rao, H., Yeung, W. L., Jayaram, M. B., & Xia, J. (2017). De-escalation techniques for psychosis-induced aggression or agitation. In Cochrane Database of Systematic Reviews (Vol. 2017, Issue 4). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD009922.pub2
Endriyani, S., Pastari, M., & Martini, S. (2023). The Influence of De-Escalation Techniques on Reducing Anger Responses in Drug Clients. Formosa Journal of Science and Technology, 2(6), 1465–1480.
Garriga, M., Pacchiarotti, I., Kasper, S., Zeller, S. L., Allen, M. H., Vázquez, G., Baldacąra, L., San, L., McAllister-Williams, R. H., Fountoulakis, K. N., Courtet, P., Naber, D., Chan, E. W., Fagiolini, A., Möller, H. J., Grunze, H., Llorca, P. M., Jaffe, R. L., Yatham, L. N., … Vieta, E. (2016). Assessment and management of agitation in psychiatry: Expert consensus. World Journal of Biological Psychiatry, 17(2), 86–128. https://doi.org/10.3109/15622975.2015.1132007
Haefner, J., Dunn, I., & McFarland, M. (2020). A Quality Improvement Project Using Verbal De-Escalation to Reduce Seclusion and Patient Aggression in an Inpatient Psychiatric Unit. https://doi.org/10.1080/01612840.2020.1789784
Hidayati, A. N. (2020). Gawat Darurat Medis dan Bedah. Airlangga University Press.
Kemenkes, R. I. (2009). Standar Instalasi Gawat Darurat (IGD) Rumah Sakit. Menteri Kesehatan Republik Indonesia Peraturan Menteri Kesehatan Republik Indonesia, 1–29.
Kementrian Kesehatan. (2010). Keputusan Menteri Kesehatan No.1627 Tahun 2010 Tentang Kegawatdaruratan Psikiatrik.
Krull, W., Gusenius, T. M., Germain, D., & Schnepper, L. (2019). Staff Perception of Interprofessional Simulation for Verbal De-escalation and Restraint Application to Mitigate Violent Patient Behaviors in the Emergency Department. Journal of Emergency Nursing, 45(1), 24–30. https://doi.org/10.1016/J.JEN.2018.07.001
Lindayani, L., Tinggi, S., Ppni, I. K., Barat, J., Yosep, I., & Mediani, H. S. (2021). Mental Health Nurses in Indonesia: A Cross-sectional Survey of Workplace Violence and its Associated Factors. Mental Health Nurses in Indonesia Pacific Rim Int J Nurs Res, 25(4), 614–625.
Malfasari, E., Febtrina, R., Maulinda, D., & Amimi, R. (2020). Analisis Tanda dan Gejala Resiko Perilaku Kekerasan pada Pasien Skizofrenia. Jurnal Ilmu Keperawatan Jiwa, 3(1). https://doi.org/10.32584/jikj.v3i1.478
Martínez, D. C., Perdigues, S. R., Fresnedo, A. M. G., González, M. B., Amor, Á. M., & López, L. M. M. (2023). Verbal de-escalation to reduce the use of mechanical restraint during nonvoluntary ambulance transfers. Emergencias : Revista de La Sociedad Espanola de Medicina de Emergencias, 35(2), 97–102.
McClure, J. R., Criqui, M. H., Macera, C. A., Ji, M., Nievergelt, C. M., & Zisook, S. (2015). Prevalence of suicidal ideation and other suicide warning signs in veterans attending an urgent care psychiatric clinic. Comprehensive Psychiatry, 60. https://doi.org/10.1016/j.comppsych.2014.09.010
Moher D Tetzlaff J Altman Dg, L. A. (2009). PRISMA 2009 Flow Diagram. In The PRISMA statement (Vol. 6).
Moore, N., Ahmadpour, N., Brown, M., Poronnik, P., & Davids, J. (2022). Designing Virtual Reality–Based Conversational Agents to Train Clinicians in Verbal De-escalation Skills: Exploratory Usability Study. https://doi.org/10.2196/38669
Persatuan Perawat Nasional Indonesia. (2016). Standar Diagnosa keperawatan Indonesia. Jakarta: PPNI.
Pragholapati, A., Fitrikasari, A., & Handayani, F. (2023). Analisis Bibliometrik Penelitian Kegawatdaruratan Keperawatan Jiwa Menggunakan Vos-Viewer. Jurnal Keperawatan, 15(4), 1659–1666.
Pragholapati, A., Fitrikasari, A., & Handayani, F. (2024). Intervensi Kegawatdaruratan Keperawatan Jiwa pada Gangguan Jiwa dengan Perilaku Kekerasan: Literature Review. Jurnal Keperawatan, 16(4), 1209–1218.
Price, O., Baker, J., Bee, P., & Lovell, K. (2015). Learning and performance outcomes of mental health staff training in de-escalation techniques for the management of violence and aggression. British Journal of Psychiatry, 206(6), 447–455. https://doi.org/10.1192/bjp.bp.114.144576
Price, O., Baker, J., Bee, P., & Lovell, K. (2018). The support-control continuum: An investigation of staff perspectives on factors influencing the success or failure of de-escalation techniques for the management of violence and aggression in mental health settings. International Journal of Nursing Studies, 77, 197–206. https://doi.org/10.1016/j.ijnurstu.2017.10.002
Ruiz, E. M., González, A., Samos, P., Bellsolà, M., Sabaté, A., León, J., Jerónimo, M. A., Pérez-Solà, V., Martín, L., & Córcoles, D. (2022). Use of verbal de-escalation in reducing need for mechanical restraint in patients with psychotic disorders during non-voluntary transfers from home to the psychiatric emergency department. https://doi.org/10.1192/j.eurpsy.2022.1509
Sani, G., Tondo, L., Koukopoulos, A., Reginaldi, D., Kotzalidis, G. D., Koukopoulos, A. E., Manfredi, G., Mazzarini, L., Pacchiarotti, I., Simonetti, A., Ambrosi, E., Angeletti, G., Girardi, P., & Tatarelli, R. (2011). Suicide in a large population of former psychiatric inpatients. Psychiatry and Clinical Neurosciences, 65(3). https://doi.org/10.1111/j.1440-1819.2011.02205.x
Schneider, F., & Weber-Papen, S. (2017). Notfälle aufgrund psychischer Störungen. Der Nervenarzt 2017 88:7, 88(7), 819–833. https://doi.org/10.1007/S00115-017-0352-9
Simpson, S. A., Sakai, J., & Rylander, M. (2019). A Free Online Video Series Teaching Verbal De-escalation for Agitated Patients. Academic Psychiatry 2019 44:2, 44(2), 208–211. https://doi.org/10.1007/S40596-019-01155-2.
Copyright (c) 2024 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.