ArticleJournal of clinical medicine2020
Alternatives to the Use of Mechanical Restraints in the Management of Agitation or Aggressions of Psychiatric Patients: A Scoping Review.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06661824 (Effect of Using Care Bundle in the Aggression Management of Patients With Psychotic Disorders), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Using Care Bundle in the Aggression Management of Patients With Psychotic Disorders
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Risk assessment for aggressive behaviour in schizophrenia.The Cochrane database of systematic reviews · 2024Pooled it
- International Nephrology Masterclass in Chronic Kidney Disease: Rationale, Summary, and Future Perspectives.Life (Basel, Switzerland) · 2024Review
- Investigating the association of mechanical restraint with somatic harmful outcomes: national register-based study.BJPsych open · 2024Article
- Novel Approaches Needed: An Experimental Study with an Alternative to Mechanical Restraint.Healthcare (Basel, Switzerland) · 2024Article
- Physical Restraint Practices at the Emergency Department of a Mental Health Hospital.Psychiatry and clinical psychopharmacology · 2024Article
- Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Mechanical Restraint in Inpatient Psychiatric Unit: Prevalence and Associated Clinical Variables.Medicina (Kaunas, Lithuania) · 2023Article
- Attitudes about Mechanical Restraint Use in Mental Health Hospitalization Services: A Spanish Survey.Healthcare (Basel, Switzerland) · 2023Article
- Safeguarding patients while implementing mechanical restraints: A qualitative study of nurses and ward staff's perceptions and assessment.Journal of clinical nursing · 2023Article
- Triggers of Agitation in Psychiatric Hospitalization Ward According to Professional Experience Questionnaire.International journal of environmental research and public health · 2022Article
- Overcoming the Use of Mechanical Restraints in Psychiatry: A New Challenge in the Everyday Clinical Practice at the Time of COVID-19.Journal of clinical medicine · 2020Article
- Coming to Grips-How Nurses Deal With Restlessness, Confusion, and Physical Restraints on a Neurological/Neurosurgical Ward.Global qualitative nursing researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Coercive measures are a highly controversial issue in mental health. Although scientific evidence on their impact is limited, they are frequently used. Furthermore, they lead to a high number of ethical, legal, and clinical repercussions on both patients, and professionals and institutions. This review aims to assess the impact of the main alternative measures to prevent or limit the use of coercive measures with restraints in the management of agitated psychiatric patients. The research was conducted following the guidelines recommended by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) in Medline, Cochrane Library, CINAHL, Web of Science, PsycInfo, LILACS, and Health Database of records between 2015 and 2020. After a critical reading, 21 valid articles were included. Both simple interventions and complex restraint programs were evaluated. Training in de-escalation techniques, risk assessment, and implementation of the "six core strategies" or "Safewards" program were the most assessed and effective interventions to reduce aggressive behaviors and the use of coercive measures. According to the revised literature, it is possible to reduce the use of restraints and coercive measures and not increase the number of incidents and violent behaviors among the patients through a non-invasive and non-pharmacological approach. However, further research and further randomized clinical trials are needed to compare the different alternatives and provide higher quality evidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.