Tobias C R, Turns D M, Lippmann S, Pary R
Department of Psychiatry, University of Louisville School of Medicine, Ky.
South Med J. 1988 May;81(5):640-3. doi: 10.1097/00007611-198805000-00023.
Violence is a common clinical problem that must be quickly assessed to be properly managed. The examiner should keep at a safe distance from the patient and conduct the interview in a firm but nonthreatening manner. Verbal intervention, pharmacotherapy, and occasionally, physical restraints are indicated as a first-line approach while treatment of the underlying medical or psychiatric abnormality is initiated. Once the violent patient is under control, management includes thorough diagnostic assessment, pharmacotherapy, careful psychotherapy, and mobilization of community resources.
暴力是一个常见的临床问题，必须迅速进行评估以便妥善处理。检查者应与患者保持安全距离，并以坚定但无威胁的方式进行面谈。作为一线方法，可采用言语干预、药物治疗，偶尔也可使用身体约束措施，同时着手治疗潜在的医学或精神异常情况。一旦暴力患者得到控制，处理措施包括全面的诊断评估、药物治疗、谨慎的心理治疗以及调动社区资源。
