• Corpus ID: 53334529

Using the Behavioural Activity Rating Scale as a Vital Sign in the Psychiatric Emergency Service

  title={Using the Behavioural Activity Rating Scale as a Vital Sign in the Psychiatric Emergency Service},
  author={Scott A. Simpson and Marla Pidgeon and Kimberly D. Nordstrom},
Improving mental health care in the emergency department (ED) is an increasingly urgent issue. With a decline in inpatient psychiatric capacity and the outpatient mental health system “in tatters,” emergency rooms have become “epicenters for psychiatric and behavioral emergencies.”1 More than 12% of annual emergency department visits are for psychiatric reasons.1 Moreover, psychiatric diagnoses are disproportionately represented among patients with frequent ED utilization. Lengths of… 

Figures and Tables from this paper

Models of Emergency Psychiatric Services That Work

Decreases in hospital and residential treatment services coupled with an increase in the general population and its mental illness burden have created a public health crisis in emergency psychiatry.

A Free Online Video Series Teaching Verbal De-escalation for Agitated Patients

A video-based curriculum designed to teach medical students core principles in the management of agitation through verbal de-escalation is described, which is a promising tool for teaching skills to safely manage agitation.

Agitation and Dementia: Prevention and Treatment Strategies in Acute and Chronic Conditions

The present point of view aims at providing an extensive guide to facilitate the identification, prevention, and management of acute and chronic agitation in dementia patients.



An evidence-based clinical guideline for initial management of behavioral emergencies.

  • Ann H White
  • Medicine
    Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association
  • 2010

Emergency department mental health triage scales improve outcomes.

The need for the inclusion of clients' reactions to the impact of this change to service delivery in future evaluations is examined and a number of mental health triage scales that have been evaluated for use in emergency departments are reviewed.

The development and use of mental health triage scales in Australia.

A lack of equity remains in emergency departments in the provision of care to people with a mental illness who make up one in five of adult Australians, and consideration should be given to the introduction of a national approach to the use of a mental health triage scale in Australian emergency departments.

Violence, aggression and physical assault in healthcare settings.

  • T. Ferns
  • Medicine
    Nursing standard (Royal College of Nursing (Great Britain) : 1987)
  • 2006
How the terms violence, aggression and physical assault are conceptualised in the healthcare setting are considered and it is suggested that nursing staff need to identify and act on any incident that compromises their personal safety.

Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup

The proper foundations for appropriate training for de-escalation are detailed and intervention guidelines are provided, using the “10 domains of de- escalation,” to avoid coercive interventions that escalate agitation.

The culture of an emergency department: an ethnographic study.

Impact of hospital security programmes and workplace aggression on nurse perceptions of safety.

Several factors that influence nurses' perception of their risk of violence are not well correlated with their actual risk, and this study showed, for the first time, that these may differ from perceptions.