title: Violent behavior of patients admitted in emergency following drug suicidal attempt: a specific staff educational crisis intervention.
abstract: OBJECTIVE
  In spite of much effort to create guidelines on the management of violent behavior (VB) in emergency departments, little is known about the impact of such guidelines on a real-life emergency environment. The aim of this study is to investigate the impact of a staff educational crisis intervention (SECI) on the reduction of VB in patients admitted to emergency departments following drug suicidal attempt.
  
  
  METHODS
  The impact of a SECI on VB of patient consulting the ER following a drug suicide attempt was assessed by comparing the occurrence of VB before (5 months) and after (5 months) the introduction of a SECI.
  
  
  RESULTS
  A significant reduction in VB (from 17.32% to 7.14%) was found with the comparison of two 5-month periods: before (254 patients) and after (224 patients) the introduction of a SECI program (chi(2)=11.238; P=.0008).
  
  
  CONCLUSIONS
  These preliminary data suggest the need for further prospective randomized studies aiming to prevent VB in emergency departments by developing specific SECI programs.
authors.affiliation: Service d'accueil d'urgence et de liaison psychiatrique, Cantonal University Hospital Geneva, 24 rue Micheli-du-Crest, Universitary Hospital Geneva 24, 1211 Geneva, Switzerland.
authors.forename: Lionel
authors.initials: L
authors.lastname: Cailhol
authors.forename: Michael
authors.initials: M
authors.lastname: Allen
authors.forename: Anne-Hélène
authors.initials: AH
authors.lastname: Moncany
authors.forename: Andrei
authors.initials: A
authors.lastname: Cicotti
authors.forename: Salvatore
authors.initials: S
authors.lastname: Virgillito
authors.forename: Rémy P
authors.initials: RP
authors.lastname: Barbe
authors.forename: Coralie
authors.initials: C
authors.lastname: Lazignac
authors.forename: Cristian
authors.initials: C
authors.lastname: Damsa
mesh_terms: D003419:Crisis Intervention / Q000379:methods*; D062787:Drug Overdose; D004637:Emergency Services, Psychiatric; D006282:Health Personnel / Q000193:education*; D006801:Humans; D009294:Narcotics / Q000493:pharmacokinetics*; D010343:Patient Admission; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D013406:Suicide, Attempted / Q000523:psychology*; D014754:Violence / Q000523:psychology*
chemical_list: D009294:Narcotics