Psychotropic drugs given for aggressive incidents in a special hospital
Titel:
Psychotropic drugs given for aggressive incidents in a special hospital
Auteur:
Tuddenham, Laurence Logan, Jean
Verschenen in:
The journal of forensic psychiatry & psychology
Paginering:
Jaargang 16 (2005) nr. 1 pagina's 85-91
Jaar:
2005-03
Inhoud:
This study describes the medication used for the management of aggressive incidents in the State Hospital, Carstairs, the Special Hospital covering Scotland and Northern Ireland. Drug charts were examined to determine the types and doses of drug used during aggressive incidents over a 6 month period in 2000 on one male and one female ward. A total of 189 aggressive incidents were recorded, and 103 incidents (54% of the total) necessitated the administration of tranquillizing drugs. Female patients were involved in 83% of the incidents. A subgroup of four female patients were responsible for 53% of the incidents. Oral medication alone was given in 50% of incidents, and intramuscular medication alone was given in 45% of incidents. In 20% of the incidents, two drugs were used. Zuclopenthixol acetate was used in one incident only. No drugs were given intravenously, which may represent a significant change in practice in the last 10 years. Chlorpromazine was the most frequently used drug, and was given 77 times. Reasons for the low use of drugs per incident, and the non-use of intravenous medication are discussed, including the increasing awareness of sudden death in patients taking antipsychotics.
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