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{
    "pk": 19310,
    "title": "Psychiatric Evaluation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA Psychiatric Evaluation Workgroup",
    "subtitle": null,
    "abstract": "It is difficult to fully assess an agitated patient, and the complete psychiatric evaluation usually cannot be completed until the patient is calm enough to participate in a psychiatric interview. Nonetheless, emergency clinicians must perform an initial mental status screening to begin this process as soon as the agitated patient presents to an emergency service. For this reason, the psychiatric evaluation of the agitated patient can be thought of as a two-step process. First a brief evaluation must be aimed at determining the most likely cause of agitation, so as to guide preliminary interventions to calm the patient. Once the patient is calmed, more extensive psychiatric assessment can be completed. The goal of the emergency assessment of the psychiatric patient is not necessarily to obtain a definitive diagnosis. Rather, ascertaining a differential diagnosis, determining safety, and developing an appropriate treatment and disposition plan are the goals of the assessment. This article will summarize what components of the psychiatric assessment can and should be done at the time the agitated patient presents. The complete psychiatric evaluation of the patient whose agitation has been treated successfully is beyond the scope of this paper and Project BETA, but will be outlined briefly to give the reader an understanding of what a full psychiatric assessment would entail. Other issues related to the assessment of the agitated patient in the emergency setting will also be discussed. [West J Emerg Med. 2012;13(1):11–16.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "agitation"
        },
        {
            "word": "evaluation"
        },
        {
            "word": "Mental Health"
        },
        {
            "word": "psychiatric evaluation"
        },
        {
            "word": "psychiatric emergence"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Mental and Social Health Services and Allied Professions"
        }
    ],
    "section": "Behavioral Emergencies: Best Practices in Evaluation and Treatment of Agitation",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9t41z4rb",
    "frozenauthors": [
        {
            "first_name": "Keith",
            "middle_name": "R.",
            "last_name": "Stowell",
            "name_suffix": "",
            "institution": "University of Pittsburgh School of Medicine, Department of Psychiatry",
            "department": "None"
        },
        {
            "first_name": "Peter",
            "middle_name": "",
            "last_name": "Florence",
            "name_suffix": "",
            "institution": "Dalhousie University",
            "department": "None"
        },
        {
            "first_name": "Herbert",
            "middle_name": "J.",
            "last_name": "Harman",
            "name_suffix": "",
            "institution": "Carolinas Medical System",
            "department": "None"
        },
        {
            "first_name": "Rachel",
            "middle_name": "L.",
            "last_name": "Glick",
            "name_suffix": "",
            "institution": "University of Michigan School of Medicine",
            "department": "None"
        }
    ],
    "date_submitted": "2011-07-30T05:29:17Z",
    "date_accepted": "2011-07-30T05:29:17Z",
    "date_published": "2012-02-24T03:09:36Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/19310/galley/9554/download/"
        }
    ]
}