Keywords
De-escalation techniques intervention
Violent behaviors
BVC
Submitted : 2025-06-17
Accepted : 2025-07-02
Published : 2025-07-17
Abstract
Objective: To analyze the impact of de-escalation techniques in reducing violent behaviors in the nursing management of mental disorder patients in outpatient clinics. Methods: A total of 214 mental disorder patients who visited the clinic from June 2024 to November 2024 were selected as samples. 107 patients admitted from June to August were assigned to the control group, and 107 patients admitted from September to November were assigned to the study group. The study group received de-escalation intervention, while the control group received routine intervention. Both groups were evaluated using the Chinese version of the Brøset Violence Checklist (BVC) to compare the incidence of violent attack behaviors, BVC risk proportion, and the satisfaction of escort unit staff towards outpatient clinic staff before and after intervention. Results: The incidence of violent attack behaviors in the study group was lower than that in the control group, but there was no significant difference (P > 0.05). There was no difference in BVC risk level between the study group before intervention and the control group (P > 0.05). The BVC risk level in the study group after intervention was lower than that in the control group (P < 0.05). The BVC risk level in the study group after intervention was lower than that before intervention (P < 0.05). The satisfaction of the escort unit staff in the study group was higher than that in the control group (P < 0.05). Conclusion: The application of de-escalation techniques in the nursing management of mental disorder patients in outpatient clinics, combined with targeted management based on BVC assessment, can effectively reduce violent behaviors and lower the risk of violence occurrence.
References
Luo GQ, Feng ZM, 2024, The Effect of Emotional Control Intervention on Improving Violent Behavior in Male Patients with Mental Disorders. Chinese Scientific and Technological Journal Database (Citation Edition) Medicine and Health, 2024(12): 21–24.
Xu SH, Gao ZX, Xu BX, 1993, Practice of Classification and Diagnostic Criteria of Mental Disorders in China. Chinese Journal of Neurology and Psychiatry, 19(1): 59–60.
Peng AQ, Wang L, Zhang Y, 2022, Application of Violence De-escalation Skills Training Based on the Violence De-escalation Technology Model in Psychiatry. Modern Nurse (Late Edition), 29(8): 155–159.
Xiang L, Lin CQ, Lu WY, et al., 2023, Observation on the Application Effect of the Chinese Version of the Broset Violence Risk Assessment in Receiving Stray Patients with Mental Disorders. Frontiers in Medicine, 13(5): 10–12.
Guo J, Wang Y, 2024, Application of Graded Intervention Based on Violence Risk Assessment Combined with Cognitive Behavioral Therapy in Patients with Mental Disorders. Nursing of Integrated Traditional Chinese and Western Medicine (Chinese and English), 10(8): 112–114.
Pan ZJ, Li SR, Shi CX, 2019, Validity and reliability of the Chinese version of the Broset Violence Risk Assessment Scale for Evaluating Severe Mental Disorders in Children and Adolescents. Chinese Journal of Mental Health, 33(8): 618–622.
Yang QH, Xiao Y, Liao YN, et al., 2019, Analysis of the Application Effect of the Chinese Version of the Attack Risk Screening Scale in Community Patients with Mental Disorders. Chinese Journal of Modern Nursing, 25(15): 1909–1913.
Liu Q, Li XL, 2024, A Retrospective Study on the Effects of Risk Assessment and Targeted Nursing on the Psychological State and Incidence of Violent Events in Hospitalized Patients with Mental Disorders. Guide of China Medicine, 22(10): 146–148.
Xiang F, Zheng SF, Feng MM, et al., 2023, Analysis of the Effect of Applying Violence Skills Training to Improve the Violence Prevention and Response Ability of Psychiatric Nurses. Medical Theory and Practice, 36(3): 532–534.
Zhao P, Gao LN, Li J, et al., 2023, Application Effect of Standard Violence Handling Operating Procedures in Patients with Violent Behavior in Psychiatric Hospital Outpatient Clinics. Chinese Community Doctors, 39(19): 135–137.