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Difficult and urgent situations 

Difficult and urgent situations
Difficult and urgent situations

David Semple

and Roger Smyth

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date: 27 July 2021

Covering difficult and emergency situations encountered in psychiatric practice, this chapter informs the reader how to deal with crisis situations. It includes suggestions for dealing with patients responding to paranoid delusions, antisocial or borderline traits, the depressed person, and those experiencing acute stress. A multidisciplinary approach to suicide attempts in hospital is detailed. Severe behavioural disturbance and guidelines for rapid tranquillization (RT) are also covered. Issues of child protection and how to deal with patients who are manipulative or act against medical advice, and common clinical scenarios are all discussed.

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