The interest of educational programs concerning crisis intervention in the managament violent behaviour remains a challenge for emergencies departments. A preliminary study done in Geneva (Caihol et al., 2007) showed a significant reduction in violent behavior during 5 months in emergency psychiatry, after the introduction of a specific educational program. The aim of this study was to evaluate the impact of a specific staff educational crisis intervention on managing violent behaviour after the end of the 5 month planned study. Thus, two year after the initial study, we re-evaluated the impact of the educational program by another project focusing on the management of agitation in emergency. We included all patients admitted in emergency during a same 5-month period (N= around 2000 patients), in order to determine if the promising initial published data could be extended on long term? The percentage of patients with violent behaviour will be compared with the data of the previous study, before and after educational programs. The results will be correlated with different factors which could influence the data: sociodemographic factors, diagnosis, staff characteristics.

Cailhol L, Allen M, Moncany AH, Cicotti A, Virgillito S, Barbe RP, Lazignac C, Damsa C. Violent behavior of patients admitted in emergency following drug suicidal attempt: a specific staff educational crisis intervention. Gen Hosp Psychiatry 2007;29: 42-44.