Key components of de-escalation techniques: A thematic synthesis

Owen Price, John Baker

    Research output: Contribution to journalArticlepeer-review

    Abstract

    De-escalation techniques are a highly recommended set of therapeutic interventions that are frequently used to prevent violence and aggression within mental health services. A thematic synthesis literature review identified 11 international papers. Seven themes emerged from the data synthesis. The first three related broadly to staff skills, including: characteristics of effective de-escalators, maintaining personal control, and verbal and non-verbal skills. The last four relate to the process of intervening and include: engaging with the patient, when to intervene, ensuring safe conditions for de-escalation, and strategies for de-escalation (including two sub-themes, autonomy confirming interventions, and limit-setting and authoritative interventions). De-escalation techniques are an example of a complex intervention, which has been overlooked by rigorous research, and it is often assumed that staff are able to perform these techniques in clinical practice. © 2012 The Authors. International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc..
    Original languageEnglish
    Pages (from-to)310-319
    Number of pages9
    JournalInternational Journal of Mental Health Nursing
    Volume21
    Issue number4
    DOIs
    Publication statusPublished - Aug 2012

    Keywords

    • De-escalation techniques
    • Literature review
    • Nursing interventions
    • Violence and aggression management

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