RESUMO
No one drug is specific for the management of violent behavior. Rather, the pharmacologic treatment of aggression is best approached by identifying and treating the underlying psychopathology, with the expectation that the violent behavior will resolve secondarily. Pharmacologic management is probably most successful when other treatment modalities such as family, group, and individual psychotherapies are used concurrently.
Assuntos
Agressão/efeitos dos fármacos , Violência , Anticonvulsivantes/uso terapêutico , Antipsicóticos/uso terapêutico , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Benzodiazepinas/uso terapêutico , Transtornos Cognitivos/tratamento farmacológico , Intervenção em Crise , Distonia/induzido quimicamente , Serviços de Emergência Psiquiátrica , Haloperidol/efeitos adversos , Haloperidol/uso terapêutico , Humanos , Transtornos do Humor/tratamento farmacológico , Transtornos Neurocognitivos/tratamento farmacológico , Transtornos da Personalidade/tratamento farmacológico , Fenciclidina/intoxicaçãoRESUMO
Self-inflicted gunshot wounds are the commonest form of suicide in this country. Seventeen individuals with such injuries were admitted to a trauma center over a 3-month period. Review of their records showed that psychiatric consultation was requested for only nine of the 13 patients who survived their wounds. Information on alcohol use was missing from half the case records and only six of the 13 survivors received psychiatric care after discharge. Use of guns in suicide attempts may evoke strong feelings in health care providers, resulting in omissions in history taking, evaluation, and follow-up.
