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    KEYWORD(AGGRESSIVE BEHAVIOUR, EARLY DETE

    STRATEGIC INTERVIEWING)

    BY 

    MUHAMMAD FAISAL AL MUSTAFA

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      Aggression  is "the !!#!$ti%e &eh!

    hi*h e!#s t' the #!!+e ' #est*ti's'e +'! e-tit/01 (Alia-Klein et al., 2008). M!-/ &eh!%i's !e !++essi%e e%e- th'the/ #' -'t i-%'%e $h/si*! i-2/0

      Ve&! !++essi'- is '-e e3!$e0 Ot

    i-*#e *'e*i'-, i-tii#!ti'-, $ee#it!te# s'*i! 'st!*is '. 't(Lewis, 2005).

    I-t'#*ti'-

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    ASSESSMENT

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    •Patient assessment involves:

    (1)the gathering of information about p

    current behavior from the patient, hecare providers, family, and friends

    (2)a review of past treatment (successfunsuccessful)

    (3)a clinical examination of the patient time

    • !n the assessment of a patient who is acute

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    • !n the assessment of a patient who is acuteagitated and whose history is un"nown, atteare made to rule out somatic conditions thare#uire emergency treatment

    • $nce the patient is under behavioral controfurther medical and psychiatric wor"ups canaccomplished

    • %echanical restraints may be necessary to

    agitated patients from in&uring themselves oothers while the medical wor"up is beingconducted 'or patients who are acutely agand for whom the episode is one of many, tacute episode is managed, and, subse#uent

    is devoted to strategies designed to reduce

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    • !ncluded in a physical examination should be a tmental status examination

    • ey elements include an assessment of aect an

    thought content, especially hallucinations, delussuicidal ideation, and homicidal ideation

    • *n assessment of orientation and memory is alsfor establishing a dierential diagnosis +isorienmay be the rst clue that an underlying somaticcondition is altering the patient-s mental status

    • .are must be ta"en to not miss comorbid

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    .are must be ta"en to not miss comorbidconditions that may manifest as acute intoxor withdrawal, such as alcohol or sedative adependence

    • * concomitant sei/ure disorder may compliclinical picture, especially if neuroleptic theappears to worsen the condition

    • *dverse drug eects, such as a"athisia, ma

    as stimuli for stri"ing out• *ntisocial personality traits may be the mosimportant factor in some instances of patieviolence in which goal0directed behavior, suextortion of money or cigarettes, is evident

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