Chapter 50. The Agitated Patient

  1. Brian H. Rowe MD, MSc, CCFP(EM), FCCP Professor Research Director
  1. Michael S. Radeos MD Research Director1 and
  2. Edwin D. Boudreaux PhD Research Director2

Published Online: 27 FEB 2009

DOI: 10.1002/9781444303674.ch50

Evidence-Based Emergency Medicine

Evidence-Based Emergency Medicine

How to Cite

Radeos, M. S. and Boudreaux, E. D. (2008) The Agitated Patient, in Evidence-Based Emergency Medicine (ed B. H. Rowe), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303674.ch50

Editor Information

  1. Department of Emergency Medicine, University of Alberta, Edmonton, Alberta, Canada

Author Information

  1. 1

    Department of Emergency Medicine, New York Hospital Queens, Flushing, New York, USA

  2. 2

    Department of Emergency Medicine, Cooper University Hospital, Camden, New Jersey, USA

Publication History

  1. Published Online: 27 FEB 2009
  2. Published Print: 31 OCT 2008

ISBN Information

Print ISBN: 9781405161435

Online ISBN: 9781444303674



  • agitated patient;
  • Consensus guidelines promulgated by American College of Emergency Physicians (ACEP);
  • physical and/or chemical restraints - major issue for health care;
  • behavioral and historical factors associated with depression;
  • mnemonics for assessing patients in ED with suicidal ideation;
  • Mnemonics - MASSALAD (mental status, affect, sex, supports, age, attempt, losses, alcohol and drugs) and SADPERSONS;
  • Manchester Self Harm Rule;
  • Cochrane Library, EMBASE (1980–2007) and MEDLINE (PubMed, 1950–2007): psychiatr* AND medical clearance;
  • Cochrane Library and MEDLINE (PubMed, 1950–2007): depression AND screening AND (emergency OR recidivism)


This chapter contains sections titled:

  • Case scenario

  • Background

  • Clinical questions

  • General search strategy

  • Critical review of the literature

  • Conclusions

  • Conflicts of interest

  • References