Keywords
Schizophrenia
Violent events
Submitted : 2025-08-13
Accepted : 2025-08-28
Published : 2025-09-12
Abstract
Objective: To evaluate the effect of de-escalation technique intervention on the prevention and treatment of violent events in schizophrenia (SCH). Methods: 120 patients with SCH who were admitted to the hospital from January 2024 to December 2024 were selected. Based on the time of admission, the reference group consisted of 60 patients admitted from January to June 2024, who received routine intervention. The experimental group consisted of 60 patients admitted from July to December 2024, who received the de-escalation technique intervention. Both groups were evaluated using the Chinese version of the Broset Violence Checklist (BVC) to compare the incidence of violent behavior and BVC risk levels before and after intervention. Results: The incidence of violent events in the experimental group was lower than that in the reference group, and the violence risk level was lower than that in the reference group (P < 0.05). Conclusion: Adopting the de-escalation technique intervention for patients with SCH can prevent violent events, reduce patients’ violence risk level, and improve their disease symptoms and quality of life.
References
Tang SH, Huang ML, Peng XJ, et al., 2022, The Influence of De-escalation Skills Intervention on Violent Incidents in Patients with Schizophrenia. Modern Nurse (Late Edition), 29(10): 84–88.
Xia ZC, Ye JR, Xiao AX, et al., 2020, The Effect of Solution-focused De-escalation Skills Training on Reducing the Use of Protective Restraints in Psychiatric Patients. Nursing Research, 34(23): 4248–4251.
Chen WH, Ye JR, Xiao AX, et al., 2021, Applied Research on De-escalation Skills Training to Reduce Physical Restraints in Psychiatric Hospitals. World Latest Medicine Information, 21(79): 29–34.
Gu YH, Li ZQ, Yang SX, 2024, The Influence of the Information-motivation-behavioral Skills Nursing Model on Self-efficacy and Self-care Ability of Patients with Schizophrenia. Journal of Shanxi Health Vocational College, 34(1): 175–177.
He GC, Mi L, Li F, et al., 2021, Effects of Intensive Psychological Intervention Combined with Skilled Language Communication on Cognition, Communication, and Quality of Life of Patients with Schizophrenia during Rehabilitation. Journal of North Sichuan Medical College, 36(10): 1395–1398.
Li DY, Liu CM, Wang MZ, et al., 2021, Correlation Analysis between Violent Behavior and Event-related Potential P300 in Patients with Schizophrenia. Chinese Journal of Behavioral Medicine and Brain Science, 30(8): 722–727.
Zhao HY, Shi CY, Wang Q, et al., 2023, Study on the Value Of V-RISK-10 Combined with P300 Detection in Predicting Violent Behavior in Patients with Schizophrenia. Journal of Psychiatry, 36(5): 492–495.
Wang SY, Wei W, 2021, Effect of Group-based Diversified Art Intervention on Communication, Interaction Skills, and Social Functional Deficits in Patients with Schizophrenia. Chinese Remedies & Clinics, 21(13): 2382–2384.
Zu FY, Zhang YH, Chen ZH, et al., 2020, Evaluation of the Effect of Preventing Violent Behavior among Hospitalized Patients with Schizophrenia Based on the HFMEA Model. Chinese Nursing Management, 20(5): 780–786.
Jing R, Fu JY, Fan YY, 2024, The Effect of Group Multi-task Therapy on Communication and Interaction Skills in Patients with Schizophrenia. International Journal of Psychiatry, 51(3): 948–950.