Abstract Violence, aggression, and agitation are widely reported in both psychiatric and general hospital settings and are challenging clinical scenarios. A stepwise approach beginning with verbal de-escalation progressing to other measures such as medication, constant observation, and restraints is a standard approach with variable efficacy. Another approach to the management of agitation and aggression in the hospital setting is the inclusion of trained security dogs. Here we present a case in which inclusion of a trained dog assisted in crisis de-escalation. This case provides one example of the utility of such canine units. Future exploration including randomized control trials would help clarify the potential of canine units to enhance safety in acute psychiatric care and assess their cost-effectiveness.

中文翻译：

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在情绪激动的患者降级中使用安全犬

摘要 暴力、攻击性和激动在精神病院和综合医院环境中被广泛报道，并且是具有挑战性的临床场景。从口头降级开始逐步发展到其他措施（例如药物治疗、持续观察和约束）是一种具有可变功效的标准方法。在医院环境中管理躁动和攻击性的另一种方法是使用训练有素的保安犬。在这里，我们提出了一个案例，其中包含训练有素的狗有助于危机降级。这个案例提供了这种犬齿单元的实用性的一个例子。包括随机对照试验在内的未来探索将有助于阐明犬科单位在提高急性精神科护理安全性和评估其成本效益方面的潜力。