Verbal de-escalation techniques have been shown to decrease agitation and reduce the potential for associated violence in the emergency setting .
OBJECTIVE To present the essential guidelines for non-pharmacological management of patients with psychomotor agitation in Brazil .
Reliability of the Brazilian version of HCR-20 Assessing Risk for Violence.
OBJECTIVE Assessing risk for violence is a complex task often based on not objective or structured clinical evaluations . HCR-20 Assessing Risk for Violence has been used in several countries to increase the accuracy of this exam . The purpose of this study was to inform on central aspects of this instrument , as well as the results of the reliability assessment of the HCR-20 Assessing Risk for Violence in a Brazilian inpatient criminal population . METHOD Two examiners independently assessed a r and om sample of 30 patients that were under criminal commitment at the Mauricio Cardoso Forensic Psychiatric Institute RESULTS Mean consensus values means were as follows : Historical = 13.1 ; Clinical = 4.8 and Risk management = 5.8 . The value of the Intraclass Correlation Coefficient for the score of subscale Historical was 0.97 , for subscale Clinical it was 0.94 , and for subscale Risk management , 0.96 . As to the individual items of the HCR-20 Assessing Risk for Violence , the result of the Intraclass Correlation Coefficient was good to excellent ( mean = 0.97 ; interval , from 0.60 to 0.99 ) . CONCLUSION The interrater reliability of the Brazilian version of the  HCR-20 Assessing Risk for Violence scale was similar to the results of studies in other countries
Verbal de-escalation techniques have been shown to decrease agitation and reduce the potential for associated violence in the emergency setting .
OBJECTIVE To present the essential guidelines for non-pharmacological management of patients with psychomotor agitation in Brazil .