Excited Delirium - The Controversy Continues

Sandy Schilling — Wed, 03 Oct 2007 19:26:00 GMT

We are hearing more and more about the phenomenon of excited delirium. This most often involves an inmate who displays bizarre behavior, is highly agitated (may be under the influence of stimulants), there is force used by correctional staff, and after the inmate is subdued he suddenly dies. Sometimes the use of force involves an electronic control devise. The American Medical Association (AMA) does not recognize this as a medical or psychiatric diagnosis; however, it is recognized by the the National Association of Medical Examiners.

National Public Radio (NPR) did a story, "Death by Excited Delirium: Diagnosis or Coverup?" based on a Cincinnati police excited delirium case. The Institute for the Prevention of In-Custody Deaths has posted an article, "Excited Delirium: What Every Chief Needs to Know" by John G. Peters, Jr., Ph.D. This article lists the signs of excited delirium including physical characteristics, psychological, communication and physical behaviors. In a recent presentation at the NIC Large Jail Network by Don Leach, Ph.D., he listed these suggestions on what you can do about excited delirium: look for the signs, have medical staff immediately available, consider alternatives to electronic control devices, prepare for the worst case scenario, and document all actions.

Today's Jails : Excited Delirium

Excited Delirium - The Controversy Continues