March 19, 2026 · Annals of emergency medicine · DOI: 10.1016/j.annemergmed.2026.01.021

Patterns of Intramuscular Chemical Sedation Use for Patients Receiving a Mental Health Consultation While in the Emergency Department

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The authors aimed to evaluate the characteristics and adverse outcomes associated with the use of intramuscular (IM) chemical sedation in emergency department patients receiving mental health consultations. They found that IM sedation was more frequently administered to Black patients, those arriving via Emergency Medical Services or law enforcement, and individuals placed on involuntary mental health holds. The study highlights the need for further investigation into the factors influencing the use of IM chemical sedation, including potential biases and comorbid conditions.

Suzanne C Lippert, Richie H Xu, Lue-Yen S Tucker, Daniel D DiLena, Adina S Rauchwerger, Juleon Rabbani, Mamata V Kene

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