What is the recommended role of security in aggression management?

• A. Involve security as the first response
• B. Involve security only as a last resort after de-escalation
• C. Do not involve security
• D. Involve security whenever there is any agitation

Answer: (B)

The key idea is to manage aggression with the least restrictive approach by using de-escalation first and bringing in security only when necessary to ensure safety. De-escalation techniques aim to calm the situation, reduce arousal, and preserve the therapeutic relationship, so the person can be treated without coercion. Security involvement is most appropriate as a last resort after de-escalation efforts have been attempted and there is persistent risk of harm to the person or others. Involving security too early can feel confrontational, erode trust, and make it harder to regain cooperation, which is why they should not be the first response. When security is needed, use a planned, brief intervention with clear roles, and continue to prioritize safety, proportionality, and the person’s rights. If the person calms, security can step back and care can resume normally, with documentation and a review to prevent future escalations.