How to Recognize the Warning Signs of Behavioral Escalations

From emergency departments to inpatient psychiatric units, the intensity of healthcare environments can lead to heightened emotions that trigger aggressive behaviors. 

Recognizing early warning signs of behavioral escalation is critical for preventing violence and ensuring the safety of staff, patients, and patients’ family members. 

By identifying behavioral cues, those who work in healthcare settings can intervene before situations spiral out of control. 

View our list of top warning signs that behaviors are escalating and may lead to violence: 

Verbal Cues: Verbal cues include the words that are said and how they are conveyed. Individuals may raise their voices or use rapid or pressured speech. An argumentative or confrontational tone can be another sign that behaviors are escalating. Profanity and threatening language can also signal that one may engage in violence.

Body Language: Body language can often signal problems. Even those who do not directly interact with the individual who is becoming agitated may notice pacing or other signs of restlessness, such as clenched fists or jaws. Individuals who are beginning to escalate may also invade others’ personal space. Aggressive gestures or posturing are also common.

Emotional Signs: Health systems can often be overwhelming for patients and their family members. Be aware of signs of frustration or extreme anxiety. Sudden mood swings can signal that someone is escalating. Withdrawal can signal that someone is shutting down and may need additional support because, when they begin to engage again, they may be more agitated than those who were able to stay present throughout their healthcare experience.

Behavioral Changes: Individuals who are unwilling to follow instructions or cooperate with their care teams may soon engage in behaviors that lead to violence. They may, for example, attempt to leave against medical advice and could throw or damage property in an effort to do so.