Skip to main content
. 2017 Jul 31;2017(7):CD009377. doi: 10.1002/14651858.CD009377.pub3
Study Reason for exclusion
Addington 1996 Allocation: randomised.
 Participants: people with acute schizophrenia, but not specifically overtly aggressive.
Alexander 2004 Allocation: randomised.
Participants: acute agitation and dangerous behaviour.
Intervention: haloperidol + promethazine vs olanzapine, no haloperidol alone group.
Allen 2007 Allocation: not randomised, review.
Asadollahi 2015 Allocation: randomised.
Participants: psychotic disorders (N = 52), mood disorders (N = 23), cognitive impairment (N = 23), adjustment disorders (N = 17), others (infection, substance intoxication or withdrawal) (N = 35), and unknown aetiology (N = 10). Therefore, eligible patients are < 50% of the sample.
An attempt to contact the authors for partial outcomes was made (3rd July 2016).
Beasley 1998 Allocation: randomised.
Participants: people with first episode psychosis, but not specifically aggressive.
Bieniek 1998 Allocation: randomised.
Participants: newly admitted patients to a psychiatric emergency service who were uncooperative, threatening, and unresponsive to verbal interventions.
Intervention: haloperidol + lorazepam vs lorazepam, no haloperidol alone group.
Brook 1998 Allocation: randomised.
 Participants: people with acute psychosis, but not specifically aggressive.
Campbell 1982 Allocation: randomised.
Participants: children with aggressive behaviour, but the number of those with suspected psychosis < 50% of the sample.
Chen 2004 Allocation: quasi‐randomised.
Chen 2008 Allocation: quasi‐randomised.
Chouinard 1991 Allocation: randomised.
 Participants: people with acute psychosis, but not specifically aggressive.
Citrome 2001 Allocation: randomised.
 Participants: people with schizophrenia and persistent aggressive behaviour, not acute exacerbation of symptoms.
Colonna 1998 Allocation: randomised.
 Participants: people with acute schizophrenia, but not specifically aggressive.
Conde 2011 Allocation: randomised.
Participants: admitted patients to an emergency setting experiencing agitation associated with active psychosis; inpatients experiencing exacerbation or agitation with active psychosis.
Intervention: haloperidol + clonazepam vs risperidone + clonazepam, no haloperidol alone group.
Crandall 2005 Allocation: randomised.
Participants: people with chronic schizophrenia, acute exacerbation of symptoms, not specifically aggressive.
Currier 2000 Allocation: not randomised.
Daniel 2000 Allocation: not randomised, review.
Daniel 2003 Allocation: randomised.
Participants: people with acute schizophrenia, not acutely agitated or aggressive.
Daniel 2004 Allocation: randomised.
Participants: people with psychosis, not acutely agitated or aggressive.
Fan 2012 Quasi‐randomised controlled trial: "the participants were assigned by the order of admission".
Faretra 1970 Allocation: randomised.
Participants: children with suspected schizophrenia, not specifically aggressive.
Freeman 2009 Allocation: not randomised, retrospective case note study.
Goldstein 1966 Allocation: randomised.
Participants: people with acute psychosis, not aggressive.
Harvey 2004 Allocation: randomised.
Participants: people with mild symptoms of schizophrenia, not aggressive.
Huang 2004 Allocation: quasi‐randomised.
Jiang 2009 Quasi‐randomised controlled trial: "the participants were assigned by the order of admission".
Jones 2001 Allocation: not randomised, review.
Kane 2000 Allocation: randomised.
Participants: people with acute schizophrenia, not specifically aggressive.
Kinon 2001a Allocation: randomised.
 Participants: people with schizophrenia, but not specifically overtly aggressive.
Kinon 2003 Allocation: not randomised.
Krakowski 2006 Allocation: randomised.
Participants: people with schizophrenia and persistent aggressive behaviour, not an emergency situation.
Krakowski 2008 Allocation: randomised.
Participants: people with schizophrenia and persistent aggressive behaviour, not an emergency situation.
Lewis 2006 Allocation: randomised.
Participants: people with schizophrenia and persistent aggressive behaviour, not an emergency situation.
Li 2005 Allocation: randomised.
Participants: people with acute excitement in schizophrenia.
Intervention: haloperidol vs tiapride.
Outcome: there was no specific outcome for acute agitation (T1 at 7 days).
Li 2007 Allocation: quasi‐randomised.
Liang 2003 Quasi‐randomised controlled trials: "the participants were randomly assigned by the order of admission".
Liu 2012b Allocation: randomised.
Participants: people with schizophrenia and acute agitation.
Intervention: haloperidol vs modified electroconvulsive therapy (MECT), no comparison drug.
Mandel 2008 Allocation: randomised.
Participants: people with schizophrenia, not specifically aggressive.
Mantua 2006 Allocation: not randomised, naturalistic observational study.
McEvoy 1994 Allocation: randomised.
Participants: people with schizophrenia, not specifically aggressive.
Mendelowitz 2004 Allocation: not randomised, review.
NCT00189995 2005 Allocation: was to be randomised, but trial not conducted because ethics approval not granted.
NCT00631722 2008 Allocation: randomised.
Participants: people with acute schizophrenia, not specifically aggressive.
NCT00797277 2008 Allocation: randomised.
Participants: people with schizophrenia and agitation.
Intervention: haloperidol plus lorazepam vs olanzapine ‐ no haloperidol alone group.
Pan 2005 Allocation: quasi‐randomised.
Pathiraja 1995 Allocation: randomised.
Participants: people with schizophrenia, not specifically aggressive.
Pedros 2004 Allocation: not randomised ‐ cohort study.
Pei 2009 Quasi‐randomised controlled trial: "the participants were assigned by the order of admission".
Puech 1998 Allocation: randomised.
Participants: people with acute schizophrenia, not specifically aggressive.
Romeo 2009 Allocation: randomised.
Participants: people with intellectual disability and challenging behaviour, not psychosis‐induced aggression.
Simpson 2010 Allocation: randomised.
Participants: people with agitation in the emergency setting.
Intervention: haloperidol plus benztropine mesylate vs lorazepam vs quetiapine ‐ no haloperidol alone group.
Singh 1981 Allocation: not reported, described as double‐blind.
Participants: people with schizophrenia, not acute exacerbation of symptoms.
Smith 1974 Allocation: randomised.
Participants: people with senile psychosis, not specifically aggressive.
Srinath 2010 Allocation: randomised.
Participants: "patients who presented with acute psychotic agitation".
Intervention: haloperidol + promethazine vs lorazepam, no haloperidol alone group.
Teja 1975 Allocation: randomised.
Participants: people with chronic schizophrenia, not specifically aggressive.
Thomas 1992 Allocation: randomised.
Participants: violent and agitated people, mostly intoxicated, not necessarily psychosis‐induced aggression.
TREC CG Allocation: randomised.
Participants: acute agitation and dangerous behaviour.
Intervention: haloperidol + promethazine vs midazolam (no haloperidol alone group).
Ungvari 1982 Allocation: randomised.
Participants: people with acute schizophrenia, not specifically aggressive.
Vaisanen 1981 Allocation: randomised.
Participants: people with intellectual disability and agitation, not psychosis‐induced aggression.
Veser 2006 Allocation: randomised.
Participants: people with psychosis‐induced agitation, not specifically aggressive (exclusion criteria included an inability to give informed consent).
Vives 2015 Allocation: randomised.
Participants: agitated schizophrenic patients in the emergency setting.
Intervention: haloperidol intranasal vs haloperidol intramuscular, no other drugs except haloperidol.
Wan 2005 Allocation: randomised.
Participants: people with schizophrenia and agitation/aggression.
Intervention: haloperidol vs chlorpromazine vs risperidone + clonazepam.
Outcome: excitement and agitation scale (not validated), also the data for the haloperidol and chlorpromazine groups are combined.
Wang 2004 Allocation: quasi‐randomised.
Wang 2005 Allocation: quasi‐randomised.
Wyant 1990 Allocation: randomised.
 Participants: people with schizophrenia and acute agitation.
 Intervention: haloperidol vs sodium amytal vs midazolam.
 Outcome: modified CGI ‐ no usable data, presented in graphs, no binary data.
Zapletalek 1986 Allocation: not reported, described as double‐blind.
Participants: people with schizophrenia, not specifically aggressive.

CGI: Clinical Global Impression
 vs: versus