Updated medical guidance reject 'excited delirium' to prevent misuse in police custody cases

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Updated medical guidance on excited delirium, the controversial term accused of covering up deaths in police custody, including that of George Floyd, is being brought forward before its scheduled date of October 2025, reports The BMJ today.

May 20 2024BMJ Updated medical guidance on excited delirium, the controversial term accused of covering up deaths in police custody, including that of George Floyd, is being brought forward before its scheduled date of October 2025, reports The BMJ today.

Yet it and a related term more common in the UK, "acute behavioral disturbance" , have been mentioned as a cause of death or contributing factor in 44 cases of UK police restraint since 2005, according to an investigation published in March 2024 by the charity Inquest, the Royal College of Psychiatrists and the Observer.

The guidance, produced by the Faculty of Forensic & Legal Medicine , part of the Royal College of Physicians, is used to inform police forces' handling of suspects in custody. There is also another reason why it's such a controversial diagnosis, says MacCabe: it seems to be predominantly applied to black people.

The IOPC said in a statement: "We have decided to stop using the term 'excited delirium' as we recognize that it is language that is outdated and potentially offensive. We have removed it from IOPC forms that police forces use to make referrals to us and will not use the term as an option for categorizing our investigations."

 

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