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The role of electroconvulsive therapy in the treatment of aggression in psychiatry: A literature Review

Published online by Cambridge University Press:  26 August 2025

A. Rami
A. Rami*
Affiliation:
Razi Hospital, Manouba, Tunisia

Abstract

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Introduction

Electroconvulsive therapy (ECT) has gained increasing attention as a therapeutic option for managing aggressive behavior in psychiatric patients. Aggression is a common symptom in several psychiatric disorders, such as schizophrenia, bipolar disorder, and severe depression, which can be resistant to conventional pharmacological treatments.

Objectives

This literature review examines the efficacy and safety of ECT in reducing aggression across various psychiatric populations.

Methods

We have conducted a web resurch on Pubmed for articles published in the last ten years about the topic using key words like “agression”, “ECT”.

Results

Evidence suggests that ECT can be particularly effective in cases where patients do not respond to medications or display dangerous behaviors. Significant reductions in aggression have been reported post-ECT, along with improvements in mood and overall functioning.

Conclusions

Although ECT remains controversial due to concerns about cognitive side effects, advancements in its application have enhanced its safety. This review emphasizes the need for further.

Disclosure of Interest

None Declared

Information

Type
Abstract
Information
European Psychiatry , Volume 68 , Special Issue S1: Abstracts of the 33rd European Congress of Psychiatry , April 2025 , pp. S1053
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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