An agitated 31-year-old male is refusing to answer your questions, yelling, 'Leave me alone!' What should you do?

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The main idea is to de-escalate through calm, clear communication that shows you’re there to help. Telling him you’re trying to help conveys support and that you’re not a threat, which can reduce his defensiveness and open a path to cooperation. This approach respects his autonomy while you assess and address his needs, and it sets a foundation for safer interaction by using a steady voice, open posture, and simple, direct statements about what you’re doing and why. When he feels understood and less threatened, he’s more likely to engage and allow questions or basic assessment. Cuffing or threatening to restrain can heighten fear and aggression, and leaving the scene without offering care ignores his needs and safety, so they’re not appropriate first steps. The goal is to establish trust and safety so you can assess and help without escalating the situation.