Skip to main content

Hacks for Recognizing the Physical Signs of Escalation

Most of us are relatively familiar with the physical signs of escalation, but they include a few you may be less familiar with, including:

  • Pacing
  • Sweating
  • Shaking
  • Clenched fist or jaw.
  • General restlessness.
  • Rapid breathing.
  • Aggressive or defensive postures, including stiff body language, crossed arms, stepping back, or staring people down.

Featured Hacks

These featured hacks highlight creative, practical solutions from harm reduction leaders on the ground. From DIY tools to clever workarounds, each one reflects the ingenuity, care, and real-world experience that keeps this movement alive. 

Medical gloves should be worn whenever handling exposed or used supplies, especially those that might be used to prepare or use injection drugs such as syringes, cottons, cookers, tourniquets, and ascorbic acid. Gloves should be changed often, especially between activities or participants.
These principles were developed over a period of about four years in the 1990s amid much debate among early harm reductionists, who came to consensus on these enduring principles of harm reduction.