I selected negotiation to de-escalate the situation and safeguard patient welfare while minimizing the risk of harm, disruption of care, and resource escalation. Establishing dialogue increases the likelihood of voluntary compliance, reveals critical context (intent, constraints, clinical needs), and buys time to coordinate contingency measures without provoking confrontation. Alternative options (immediate physical intervention, chemical restraint, or a hard lockdown) carried higher risks of injury, deterioration of trust, and operational delays, and were not warranted in the absence of an imminent lethal threat. The setting supported a negotiation-first approach (secured perimeter, stable patient status, available communication channel, trained staff) and aligns with our de-escalation protocols and facility security policy.