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Assaults on psychiatrists by patients
The American Journal of Psychiatry
|April 1, 1976
Summary
Psychiatrists reported patient assaults, often in high-risk settings or early career. Many felt they could have prevented these incidents, highlighting a need for violence management training.
Area of Science:
- Psychiatry
- Medical Sociology
Background:
- Patient-on-psychiatrist violence is a recognized occupational hazard.
- Understanding the prevalence and context of assaults is crucial for clinician safety.
Purpose of the Study:
- To survey psychiatrists on their experiences with patient assaults.
- To identify risk factors and potential preventative measures for assaults in psychiatric practice.
Main Methods:
- A survey was distributed to 115 psychiatrists.
- Data collected included the number of assaults, career stage, and work setting.
Main Results:
- 48 psychiatrists reported 68 assaults.
- Assaults were more common early in careers and in high-risk settings (prisons, ERs).
- Many psychiatrists believed they could have anticipated or influenced the assaults.
Conclusions:
- Psychiatrists may avoid confronting patient violence due to various factors.
- Clinicians need training in managing potentially assaultive patients to improve safety.