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Threats and assaults against psychiatrists
L R Faulkner1, N R Grimm, B H McFarland
1Oregon Health Sciences University, Portland 97201.
The Bulletin of the American Academy of Psychiatry and the Law
|January 1, 1990
Summary
Psychiatrists frequently face patient threats and assaults across various settings, despite having limited personal experience with aggression. This study offers strategies for minimizing harm and improving support for psychiatrists dealing with patient violence.
Area of Science:
- Psychiatry
- Clinical Psychology
- Medical Sociology
Background:
- Patient violence poses a significant risk in psychiatric practice.
- Previous literature highlights the prevalence of threats and assaults against psychiatrists.
- Understanding the frequency and context of these incidents is crucial for clinician safety.
Purpose of the Study:
- To review existing literature on threats and assaults targeting psychiatrists.
- To report findings from a survey of Oregon psychiatrists regarding their experiences with patient aggression.
- To identify strategies for mitigating the impact of patient threats and assaults.
Main Methods:
- Literature review of surveys on psychiatrist threats and assaults.
- Distribution and analysis of a questionnaire to psychiatrists in Oregon.
- Assessment of the frequency, settings, and patient types involved in aggressive incidents.
Main Results:
- Surveyed psychiatrists, despite clinical experience, reported limited personal aggression exposure.
- Threats and assaults were common occurrences throughout their careers.
- Incidents happened in diverse clinical environments and involved various patient demographics.
Conclusions:
- Psychiatrists encounter frequent patient aggression, necessitating safety strategies.
- Organized psychiatry has a role in addressing the risks and consequences of patient violence.
- Implementing protective measures and support systems is vital for clinician well-being.