Patient assaults on psychiatry residents: Results of a national survey.

Sansone, Randy A.; Taylor, Steven B.; Gaither, George A.

doi:10.1177/153476560200800404

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…45,48 Data from a national survey of U.S. psychiatry residents indicated that 2.5% of residents are assaulted by a patient each year. 50 An estimated 21%-42% of psychiatrists are physically assaulted by patients during their careers. [51][52][53] Other patients may also be the victims of patient assault in psychiatric inpatient settings.…”

Section: Situational Antecedentsmentioning

confidence: 99%

Agitation in the Inpatient Psychiatric Setting

Hankin¹,

Bronstone²,

Koran

2011

Journal of Psychiatric Practice

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Agitation among psychiatric inpatients (particularly those diagnosed with schizophrenia or bipolar disorder) is common and, unless recognized early and managed effectively, can rapidly escalate to potentially dangerous behaviors, including physical violence. Inpatient aggression and violence have substantial adverse psychological and physical consequences for both patients and providers, and they are costly to the healthcare system. In contrast to the commonly held view that inpatient violence occurs without warning or can be predicted by "static" risk factors, such as patient demographics or clinical characteristics, research indicates that violence is usually preceded by observable behaviors, especially non-violent agitation. When agitation is recognized, staff should employ nonpharmacological de-escalation strategies and, if the behavior continues, offer pharmacological treatment to calm patients rapidly. Given the poor therapeutic efficacy and potential for adverse events associated with physical restraint and seclusion, and the potential adverse sequelae of involuntary drug treatment, these interventions should be considered last resorts. Pharmacological agents used to treat agitation include benzodiazepines and first- and second-generation antipsychotic drugs. Although no currently available agent is ideal, recommendations for selecting among them are provided. There remains an unmet need for a non-invasive and rapidly acting agent that effectively calms without excessively sedating patients, addresses the patient's underlying psychiatric symptoms, and is reasonably safe and tolerable. A treatment with these characteristics could substantially reduce the clinical and economic burden of agitation in the inpatient psychiatric setting.

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Section: Situational Antecedentsmentioning

confidence: 99%

Agitation in the Inpatient Psychiatric Setting

Hankin¹,

Bronstone²,

Koran

2011

Journal of Psychiatric Practice

View full text Add to dashboard Cite

show abstract

“…Second, only 3 of 7 studies have been undertaken in the United States, and all of these have consisted of psychiatry samples. 3,6,7 Finally, and perhaps most importantly, no study to date has explored whether maltreatment by patients actually results in psychological symptoms in physicians, specifically posttraumatic stress disorder (PTSD).…”

mentioning

confidence: 99%

“…Coverdale and colleagues 2 surveyed 135 New Zealand residents in the fields of psychiatry, general medicine, surgery, and obstetrics/gynecology; 67% reported verbal threats by patients, 54% reported physical intimidation, 41% reported the observation of damage to the treatment facility, and 39% reported physical assaults. Finally, Sansone and colleagues 3 surveyed training directors of U.S. psychiatry programs and determined a mean of 1.26 physical attacks on residents per program during a 2-year study period.…”

mentioning

confidence: 99%