Survey of threats and assaults by patients on psychiatry residents

Yael Dvir, University of Massachusetts Medical School
Emiko Moniwa, University of Toronto
Holly Crisp-Han, Baylor College of Medicine
Dana Levy, University of California - Los Angeles
John H. Coverdale, Baylor College of Medicine

Abstract

OBJECTIVE: The authors sought to determine the prevalence of threats and assaults by patients on psychiatry residents, their consequences, and the perceived adequacy of supports and institutional responses.

METHOD: Authors conducted an anonymous survey of 519 psychiatry residents in 13 psychiatry programs across the United States. The survey questionnaire inquired about residents' experiences of threats and assaults by patients during their residency training.

RESULTS: The response rate for this survey was 39% (N=204). Residents were most commonly threatened (N=175; 86%), physically intimidated (N=145; 71%) or received unwanted advances (N=118; 58%). One-quarter (N=51; 25%) were physically assaulted. Most of the incidents occurred in inpatient settings (N=92; 45%).

CONCLUSION: This study, like previous studies on this topic, calls attention to the high number of residents that are affected by violence during their training, and it underscores the need to protect the safety of psychiatry residents and to support those who have been victimized.