The 12-month prevalence of patient-initiated aggression against psychiatrists: a New Zealand national survey

Int J Psychiatry Med. 2009;39(1):79-87. doi: 10.2190/PM.39.1.f.

Abstract

Objectives: We surveyed the prevalence of various types of threats or assaults by patients against psychiatrists and determined the impact of the most distressing event.

Method: An anonymous questionnaire was mailed to all 308 vocationally registered psychiatrists practicing in New Zealand.

Results: A response rate of 63.9% (n = 197) was obtained. In the preceding 12 months, as many as 46% (n = 89) of respondents had been verbally threatened and 39% (n = 76) had been physically intimidated by patients. In addition 16% (n = 32) had been assaulted without requiring medical attention, 14% (n = 27) had been harassed through formal complaint mechanisms, 10% (n = 20) had been sexually harassed, and 5% (n = 9) had been stalked. As indicated by responses on the Impact of Event Scale, only one-third of the psychiatrists had any symptoms related to the most distressing event and only two had symptoms that might be associated with clinically significant levels of distress.

Conclusions: The prevalence of these events suggest a need for the development and evaluation of preventive interventions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aggression / psychology*
  • Cross-Sectional Studies
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • New Zealand
  • Occupational Diseases / diagnosis
  • Occupational Diseases / epidemiology
  • Occupational Diseases / psychology
  • Physician-Patient Relations*
  • Psychiatry / statistics & numerical data*
  • Sexual Harassment
  • Social Behavior
  • Stalking / epidemiology
  • Stalking / psychology
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / psychology
  • Surveys and Questionnaires
  • Violence / psychology
  • Violence / statistics & numerical data