Flannery Raymond B, Marks Louise, Laudani Lisa, Walker Andrew P
Massachusetts Department of Mental Health, Boston, MA, USA.
Psychiatr Q. 2007 Jun;78(2):83-90. doi: 10.1007/s11126-006-9029-4.
Extensive, largely cross-sectional research has documented the continued occurrence of patient assaults on male and female staff. Different studies report either male or female staff to be at highest risk. Studies of same/different gender assaults which might more fully answer this question have been few. In these latter studies both male and female staff were at high risk for same gender assaults. In community settings males were at risk from same gender assaults but females were at risk from assaults by both patient genders. The present 15-year longitudinal retrospective study examined same/different gender assaults over time. Since the health care system under study experienced several major policy changes during these years, data were also examined at 5-year intervals to assess the stability of findings across time. Male and female staff were at increased risk from same gender assaults over time in both inpatient and community settings. The findings and their implications are discussed. In addition, a cost-effective, comprehensive risk management strategy for containing assaults is outlined.
广泛的、主要为横断面研究的调查记录了患者对男性和女性工作人员持续进行攻击的情况。不同的研究报告称男性或女性工作人员面临的风险最高。关于同性/异性攻击的研究本可以更全面地回答这个问题，但此类研究很少。在这些后期研究中，男性和女性工作人员面临同性攻击的风险都很高。在社区环境中，男性面临同性攻击的风险，但女性面临来自不同性别的患者攻击的风险。目前这项为期15年的纵向回顾性研究考察了不同时间的同性/异性攻击情况。由于所研究的医疗保健系统在这些年经历了几次重大政策变化，还每隔5年对数据进行检查，以评估研究结果随时间的稳定性。在住院和社区环境中，随着时间的推移，男性和女性工作人员面临同性攻击的风险都在增加。本文讨论了研究结果及其影响。此外，还概述了一种具有成本效益的、全面的控制攻击行为的风险管理策略。
