Worcester State Hospital, Massachusetts Department of Mental Health, Worcester, MA, USA.
Psychiatr Q. 2011 Mar;82(1):11-21. doi: 10.1007/s11126-010-9153-z.
Psychiatric patient assaults on healthcare staff are a worldwide occupational hazard. This present 20-year, retrospective study examined the characteristics of these staff victims in one public-sector, health care system and assessed the psychological support provided to these victims by the post-incident Assaulted Staff Action Program (ASAP). An additional analysis compared the victim characteristics in this same health care system at 10-, 15-, and 20-year intervals. The findings were consistent with earlier, worldwide studies. Staff victims tend to be younger, less formally educated, less experienced, and less trained mental health workers, residential house counselors, and trainees of differing disciplines. ASAP provided needed support to staff victims. Risk management strategies for safety, methodological issues, and the problem of denial in fielding a post-incident crisis intervention program for staff victims were discussed.
精神科患者对医护人员的攻击是一种全球性的职业危害。本项为期 20 年的回顾性研究调查了一个公立医疗保健系统中这些医护人员受害者的特征,并评估了事件后医护人员行动方案 (ASAP) 为这些受害者提供的心理支持。另外一项分析比较了同一医疗保健系统在 10 年、15 年和 20 年时间间隔内的受害者特征。研究结果与早期的全球研究一致。受害者往往是年龄较小、受正规教育程度较低、经验较少和培训较少的精神卫生工作者、住宿辅导员和不同学科的受训人员。ASAP 为工作人员受害者提供了必要的支持。讨论了安全风险管理策略、方法问题以及在为工作人员受害者实施事件后危机干预方案方面的否认问题。