Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina.
Am J Ind Med. 2014 Jun;57(6):627-39. doi: 10.1002/ajim.22306. Epub 2014 Feb 13.
While violence can adversely affect mental health of victims, repercussions of violence against workers is not as well characterized.
We explored relationships between workplace violent events perpetrated by patients or visitors (Type II) against hospital employees and the employee use of psychotropic medications or mental health services using a data system that linked violent events with health claims.
Significant associations were observed between reported Type II workplace violent events and employee prescription claims for anti-depressants and anxiolytics combined (RR = 1.45, 95% CI = 1.01-2.33) and anti-depressants alone (RR = 1.65, 95% CI = 1.10-2.48). No significant association between reported violent events and health claims for treatment of depression or anxiety was observed.
Type II violence experienced by hospital workers may lead to increased use of psychotropic drugs, particularly anti-depressants but also anxiolytics. Our results suggest an important role of employee assistance programs in mitigating the psychological consequences of workplace violent events.
虽然暴力会对受害者的心理健康产生不良影响，但针对工作场所暴力对工人的影响还没有得到很好的描述。
我们使用一个将暴力事件与健康索赔联系起来的数据系统，探讨了由患者或访客（第二类）对医院员工实施的工作场所暴力事件与员工使用精神药物或心理健康服务之间的关系。
报告的第二类工作场所暴力事件与员工抗抑郁药和抗焦虑药联合处方（RR=1.45，95%CI=1.01-2.33）和抗抑郁药单独处方（RR=1.65，95%CI=1.10-2.48）显著相关。报告的暴力事件与抑郁或焦虑治疗的健康索赔之间没有显著关联。
医院工作人员经历的第二类暴力可能导致精神药物使用增加，特别是抗抑郁药和抗焦虑药。我们的结果表明，员工援助计划在减轻工作场所暴力事件的心理后果方面发挥着重要作用。
