Department of Emergency Medicine, Inselspital, University Hospital Bern, Freiburgstrasse, 3010 Bern, Switzerland.
Security Service, Inselspital, University Hospital Bern, Freiburgstrasse, 3010 Bern, Switzerland.
Int J Environ Res Public Health. 2018 Jul 6;15(7):1423. doi: 10.3390/ijerph15071423.
Workplace violence (WPV) by patients and visitors is a hazard in many emergency departments (ED), with serious consequences for both staff and patients. Patients with a migratory background seem to be prone to being involved in WPV. We therefore reviewed all reports of ED staff who experienced WPV over a 4-year period (2013⁻2016). We analyzed data on the reasons for the incident, the time of day, the manner of violence, the consequences, and the migratory background of the aggressor. In total, 83 cases of WPV were reported over a four-year period. The average age of the violent person was 33.1 years; in 35 cases (42.0%), aggressors were younger than 30 years old, 53 (63.8%) were male, 49 (59%) were of Swiss nationality, and 35⁻40% had a migratory background. The odds ratio of people originating from a low- to middle-income country versus those originating from a high-income country was 1.8. Furthermore, 45.8% of the patients arrived by ambulance ( = 38) and 19 patients (22.9%) were self-presenting. Most cases (92.8%) involved verbal aggression, but in more than half of the cases, physical assault (56.6%) was also reported. In addition, 43 (51.8%) of the events occurred during the night. Results also showed that 42 (50.6%) of patients who were involved in WPV were under the influence of alcohol and 29 (34.9%) suffered from psychiatric disorders. Security personnel and police were involved in 53 (63.9%) and 47 (56.6%) cases, respectively. Twenty patients (24.1%) were sedated and 16 (19.3%) were restrained. In 18 cases (21.7%), the psychiatrist ordered compulsory hospitalization in a psychiatric institution. Taken together, WPV is a relatively common event in our ED and persons with a migratory background are involved more often relative to their frequency of ED visits.
工作场所暴力（WPV）是许多急诊科（ED）的一种危害，对工作人员和患者都有严重的后果。有迁徙背景的患者似乎更容易卷入 WPV。因此，我们回顾了在 4 年期间（2013-2016 年）经历 WPV 的 ED 工作人员的所有报告。我们分析了事件原因、时间、暴力方式、后果和攻击者迁徙背景的数据。在 4 年期间共报告了 83 例 WPV 事件。暴力者的平均年龄为 33.1 岁；35 例（42.0%）攻击者年龄小于 30 岁，53 例（63.8%）为男性，49 例（59%）为瑞士国籍，35-40%有迁徙背景。来自中低收入国家的人与来自高收入国家的人相比，其发生 WPV 的几率比为 1.8。此外，45.8%的患者通过救护车到达（=38），19 例患者（22.9%）为自行就诊。大多数情况（92.8%）涉及言语攻击，但超过一半的情况下也报告了身体攻击（56.6%）。此外，43 例（51.8%）事件发生在夜间。结果还显示，42 例（50.6%）参与 WPV 的患者处于酒精影响下，29 例（34.9%）患有精神疾病。保安人员和警察分别介入了 53 例（63.9%）和 47 例（56.6%）事件。20 例（24.1%）患者被镇静，16 例（19.3%）被约束。在 18 例（21.7%）中，精神科医生下令强制住院治疗。总的来说，WPV 在我们的 ED 中是一个相对常见的事件，与他们的 ED 就诊频率相比，有迁徙背景的人更容易卷入 WPV。
