Oklahoma City Indian Clinic, Oklahoma City, OK, USA.
University of Oklahoma School of Community Medicine, Tulsa, OK, USA.
Acad Psychiatry. 2024 Aug;48(4):310-319. doi: 10.1007/s40596-024-01933-7. Epub 2024 Jan 30.
Psychiatric physicians may experience higher rates of assault than those in other fields. For many reasons, residents may be especially vulnerable. This study updates rates of assaults among US psychiatry residents as well as the reporting rates and emotional effects of these incidents. Little data exists to examine rates of microaggressions against psychiatry residents.
A cross-sectional online survey was distributed through a national residency database via a snowball-sampling approach between June and September of 2021. The questionnaire asked about experiences of verbal, physical, and sexual assaults, as well as microaggressions and their impact. Descriptive analyses of the obtained data were conducted.
The survey was completed by 275 psychiatry residents from 29 states (63.6% women). At least one form of assault was experienced by 78.9% of participants with 74.5% experiencing verbal, 22.2% experiencing physical, and 6.2% experiencing sexual assault. At least one type of microaggression was experienced by 86.9% of trainees. Elevations in PTSD scores were seen in residents who identified as women and non-White and those physically injured or sexually assaulted. While 92.7% of residents stated their program provided training about assault, 25% of residents indicated they had no training on recognizing and responding to microaggressions.
Psychiatric residents experience widespread assault and microaggressions in the clinical setting but often do not report them. Due to the ubiquitous nature of these events, programs should provide training about early recognition and de-escalation techniques for agitation, responding effectively to microaggressions, and the importance of reporting events.
精神科医生遭受攻击的几率可能高于其他领域的医生。出于多种原因，住院医师可能尤其容易受到攻击。本研究更新了美国精神科住院医师遭受攻击的比率，以及这些事件的报告率和情绪影响。几乎没有数据可以用来检查针对精神科住院医师的微侵犯的发生率。
一项横断面在线调查通过滚雪球抽样法于 2021 年 6 月至 9 月期间通过全国住院医师数据库分发。问卷询问了言语、身体和性攻击以及微侵犯及其影响的经历。对获得的数据进行了描述性分析。
来自 29 个州的 275 名精神科住院医师完成了调查（63.6%为女性）。78.9%的参与者至少经历过一种形式的攻击，其中 74.5%经历过言语攻击，22.2%经历过身体攻击，6.2%经历过性攻击。86.9%的受训者至少经历过一种类型的微侵犯。在被认定为女性和非白人的住院医师以及身体受伤或遭受性侵犯的住院医师中，创伤后应激障碍评分升高。尽管 92.7%的住院医师表示他们的项目提供了有关攻击的培训，但仍有 25%的住院医师表示他们没有接受过识别和应对微侵犯的培训。
精神科住院医师在临床环境中经历广泛的攻击和微侵犯，但往往不报告这些事件。由于这些事件普遍存在，因此项目应提供有关早期识别和缓解激动、有效应对微侵犯以及报告事件的重要性的培训。
