Academic Psychiatry

, Volume 15, Issue 2, pp 94–99 | Cite as

A Study of Assaults Against Psychiatric Residents

  • David Fink
  • Beth Shoyer
  • William R. Dubin


There are few studies of assaults against psychiatric residents. The only two domestic studies specifically investigating assaults against residents each surveyed a single residency program. In the present study, 333 psychiatric residents in 11 training programs in Pennsylvania were surveyed about assaults and threats on them during residency. One hundred fifty-five questionnaires (46%) were completed and returned. Of the respondents, 41 % experienced a physical assault and 48% were threatened at some time during their training. Ten percent of the respondents were assaulted more than once, and 30% of the respondents were threatened more than once. There was no significant correlation between rates of threats or assaults and age, sex, or training sites. The majority of threats and assaults occurred in either an inpatient setting (56%) or a psychiatric emergency service (31%). The authors found that residents were provided with minimal training in aggression management during their residency.


Residency Program Residency Training Physical Assault Chief Resident Psychiatric Resident 
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  1. 1.
    Madden DJ, Lion JR, Penna MW: Assaults on psychiatrists by patients. Am J Psychiatry 1976; 133:422–425PubMedGoogle Scholar
  2. 2.
    Tardiff K, Maurice WL: The care of violent patients by psychiatrists. Can Psychiatr Assoc J 1977; 22:83–86PubMedGoogle Scholar
  3. 3.
    Ruben I, Wolkon G, Yamamoto J: Physical attacks on psychiatric residents by patients. J Nerv Ment Dis 1980;168:243–245PubMedCrossRefGoogle Scholar
  4. 4.
    Whitman RM, Armao BB, Dent OB: Assaults on the therapist. Am J Psychiatry 1976; 133:426–431PubMedGoogle Scholar
  5. 5.
    Bernstein HA: Survey of threats and assaults directed towards psychotherapists. Am J Psychother 1981;35:542–549PubMedGoogle Scholar
  6. 6.
    Hatti S, Dubin WR, Weiss KJ: A study of patient circumstances surrounding patient assaults on psychiatrists. Hosp Community Psychiatry 1982; 33:660–661PubMedGoogle Scholar
  7. 7.
    Gray GE: Assaults by patients against residents at a public psychiatric hospital. Academic Psychiatry 1989;13:81–86Google Scholar
  8. 8.
    Chaimowitz GA, Moscovitch A: Patient assaults against psychiatric residents: the Canadian experience. Can Psychiatr Assoc J, in pressGoogle Scholar
  9. 9.
    Halleck SL: When residents are victims of violence. Academic Psychiatry 1989; 13:113–115Google Scholar
  10. 10.
    Infantino JA, Musingo SY: Assaults and injuries among staff with and without training in aggression control techniques. Hosp Community Psychiatry 1985;36:1312–1314PubMedGoogle Scholar
  11. 11.
    St. Thomas Psychiatric Hospital, Ontario, Canada: Gold award: a program for the prevention and management of disturbed behavior. Hosp Community Psychiatry 1976; 27:724–727Google Scholar
  12. 12.
    Gertz B: Training for prevention of assaultive behavior in a psychiatric set alting. Hosp Community Psychiatry 1980; 31:628–630PubMedGoogle Scholar
  13. 13.
    Lehmann LS, Padilla M, Clark S, et al: Training personnel in the prevention and management of violent behavior. Hosp Community Psychiatry 1983; 34:40–43PubMedGoogle Scholar
  14. 14.
    Carmel H, Hunter M: Compliance with training in managing assaultive behavior and injuries from inpatient violence. Hosp Community Psychiatry 1990; 41:558–560PubMedGoogle Scholar
  15. 15.
    Lion JR: Training for battle: thoughts on managing aggressive patients. Hosp Community Psychiatry 1987;38:882–884PubMedGoogle Scholar
  16. 16.
    Maier GJ, Van Rybroek GJ: Offensive images: managing aggression isn’t pretalty. Hosp Community Psychiatry 1990; 41:357Google Scholar
  17. 17.
    Tardiff K: Management and Assessment of Violent Patients. Washington, DC: American Psychiatric Press, 1989Google Scholar
  18. 18.
    Thackery M: Therapeutics for Aggression. New York: Human Sciences Press, 1987Google Scholar

Copyright information

© Academic Psychiatry 1991

Authors and Affiliations

  • David Fink
    • 1
  • Beth Shoyer
    • 2
  • William R. Dubin
    • 3
  1. 1.Institute of Pennsylvania HospitalPhiladelphiaUSA
  2. 2.Philadelphia Psychiatric CenterUSA
  3. 3.Temple University School of MedicineUSA

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