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Psychiatric training – a dangerous pursuit

  • Guy Molyneux (a1), Brenda Wright (a2), Gavin Rush (a3), Julianne Reidy (a4), Fiona Campbell (a5), Maria Ryan (a6), Peter Leonard (a7) and Anita Ambikapthy (a8)...
Summary

We performed a review of the international literature, Royal College of Psychiatrists guidelines and Irish legislation concerning psychiatric trainees and their experience of violence. Physical violence in the workplace was reported by 16% of trainees in Ireland and 67% of specialist registrars in the UK; 72% of trainees in Belgium reported verbal violence. Personal characteristics of trainees which increase the risk of experiencing violence are under-researched, although it is observed that the duration of clinical experience seems to be somewhat protective. the advent of community psychiatry brings new risks to trainees. the Royal College of Psychiatrists issued guidelines and reports that are useful in developing facilities and promoting trainee safety. Although legislation provides some protection to trainees, it also places responsibility on them as employees.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Rowett, C, Breakwell, G. Managing Violence at Work. nferNelson, 1992.
2 Coverdale, J, Gale, C, Weeks, S, Turbott, S. A survey of threats and violent acts by patients against training physicians. Med Educ 2001; 35: 154–9.
3 Meagher, D, Quinn, J, O'Mahoney, E, Morgan, M, Byrne, P. Trainee attitudes towards their training and its super-vision. Ir J Psychol Med 1997; 14: 20–3.
4 O'Mahony, E, Corvin, A. The attitudes of Irish trainees to their training and its supervision: a five-year follow up study. Ir J Psychol Med 2001; 18: 120–5.
5 O'Sullivan, M, Meagher, D. Assaults on psychiatrists: a 3-year retrospective study. Ir J Psychol Med 1998; 15: 54–7.
6 Irish College of Psychiatrists (2007) Report of the Trainee Section Committee Working Group on Safety Issues and Training. Irish College of Psychiatrists (http://www.irishpsychiatry.ie/pdf/Trainee%20Safety%20Report1.pdf).
7 Wilson, R, Corby, CL, Atkins, M, Marston, G. Trainee views on active problems and issues in UK psychiatry: Collegiate Trainees' Committee survey of three UK training regions. Psychiatr Bull 2000; 24: 336–8.
8 British Medical Association. Survey of Trainee Doctors Working in Psychiatry. British Medical Association Health Policy and Economic Research Unit, 2005.
9 Sipos, A, Balmer, R, Tattan, T. Better safe than sorry: a survey of safety awareness and safety provisions in the workplace among specialist registrars in the South West. Psychiatr Bull, 2003; 27: 354–7.
10 Pieters, G, Speybrouck, E, De Gucht, V, Joos, S. Assaults by patients on psychiatric trainees: frequency and training issues. Psychiatr Bull 2005; 29: 168–70.
11 Black, KJ, Compton, WM, Wetzel, M, Minchin, S, Farber, NR, Rastogi-Cruz, D. Assaults by patients on psychiatric residents at three training sites. Hosp Comm Psych 1994; 45: 706–10.
12 Chaimowitz, GA, Moscovitch, A. Patient assaults on psychiatric residents: the Canadian experience. Can J Psychiatry 1991; 36: 107–11.
13 Fink, D, Shoyer, B, Dubin, WR. A study of assaults against psychiatric residents. Acad Psychiatry 1991; 15: 94–9.
14 Schwartz, XL, Park, TL. Assault by patients on psychiatric residents: a survey and training recommendations. Psychiatr Serv 1999; 50: 381–3.
15 Davies, S. Assaults and threats on psychiatrists. Psychiatr Bull 2001; 3: 8991.
16 Linsley, K, Slinn, R, Nathan, R, Guest, L, Griffiths, H. Training implications of community-oriented psychiatry. Advan Psychiatr Treat 2001; 7: 208.
17 Milstein, V. Patient assault on residents. Indiana Med 1987; 80: 735–55.
18 Kidd, B, Stark, CR. Violence and junior doctors working in psychiatry. Psychiatr Bull 1992; 16, 144–5.
19 Dhumad, S, Wijeratne, A, Treasaden, I. Violence against psychiatrists by patients: survey in a London mental health trust. Psychiatr Bull 2007; 31: 371–4.
20 Chubb, H. Safety awareness among junior psychiatrists and provisions for their safety in the workplace. Psychiatr Bull 1997; 21, 80–3.
21 Osborn, DPJ, Tang, S. Effectiveness of audit in improving interview room safety. Psychiatr Bull 2001; 25: 92–4.
22 Lion, JR, Snyder, W, Merrill, GL. Underreporting of assaults on staff in a state hospital. Hosp Community Psychiatry 1981; 32: 497–8.
23 Health and Safety Authority. A Short Guide to the Safety, Health and Welfare at Work Act. HSA, 2005.
24 Royal College of Psychiatrists. Safety for Trainees in Psychiatry (CR78). Royal College of Psychiatrists, 1999.
25 Royal College of Psychiatrists. Safety for Psychiatrists (CR134). Royal College od Psychiatrists, 2006.
26 Royal College of Psychiatrists. Not Just Bricks and Mortar (CR62). Royal College of Psychiatrists, 1998.
27 Royal College of Psychiatrists. Psychiatric Services to Accident and Emergency Departments (CR118). Royal College of Psychiatrists, 2004.
28 van Dijk, JMR, van Kesteren, J, Nevala, S, Hideg, G. The Burden of Crime in the EU Research Report: A Comparative Analysis of the European Crime and Safety Survey. EUICS, 2005.
29 Department of Health and Children. A Vision for Change: Report of the Expert Group on Mental Health Policy. Department of Health and Children, 2006.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Psychiatric training – a dangerous pursuit

  • Guy Molyneux (a1), Brenda Wright (a2), Gavin Rush (a3), Julianne Reidy (a4), Fiona Campbell (a5), Maria Ryan (a6), Peter Leonard (a7) and Anita Ambikapthy (a8)...
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