Impact of hospital type II violent events: use of psychotropic drugs and mental health services.

Journal Article (Journal Article)

BACKGROUND: While violence can adversely affect mental health of victims, repercussions of violence against workers is not as well characterized. MATERIALS AND METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

Full Text

Duke Authors

Cited Authors

  • Dement, JM; Lipscomb, HJ; Schoenfisch, AL; Pompeii, LA

Published Date

  • June 2014

Published In

Volume / Issue

  • 57 / 6

Start / End Page

  • 627 - 639

PubMed ID

  • 24526348

Electronic International Standard Serial Number (EISSN)

  • 1097-0274

Digital Object Identifier (DOI)

  • 10.1002/ajim.22306


  • eng

Conference Location

  • United States