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

Details

• Personal Author:
  Dement, John M. ; Lipscomb HJ ; Pompeii LA ; Schoenfisch AJ
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Behavior Biopharmaceutics Delivery Of Health Care Health Care Facilities Workforce And Services Health Personnel Mental Disorders Mental Health Occupational Health Safety
• Keywords:
  Antidepressants Author Keywords: Workplace Violence (Type II) Drugs Employee Assistance Programs Force Health-care Health-care-personnel Health-services Health Care Workers Humans Injuries Injury-prevention Medical-care Medical-personnel Medical-services Mental-disorders Mental-health Mental-processes Mental Health Services Pharmaceuticals Psychotropic-drugs Psychotropic Medications Statistical-analysis Surveillance-programs Worker-health

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 4 ; OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  57
• Issue:
  6
• NIOSHTIC Number:
  nn:20043840
• Citation:
  Am J Ind Med 2014 Jun; 57(6):627-639
• Contact Point Address:
  John M.Dement, Ph.D., Division of Occupational & Environmental Medicine, Department of Community & Family Medicine, Duke University Medical Center, 2200 W.Main Street, Suite 400, Durham, NC 27705
• Email:
  John.Dement@Duke.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Texas, Health Science Center - Houston
• Peer Reviewed:
  True
• Start Date:
  20100701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20150630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:939c3f7b507b18b97c7db70f4e3d4017906d28bcb4e82fb8b5192f73cdf3133e9813b2334cf522e0f34ea65c9f654cbc976cee839b155cd4d1c5120bbc1acc61
• Download URL:
  https://stacks.cdc.gov/view/cdc/199720/cdc_199720_DS1.pdf
• File Type:
  [PDF - 191.90 KB ]