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Abstract
The risk of psychiatric patient assaults on staff members is increasing yearly, with resultant increases in employee victim suffering, medical expense, and lost productivity. Investigations of patients who have been assaultive suggest that younger male patients who have a diagnosis of psychosis with active, impaired thinking or other neurological abnormality have been reported to be more prone to assaultive behavior. In general, younger male employees who are less senior mental health workers with less formal education are at increased risk for assaults. Ward units that serve acute admissions or units that are overcrowded or physically inadequate pose increased risk. Basic to ward functioning is clear and continuous communication between staff members. This should include clear and written policies on assessing, reporting, intervening, and responding to any assaults and aftermath. Policies for addressing crises should include training, stress management, employee victim debriefing, and administrative support.