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Am J Ind Med. 2014 Jun;57(6):627-39. doi: 10.1002/ajim.22306. Epub 2014 Feb 13.

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

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1
Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina.

Abstract

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.

KEYWORDS:

employee assistance programs; health care workers; mental health services; psychotropic medications; workplace violence (Type II)

PMID:
24526348
DOI:
10.1002/ajim.22306
[Indexed for MEDLINE]
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