Psychiatric Bulletin (2001) 25: 324. doi: 10.1192/pb.25.8.324
© 2001 The Royal College of Psychiatrists
Psychiatric Bulletin (2001) 25: 324
© 2001 The Royal College of Psychiatrists
Assaults and threats on psychiatrists
Stefan Kolowski, Specialist Registrar in Old Age and Adult Psychiatry
Taunton and Somerset Partnership Trust, Ryden House
Sir: Davies (Psychiatric Bulletin, March 2001, 25, 89-91)
suggests that further training is needed for psychiatric trainees in order to
avoid being assaulted by patients and that further work is needed to
distinguish the behaviour of those more experienced trainees who do not get
assaulted. I heartily agree.
The police force cadets all get routine training in how to deal with
violent and aggressive members of the public yet it is unusual to hear of this
in psychiatric training. I suggest that yearly short sessions of
break-away and/or self-defence techniques with
experienced trainers are introduced in trainees' time-tables. From my own
experience I have been lucky not to be assaulted, but I have had a few
instances of patients trying to throw punches. Even though my
psychiatric experience has, I hope, taught me to detect when someone is about
to boil over, I have to say the instance when the attack almost
hit home was when I could not have predicted the event. Patients who hit out
are usually not trained in any of the fighting arts and I feel only a little
training is needed to escape being hit.