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OtherREGULAR ARTICLE

Emotional Responses of Staff to Assault in a Pediatric State Hospital

Eileen P. Ryan, Jeffrey Aaron, Mandi L. Burnette, Janet Warren, Roger Burket and Theresa Aaron
Journal of the American Academy of Psychiatry and the Law Online September 2008, 36 (3) 360-368;
Eileen P. Ryan
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Jeffrey Aaron
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Mandi L. Burnette
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Janet Warren
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Roger Burket
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Theresa Aaron
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    Table 1

    Demographic Information on Employees by Assault Status Over the Past Six Months

    TotalN = 93 (%)Non-assaulted n = 34 (%)Assaultedn = 59 (%)
    Gender
        Female73 (78.5)30 (88.2)43 (72.9)
        Male20 (21.5)4 (11.8)16 (27.1)
    Years employed
        <114 (15.1)6 (17.6)8 (13.6)
        1–432 (34.4)7 (20.6)25 (42.4)
        5–915 (16.1)7 (20.6)8 (13.6)
        >930 (32.2)13 (38.2)17 (29.8)
    Discipline
        Direct care47 (50.5)8 (23.5)39 (66.1)*
        Nursing11 (11.8)3 (8.8)8 (13.6)
        Teacher12 (12.9)6 (17.6)6 (10.2)
        Physician1 (1.1)0 (0.0)1 (1.7)
        Other†21 (22.5)16 (48.5)5 (8.5)*
    Age group served
        12 and under24 (25.8)5 (14.7)19 (33.2)
        Over 1249 (52.7)14 (41.2)35 (59.3)
        Both10 (10.8)7 (20.6)3 (5.1)*
    • * Denotes significant difference at p <.05 on χ2, df = 1.

    • † Other category comprised social workers, a psychologist, and clerical and administrative personnel with significant patient contact. Percentages may not add up to 100 percent because of missing data, but represents percentages within column.

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    Table 2

    Ratings of Prior Assaults at Facility by Staff Assault Status Over the Past Six Months

    Total N = 93Non-assaulted n = 34Assaulted n = 59Effect Size Mann Whitney U; p
    Mean rating, past six months
        Number of assaults (SD)1.3 (0.3)—2.0 (0.2)—
        Witnessed assaults (SD)2.0 (0.5)0.9 (0.1)2.7 (0.3)U = 301.0; p <.001
    Mean rating, lifetime
        Number of assaults (SD)2.3 (0.9)0.9 (0.6)3.1 (0.6)U = 327.5; p <.001
        Witnessed assaults (SD)3.1 (0.8)2.0 (0.8)3.8 (0.4)U = 464.5; p <.001
    • Data represented are means on scale in which 0 = never; 1 = 1–4 times; 2 = 5–9 times; 3 = 10–20 times; 4 = 21–50 times; and 5 = >50 times.

    • View popup
    Table 3

    Psychological Ratings by Assault Status Over the Past Six Months

    Total N = 93Non-assaulted n = 34Assaulted n = 59Effect Size Student's t; p
    Views on dangerous situations
        Level of vulnerability, mean (SD)3.1 (1.1)2.6 (1.2)3.4 (0.8)t = 3.6; p <.01
        Lack of control, mean (SD)3.1 (1.0)2.7 (1.1)3.2 (0.9)t = 2.0; p <.05
    WBSI, mean (SD)40.4 (11.3)39.4 (11.8)41.0 (11.0)ns
    BAI, mean (SD)10.4 (10.5)6.0 (7.8)12.9 (11.1)t = 3.5; p <.01
    BSI scales, mean (SD)
        Somatic (t-score)52.8 (10.2)49.4 (8.9)54.7 (10.5)t = 2.5; p <.05
        Obsessive-compulsive (t-score)57.5 (11.2)55.4 (11.3)58.6 (11.0)ns
        Interpersonal sensitivity (t-score)52.9 (10.9)51.1 (10.9)53.9 (10.8)ns
        Depression (t-score)53.8 (10.0)53.4 (10.3)54.0 (10.0)ns
        Anxiety (t-score)54.5 (11.0)49.9 (11.0)57.1 (10.2)t = 3.1; p <.01
        Hostility (t-score)53.1 (10.1)50.3 (10.3)54.6 (9.7)ns
        Phobic anxiety (t-score)49.7 (9.5)49.0 (8.2)50.1 (10.2)ns
        Paranoid ideation (t-score)54.7 (11.0)51.7 (12.0)56.4 (10.1)ns
        Psychoticism (t-score)55.1 (9.8)53.8 (10.1)55.9 (9.6)ns
        Global severity index (t-score)54.0 (12.1)50.6 (14.4)56.0 (10.1)ns
        Positive symptom total (t-score)54.6 (11.6)51.0 (12.9)56.6 (10.4)t = 2.1; p <.05
        Positive symptom distress index1.7 (2.9)2.2 (4.8)1.4 (0.5)ns
        BSI total score28.2 (27.3)24.9 (31.1)30.1 (25.0)ns
    Impact of events scale, mean (SD)1.8 (0.7)1.6 (0.6)2.0 (0.7)t = 2.6; p <.05
    BDI, mean (SD)10.6 (9.4)10.7 (10.8)10.4 (8.6)ns
    PDS
        Symptom severity score5.9 (8.1)5.8 (9.7)5.9 (7.1)ns
        Number of symptoms endorsed4.1 (4.4)3.6 (4.7)4.4 (4.3)ns
        Level of impairment in functioning1.4 (2.8)1.1 (2.6)1.6 (2.9)ns
    Employee adjustment questionnaire
        Likely to consider job termination?2.2 (1.2)1.6 (0.9)2.6 (1.2)t = 4.3, p <.01
        General level of impairment at work?2.3 (1.2)1.7 (0.9)2.6 (1.2)t = 4.0, p <.01
        Negative impact on job satisfaction?3.0 (1.1)2.8 (1.2)3.2 (1.1)ns
    • ns, not significant; p >.05.

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Journal of the American Academy of Psychiatry and the Law Online: 36 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 36, Issue 3
September 2008
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Emotional Responses of Staff to Assault in a Pediatric State Hospital
Eileen P. Ryan, Jeffrey Aaron, Mandi L. Burnette, Janet Warren, Roger Burket, Theresa Aaron
Journal of the American Academy of Psychiatry and the Law Online Sep 2008, 36 (3) 360-368;

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Emotional Responses of Staff to Assault in a Pediatric State Hospital
Eileen P. Ryan, Jeffrey Aaron, Mandi L. Burnette, Janet Warren, Roger Burket, Theresa Aaron
Journal of the American Academy of Psychiatry and the Law Online Sep 2008, 36 (3) 360-368;
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