Cited by 37Workplace Violence and BullyingOpioid Use Disorder TreatmentHealthcare professionals’ stress and burnout

Violence toward chronic pain care providers: A national survey

David, Kim, Anuj, Daftari, Nabil, Sibai·2015·Pain Medicine

Abstract

INTRODUCTION: This study measured the following: violence rates against chronic pain care providers (CPCPs), character/context/risk factors for violence and CPCPs' mitigation strategies. METHOD: An e-mail survey was sent to members of the American Society of Interventional Pain Physicians (ASIIP) to collect demographics, rates/type of violence, injury, risk mitigation, and context of violence. Correlation with demographic factors calculated using one-way ANOVA and χ2 test (Fisher test). RESULTS: Security was called by 64.85% of CPCPs and 51.52% received threats. The threats involved a gun 7.05% of the time. Injury was reported by 2.73% of CPCPs. The most common risk mitigation was discharging patient (85.33%). Others used protective equipment (16.89%) of which a significant percentage carried a gun (54%). Opioid management was the highest context for violence (89.9%; P < 0.0001). Those who practiced part-time were more likely to be harmed (P = 0.0290). Females were less likely to be threatened (P = 0.0507). Anesthesiology was the most threatened vs other specialties (P = 0.0215). Urban practices were less likely to move or close the practice (P = 0.0292). CONCLUSION: CPCPs were at high risk for violence. Risk factors were older age, male, working part time, and anesthesiology. Risk was highest in the context of opioid management and disability. Discharging patient was the most common risk mitigation. A significant number of physicians carried firearms.

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Crossref · 10.1111/pme.12794

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  • Except for aggression and impulsive behavior that may interfere with caregivers, the presence of CP does not seem to provoke any specific 'bad' behavior toward other persons.

    “Except for aggression and impulsive behavior that may interfere with caregivers of chronic sufferers,162 the presence of CP does not seem to provoke any specific “bad” behavior, ie, nonrespectful and injurious behavior toward other persons.”

    From &lt;p&gt;Pain and Evil: From Local Nociception to Misery Following Social Harm&lt;/p&gt; (2020) · cites this paper as [162]

    The Frequency of Threats section (page unavailable) documents disruptive patients and threats of bodily harm toward chronic pain care providers, supporting the caregiver-directed aggression part of the cited exception. The cited passage does not establish impulsive behavior as a distinct finding. The citation is attached to the exception, not to the sentence’s broader claim about behavior toward other persons. (LLM, conf=0.83)

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Research works printed but not linked: 2

  1. US Department of Health and Human Services (DHHS), National Institute for Occupational Safety and Health (NIOSH), Violence in the Workplace - Risk Factors and Prevention Strategies. Current Intelligence Bulletin 57 (1996, July).
  2. Altinbas K, Altinbas G, Turkcan A, Oral ET, Walters J. A survey of verbal and physical assaults towards psychiatrists in Turkey. Int J Soc Psychiatry 2011; 57(6):631-6.

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Authors
David, K., Anuj, D., & Nabil, S.
Affiliations
Henry Ford Hospital (US)
Corresponding author
David, Kim
Venue
Pain Medicine
Published
2015-10
Volume
16
Issue
10
Pages
1882-1896
ISSN
  • 1526-2375 (ISSN-L)
  • 1526-4637
OpenAlex
W1594884207
Cited by
37
References
48
Citations by year
2026: 2 · 2025: 25 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2017: 1
FWCI
1.10
Type
journal article
Language
en
Open access
closed
Locations
  • Pain Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Workplace Violence and Bullying
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords
violence against doctors, risk factors, firearm carry, opioid management, risk mitigation strategies, part-time practice, anesthesiology, physician safety
MeSH terms
Adult, Aged, Female, Health Personnel, Humans, Male, Medicine, Middle Aged, Physicians, Risk Factors, Socioeconomic Factors, Prevalence, Age Distribution, Sex Distribution, Chronic Pain, Workplace Violence

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