• Home
  • Store
    • Newsletter Subscriptions
    • Multimedia
    • Books
    • eBooks
    • ABPN SA Courses
    • Social Work Courses
  • CME Center
  • Multimedia
    • Podcast
    • Webinars
    • Blog
    • Psychiatry News Videos
    • Medication Guide Videos
  • Newsletters
    • General Psychiatry
    • Child Psychiatry
    • Addiction Treatment
    • Hospital Psychiatry
    • Geriatric Psychiatry
    • Psychotherapy and Social Work
  • FAQs
  • Med Fact Book App
  • Log In
  • Register
  • Welcome
  • Sign Out
  • Subscribe
Home » Minimizing PTSD From Workplace Trauma

Minimizing PTSD From Workplace Trauma

January 7, 2022
William Jacobowitz, EdD, RN
From The Carlat Hospital Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
William Jacobowitz, EdD, RN. Associate Professor, College of Nursing and Public Health, Adelphi University, Garden City, NY. Mr. Jacobowitz has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

For staff on inpatient psychiatric units, the rate of posttraumatic stress disorder (PTSD) is around 9%, which is two to three times higher than the national prevalence rate of 3%–5%. Rates are higher if you work with forensic patients or if you’re a nurse. Nearly all (96%) psychiatric nurses have been directly or indirectly exposed to a critical event, and over half have been physically assaulted by a patient (Hilton NZ et al, Psychiatr Serv 2020;71(3):221–227).

Typical manifestations of workplace PTSD include disengagement from patient care, frequent absenteeism, and a tendency to self-isolate. Over half of workers who meet PTSD criteria also meet criteria for depression or anxiety (Seto MC et al, Can J Psychiatry 2020;65(8):577–583).

How can we mitigate our risk of developing PTSD after a traumatic event? Debriefing sessions help, especially if they take place soon after the event—within 10 hours. Be careful, however, as a single debriefing can be retraumatizing if it is not followed with individual counseling, which staff can seek through their workplace’s employee assistance program.

Here are some additional tips to help you decrease your chances of developing PTSD after workplace trauma:

  • Try to carry on with your usual work activities—in effect, you’ll be practicing exposure therapy, a common psychological intervention in treating PTSD.

  • Talk to people and spend time with others.

  • Practice mindfulness—which includes muscle relaxation, meditation, and frequent self-assessment of stress level.

  • Make as many daily decisions as possible, even about minor things—like what to make for dinner—as they will give you a feeling of control over your life.

  • Understand that you might experience recurring thoughts, dreams, or flashbacks; they are normal and will decrease over time.


Here are some ways that you can help co-workers who have been exposed to trauma:

  • Offer them assistance and a listening ear even if they have not asked for help.

  • Don’t pressure them to recount the incident if they don’t want to. Respect their privacy.

  • Don’t tell them they are “lucky it wasn’t worse.” Instead, affirm that you are sorry such an event has occurred, and you want to understand and help them (Mitchell JT. Critical Incident Stress Management (CISM): Group Crisis Intervention, 4th ed. Ellicott City, MD: International Critical Incident Stress Foundation; 2006).


Also, consider scheduling routine monthly staff meetings, as they help reduce the risk of PTSD by enhancing employee cohesion and providing opportunities to express concerns and receive support (Jacobowitz W, Issues Ment Health Nurs 2013;34(11):787–795).

CHPR Verdict: Many of us experience or witness traumatic incidents on inpatient psychiatric units, so it’s no surprise that rates of PTSD are high. Practical tips can help reduce the risk, but be careful about debriefing sessions as they can be retraumatizing if not done correctly.
Hospital Psychiatry
KEYWORDS debriefing nurses post-traumatic-stress-disorder ptsd trauma workplace
    William Jacobowitz, EdD, RN

    More from this author
    www.thecarlatreport.com
    Issue Date: January 7, 2022
    SUBSCRIBE NOW
    Table Of Contents
    CME Post-Test - Testifying, CHPR, January/February/March 2022
    A Primer for Psychiatrists on Court Hearings
    Borderline Personality Disorder in the ED
    Tarasoff: Making Sense of the Duty to Warn or Protect
    Principles of Verbal De-Escalation
    Minimizing PTSD From Workplace Trauma
    The Role of rTMS in Poststroke Depression
    DOWNLOAD NOW
    Featured Book
    • MFB7e_Print_App_Access.png

      Medication Fact Book for Psychiatric Practice, Seventh Edition (2024) - Regular Bound Book

      The updated 2024 reference guide covering the most commonly prescribed medications in psychiatry.
      READ MORE
    Featured Video
    • KarXT (Cobenfy)_ The Breakthrough Antipsychotic That Could Change Everything.jpg
      General Psychiatry

      KarXT (Cobenfy): The Breakthrough Antipsychotic That Could Change Everything

      Read More
    Featured Podcast
    • shutterstock_2622607431.jpg
      General Psychiatry

      Should You Test MTHFR?

      MTHFR is a...
      Listen now
    Recommended
    • Join Our Writing Team

      July 18, 2024
      WriteForUs.png
    • Insights About a Rare Transmissible Form of Alzheimer's Disease

      February 9, 2024
      shutterstock_2417738561_PeopleImages.com_Yuri A.png
    • How to Fulfill the DEA's One Time, 8-Hour Training Requirement for Registered Practitioners

      May 24, 2024
      DEA_Checkbox.png
    • Join Our Writing Team

      July 18, 2024
      WriteForUs.png
    • Insights About a Rare Transmissible Form of Alzheimer's Disease

      February 9, 2024
      shutterstock_2417738561_PeopleImages.com_Yuri A.png
    • How to Fulfill the DEA's One Time, 8-Hour Training Requirement for Registered Practitioners

      May 24, 2024
      DEA_Checkbox.png
    • Join Our Writing Team

      July 18, 2024
      WriteForUs.png
    • Insights About a Rare Transmissible Form of Alzheimer's Disease

      February 9, 2024
      shutterstock_2417738561_PeopleImages.com_Yuri A.png
    • How to Fulfill the DEA's One Time, 8-Hour Training Requirement for Registered Practitioners

      May 24, 2024
      DEA_Checkbox.png

    About

    • About Us
    • CME Center
    • FAQ
    • Contact Us

    Shop Online

    • Newsletters
    • Multimedia Subscriptions
    • Books
    • eBooks
    • ABPN Self-Assessment Courses

    Newsletters

    • The Carlat Psychiatry Report
    • The Carlat Child Psychiatry Report
    • The Carlat Addiction Treatment Report
    • The Carlat Hospital Psychiatry Report
    • The Carlat Geriatric Psychiatry Report
    • The Carlat Psychotherapy Report

    Contact

    carlat@thecarlatreport.com

    866-348-9279

    PO Box 626, Newburyport MA 01950

    Follow Us

    Please see our Terms and Conditions, Privacy Policy, Subscription Agreement, Use of Cookies, and Hardware/Software Requirements to view our website.

    © 2025 Carlat Publishing, LLC and Affiliates, All Rights Reserved.