Violence is an important source of stress for staff working in forensi
c psychiatric settings and strategies adopted for coping with this str
ess may influence staff behaviour towards patients. To examine this po
ssibility, 24 staff in a psychiatric hospital were interviewed twice,
first 3 days and then 2 weeks after being physically assaulted by a pa
tient. Measures of anxiety and coping were taken at each interview. Es
cape/avoidance and confrontive coping were used by a third or more of
subjects and both strategies may be associated with behaviours which h
ave been implicated in the causation of aggression. Confrontive coping
was also associated with an increase in anxiety in the short term.