Objective: It is commonly believed that the full moon exerts an influe
nce on violence and aggression in psychiatric settings. The literature
to date is contentious. This study used a robust methodology to exami
ne the hypothesis that there was an increased frequency of violent and
aggressive behaviour among hospitalised psychiatric clients at the ti
me of the full moon. Method: Prospective data were collected in five i
npatient psychiatric settings across the Northern Sydney Area Health S
ervice. Morrison's hierarchy of violence and aggression was used to ra
te behaviour. Lunar phases were clearly defined and Poisson regression
used to examine relationships between lunar phase and violence. Extra
neous temporal variation was considered. Results: No significant relat
ionship was found between total violence and aggression or level of vi
olence and aggression and any phase of the moon. Conclusion: Future re
search could profitably examine the implications of a belief in the lu
nar effect among health workers in the face of evidence that no relati
onship exists between violence, aggression and the lunar cycle.