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August 18, 2025Open Access

Psychological Risk Assessment Among Mental Health Workers in a Regional Psychiatric Hospital

ECElodie CanutCentre Hospitalier Intercommunal Toulon-La Seyne-sur-Mer YDYvonne DonatiCentre Hospitalier Intercommunal Toulon-La Seyne-sur-Mer CHChloé HiverAssistance Publique Hôpitaux de Marseille

Key Points

Job strain prevalence is estimated at 37%, indicating significant work-related stress among healthcare workers.
Job strain occurs more in the inpatient sector, with an odds ratio of 1.94, highlighting critical areas of concern.
Effort-reward imbalance was notably higher among psychiatrists and workers doing overtime, pointing to staffing challenges.
Support during violent episodes appears to lower effort-reward imbalance, suggesting the need for increased staff support.

Abstract

This study aimed to assess job strain (JS) and effort-reward imbalance (ERI), two markers of work-related stress, among psychiatric healthcare workers exposed to patients psychological suffering. A self-administered questionnaire was distributed in a regional French public hospital. The response rate was 65% and the prevalence of JS was estimated at 37%. Occurrence of JS was increased in the inpatient sector (OR 1.94 1.01-3.74, P(Chi2)=0.046), decreased by day work (OR 0.53 0.29-0.95, P(Chi2)=0.032), and by larger hospital seniority. The ERI ratio (mean 0.537 SD 0.228) was higher among psychiatrists and workers doing overtime. It was lower in staff who felt supported during episodes of violence. These results suggest the need for specific preventive measures targeting these risk factors.

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