Print page Print page
Switch language
Bispebjerg Hospital - a part of Copenhagen University Hospital

Work-related exposure to violence or threats and risk of mental disorders and symptoms: a systematic review and meta-analysis

Research output: Contribution to journalReviewResearchpeer-review


  1. How to schedule night shift work in order to reduce health and safety risks

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. On endocrine disruption at the workplace - how to get from suggestive to conclusive evidence?

    Research output: Contribution to journalEditorialResearchpeer-review

  3. Acute myocardial infarction in relation to physical activities at work: a nationwide follow-up study based on job-exposure matrices

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Influence of errors in job codes on job exposure matrix-based exposure assessment in the register-based occupational cohort DOC*X

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Repetitive and forceful movements of the hand as predictors of treatment for pain in the distal upper extremities

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Occupational inhalant exposures and longitudinal lung function decline

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Long working hours and risk of 50 health conditions and mortality outcomes: a multicohort study in four European countries

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Objective This review aimed to examine systematically the epidemiological evidence linking work-related exposure to violence and threats thereof with risk of mental disorders and mental ill-health symptoms. Methods We searched PubMed, EMBASE, PsycINFO and Web of Science to identify original studies that provide quantitative risk estimates. The evidence was weighted according to completeness of reporting, potential common method bias, and bias due to differential selection and drop out, selective reporting, and misclassification of exposure and outcome. Results We identified 14 cross-sectional and 10 cohort studies with eligible risk estimates, of which 4 examined depressive disorder and reported an elevated risk among the exposed [pooled relative risk (RR) 1.42, 95% confidence interval (CI) 1.31-1.54, I 2=0%]. The occurrence of depressive and anxiety symptoms, burnout and psychological distress was examined in 17 studies (pooled RR 2.33, 95% CI 3.17, I 2=42%), and 3 studies examined risk of sleep disturbance (pooled RR 1.22, 95% CI 1.09-1.37, I2=0%). In most studies, common method bias and confounding could not be ruled out with confidence and strong heterogeneity in most outcome definitions invalidate the strict interpretation of most pooled risk estimates. Conclusion The reviewed studies consistently indicate associations between workplace violence and mental health problems. However, due to methodological limitations the causal associations (if any) may be stronger or weaker than the ones reported in this study. Prospective studies with independent and validated reporting of exposure and outcome and repeated follow-up with relevant intervals are highly warranted.

Original languageEnglish
JournalScandinavian Journal of Work, Environment & Health
Issue number4
Pages (from-to)339-349
Number of pages11
Publication statusPublished - 1 Jul 2020

    Research areas

  • Burnout, Depression, Key terms anxiety, Psychological distress, Sleep disturbance, Workplace violence

ID: 59632660