The overcrowding of emergency services, waiting times, and the lack of resources are key factors in the increase in violence against healthcare professionals. This is one of the main conclusions of an international survey presented by the European Society for Emergency Medicine (EUSEM) in September 2026, which highlights the need to reinforce prevention, training, and security measures in healthcare centres.

The study, conducted between May and June 2026 with the participation of 1,306 healthcare professionals from 81 countries, reveals a high incidence of violence in emergency services. 75.5% of participants had witnessed some violent episode during the previous year, 68.8% had suffered psychological effects, and 40.3% had experienced physical harm.
Verbal assault is the most common form of violence, cited by 87.8% of respondents, followed by physical assault (42.3%). Property damage, sexual harassment, and discriminatory behaviour related to racial origin or gender are also recorded.
The main parties identified as responsible are the patients, pointed out by 67.6% of the participants, followed by family members or companions, at 44.1%. Alcohol or drug intoxication and certain mental health situations can also play a role in some episodes.
The report highlights that violence cannot be attributed solely to individual behaviour. The organisational conditions of emergency services also play an important role. Long wait times, a lack of resources, the saturation of care facilities, and high emotional tension can aggravate conflicts between patients, companions, and professionals.
These circumstances demonstrate that security does not depend exclusively on intervention in the event of an aggression, but also on the ability to anticipate incidents and reduce the factors that may trigger them.
Consequences go beyond physical injuries. 45.8% of respondents considered that violence had impaired the quality of care provided. Additionally, 48.3% perceived that the problem had worsened during the previous five years.
The study also points to a significant gender difference: women reported more psychological impacts than men, which reinforces the need to specifically address verbal, sexual, and discriminatory harassment.
One of the most relevant conclusions is the perception that emergency services are better prepared to handle a mass casualty incident than to manage everyday violence. This difference highlights the need to incorporate the prevention of assaults into the ordinary planning of health security.
Among the measures proposed by the authors are the improvement of hospital organisation to reduce overcrowding, the adequacy of spaces, sufficient staffing, and the streamlining of patient transfers from emergency services to other units.
It is also considered essential to train professionals in effective communication, detection of risky situations, and verbal de-escalation techniques. These skills can help recognise the first signs of tension and prevent a conflict from escalating into an assault. In turn, it is proposed to strengthen security systems, including video surveillance where appropriate and on-site security personnel.
Finally, it is necessary to ensure clear incident notification protocols and access to psychological support for the affected professionals. According to the survey, only 51.1% of participants had received formal training in violence prevention, while 27.1% did not have access to psychosocial support after a violent incident.
Violence against emergency professionals is neither an inevitable risk nor a matter that should be resolved exclusively through the individual intervention of the worker. It requires a comprehensive strategy that combines organisational measures, training, operational protocols, security resources, and follow-up care for victims.
Protecting healthcare professionals is also protecting patients and the quality of care. Having secure environments, prepared kits, and effective procedures is fundamental for emergency services to carry out their work under appropriate conditions, even in situations of high care pressure.
Source: European Society of Emergency Medicine (EUSEM), press release of 24 September 2026. International study presented at the European Congress of Emergency Medicine and published in the European Journal of Emergency Medicine.
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