Dangerous to be psych NP

  1. So I'm working on school to become a psych NP and my family and boyfriend are very worried this job is to dangerous or that clients will come stalk my family. They also worry for the increased cost of this program over family NP it won't return a good investment considering the cost. Any input?
    Oh and I'm figuring they are so worried because the psychiatric inpatient unit I work on now has violence against staff often, with one RN getting beaten and just the other night a patient putting a RN in the ER over a injury to the nurses eyes. Should I really reconsider this?
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  2. 8 Comments

  3. by   greygooseuria
    No, you'll be fine. Providers are rarely assaulted, even in psych. Drug seekers worry me more than those with mental illness. Someone with a psychiatric disorder is far more dangerous to themselves than others. Psych NPs make great salaries and you can work outpatient managing schizophrenia/ADHD/bipolar/depression/etc and not work inpatient. And you'll always be employed considering the need for it. I only know of one nurse whose ever been assaulted by a psych patient, and he was on bath salts when he did so. Never known any psych NP to be assaulted, or psychiatrist for that matter.
  4. by   fullefect1
    You are much more at risk being an RN in-patient in psych. Pysch providers typically stay far away from being assaulted and can recognize a bad situation from a mile away.

    As far as return on investment, if you search around this forum: 120k - 160k seems pretty reasonable to find for a salary. As an Independent Contractor/Entrepreneur you can earn around 200k.
  5. by   wayemika
    Wow. Ok that really cleared things up. I will go for my certificate in psych NP like I planned to after I finish my masters in March. Is Drexel a good option? I know they cost like 60k
  6. by   admc4444
    I am concerned by your support system's bias against the mentally ill.You are experiencing the stigma as a PMHNP (and you haven't even started the program!) just as your patients face the stigma of mental illness. You are choosing to work in a challenging field.Mental illness is a waxing and waning disorder.You will face the dual challenges of addiction and psychiatric disorders . I enjoy the challenges of being a PMHNP-BC. In my opinion,salary is important but you need to enjoy your profession. Keep in mind there is a reason PMHNP-BC are paid a higher salary .
  7. by   hunnybaby24
    I always thought psych NP paid loads more than FNP. Esp in my area. Plus look at the context for which you are talking about. Nurses are a going to be placed more at risk. They are the ones who are coming at psych patients (possible substance abuse problems or in acute psychosis) in the ER with needles etc.

    Remember, always know your exit strategy.
  8. by   tsor
    I am also going to enter a PMHNP program and my husband is skeptical for my safety. Probably is LEO years. I believe that with the proper training, as a provider you will learn to mitigate behavior, and talk your way around it. You should perhaps take a class on management of assaultive behavior and that will help the family to have confidence in your skills. In my current practice as an RN, I work with patients in crisis. I am usually able to figure out the issue of their acting out, and redirect. However, I also always plan for the worst case scenario and leave myself an exit route. Good luck to you. I think we are entering a rewarding yet challenging field.
  9. by   Jules A
    Quote from tsor
    I am also going to enter a PMHNP program and my husband is skeptical for my safety. Probably is LEO years. I believe that with the proper training, as a provider you will learn to mitigate behavior, and talk your way around it. You should perhaps take a class on management of assaultive behavior and that will help the family to have confidence in your skills. In my current practice as an RN, I work with patients in crisis. I am usually able to figure out the issue of their acting out, and redirect. However, I also always plan for the worst case scenario and leave myself an exit route. Good luck to you. I think we are entering a rewarding yet challenging field.
    Be very careful because in my experience those who think they are able to "talk them down" are often the ones who overestimate their therapeutic skills when in fact with a psychotic or antisocial patient there can be minimal reasoning. Those who consider themselves to be psych patient whisperers seem to get assaulted more often. Much of this will depend on the setting however if someone doesn't have significant inpatient psychiatric experience I'd be very cautious because there really isn't "proper training" especially not in a PMHNP program to offset the experience of navigating these tricky waters. There is definitely an increased risk of being assaulted for people working in psychiatry.

    "According to the United States Department of Justice's National Crime Victimization Survey conducted from 1993 to 1999, the annual rate of nonfatal, job-related violent crime was 12.6 per 1,000 workers in all occupations. Among physicians, the rate was 16.2 per 1,000, and among nurses, 21.9 per 1,000. However, for psychiatrists and mental healthcare professionals, the rate was 68.2 per 1,000, and for mental health custodial workers, 69 per 1,000.1 And it appears that these events may happen early in one's career, as the literature suggests that 40 to 50 percent of psychiatry residents will be physically attacked by a patient during their four-year training program."


    From:
    Violence Against Mental Health Professionals: When the Treater Becomes the Victim
  10. by   tsor
    Thank you for the interesting statistics. I would not consider myself a whisperer, just lucky I imagine. Unpredictability is, of course, ever-present. Planning for a worst-case scenario, in each room, in each situation helps to be better prepared, but will not prevent. I have a strong enough sense of reality so see this. The article you referenced is interesting, and a little disturbing.

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