Do you recall being told violence is a part of the job? Psychiatric staff are taught ways to manage violent pts that get physical. Violent psychiatric patients should not be restrained. There seems to be many, many more psychiatric patients now. As your post reported there are sexual assault patients that are admitted to a hospital and staff may never be aware of their history. There were times when psychiatric hospitals were struggling to maintain enough patients to keep units open and now every facility is full,on diversion or they are at staff/physician capacity. ERs are holding psychiatric patients for days until a bed opens up. Nurses are at risk, we never know who is going to walk in with a gun, knife, be a gang member or it may be the patient on alcohol or drugs.