Given raised rates of patient suicide and violence in secure psychiatric facilities, staff in such settings are arguably at increased risk for burnout and reduced mental health. The present article responds to the recent U.K. National Institute for Health and Care Excellence (NICE) call to assess workforce well-being. This article held the following aims: (1) to quantify existing levels of mental health (i.e., depression, anxiety, distress, and posttraumatic stress) and subjective well-being (i.e., job satisfaction, life satisfaction, and four domains of burnout) and (2) to evaluate Coping Self-Efficacy (CSE) and Need for Affect (NFA) as factors associated with staff mental health and subjective well-being. We conducted a voluntary cross-sectional health needs assessment of forensic mental health staff (N = 170) between 2017 and 2018 from one National Health Service (NHS) Trust. Descriptive findings suggest staff possessed nonclinical average ranges of mental health symptoms. Subjective well-being findings showed burnout was relatively low, whereas job and life satisfaction were modest. Regression models demonstrated that (a) thought/emotion stopping beliefs were negatively associated with psychological exhaustion; (b) social support beliefs were positively associated with life satisfaction and job enthusiasm; (c) NFA Avoidance was linked with poor mental health and burnout, and; (d) NFA Approach was positively associated with two health subjective well-being indicators. Overall, assessment results suggest NHS forensic mental health staff reported relatively good health. Cognitive- and emotion-focused coping beliefs demonstrate promise as content for prevention programming. Using Emotional Labor Theory, we offer psychological services-based recommendations for future prevention programming and research. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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在安全的法医精神病学环境中工作的心理卫生人员的应对，心理健康和主观幸福感：来自工作场所健康评估的结果。

鉴于在安全的精神病院中患者自杀和暴力事件的发生率上升，在这种情况下，工作人员的倦怠风险和精神健康状况可能会增加。本文回应了最近英国国家健康与护理卓越研究所（NICE）呼吁评估劳动力福利的呼吁。本文旨在实现以下目标：（1）量化现有的心理健康水平（即抑郁，焦虑，困扰和创伤后压力）和主观幸福感（即工作满意度，生活满意度和倦怠的四个方面） （2）评估应对自我效能感（CSE）和情感需求（NFA）作为与员工心理健康和主观幸福感相关的因素。我们在2017年至2018年之间通过一家国家卫生服务（NHS）信托基金对法医精神卫生人员（N = 170）进行了一项自愿性横断面健康需求评估。描述性调查结果表明，工作人员的心理健康症状范围非临床平均水平。主观幸福感调查结果显示倦怠程度相对较低，而工作和生活满意度则较低。回归模型表明：（a）停止思想/情绪的信念与心理疲惫负相关；（b）社会支持信念与生活满意度和工作热情成正相关；（c）避免NFA与不良的心理健康和倦怠有关；（d）NFA方法与两个健康主观幸福感指标呈正相关。总体，评估结果表明，NHS法医精神卫生人员报告身体状况相对良好。以认知和情感为重点的应对信念证明了希望作为预防性计划的内容。使用情绪劳动理论，我们为未来的预防计划和研究提供基于心理服务的建议。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。