Evidence map›Paper›PMID 41840505›Full record

ArticleBMC emergency medicine2026

Exploring violence towards EMS personnel: a multiprofessional qualitative study.

Heikki Riihimäki, Laura-Maria Peltonen, Mari Lahti, Jani Paulin

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Article in BMC emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Heikki RiihimäkiTurku University of Applied Sciences and Turku University Hospital, Turku, Finland. heikki.riihimaki@varha.fi.ORCID 0009-0005-1096-1221
Laura-Maria PeltonenUniversity of Eastern Finland, Kuopio University Hospital, Turku University Hospital, Turku, Finland.ORCID 0000-0001-5740-6480
Mari LahtiTurku University of Applied Sciences and University of Turku, Turku, Finland.ORCID 0000-0002-3403-5418
Jani PaulinTurku University of Applied Sciences and University of Turku, Turku, Finland.ORCID 0000-0002-4038-3662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundViolence against emergency medical service personnel is common and often underreported, with verbal abuse being the most frequent form, but physical and sexual violence also occur. The consequences of such violence range from psychological distress to physical harm and organizational burden. Despite growing evidence of the phenomenon, the dynamic, situational and interactional nature of this violence as well as effective prevention strategies are still insufficiently understood. The objective of this study was to examine factors contributing to violence against EMS personnel before, during and after violent incidents.

methodsThis qualitative study employed two multiprofessional stakeholder workshops (n = 36) conducted in Finland in October 2024. Participants included professionals from the EMS setting and its related fields, as well as patient representatives. The workshops produced experiences and perspectives on violence against EMS personnel, focusing on incident dynamics of violent encounters. Data was analyzed using thematic analysis.

resultsViolence towards EMS personnel presents itself through three interrelated themes: the aggressor, the EMS personnel, and the organization and the EMS system. The findings indicate that these themes interact dynamically, with violent incidents shaped by individual behavior, professional practice and institutional conditions. Aggressor-related factors such as substance use, psychiatric illness, and altered mental states were described as increasing risk for violence. EMS personnel's fatigue, inexperience, and moralizing attitudes were seen to increase vulnerability, whereas resilience and situational awareness were protective. At the organizational level, unclear risk-assessment protocols, inconsistent cooperation with the police, and limited post-incident support emerged as key challenges.

conclusionsViolence against EMS presents itself as a multifactorial and dynamic phenomenon involving aggressor behavior, EMS personnel actions and organizational structures. Embedding de-escalation and disengagement competencies into training, strengthening system-level safeguards and implementing post-incident support are essential. The development of predictive models on how to manage risks at every stage of the EMS mission is warranted.

Indexed as

Emergency Medical TechniciansWorkplace ViolenceAdultEmergency Medical ServicesFemaleFinlandHumansMaleMiddle AgedParamedicineParamedicsQualitative ResearchEmergency medical servicesOccupational healthOccupational safetyPatient aggressionPrehospital emergency careViolence

Identifiers

PMID41840505
PMCPMC13104460

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.