Healthcare professionals are known from previous studies to be at risk from stalkers, and mental healthcare professionals, particularly psychiatrists, are thought to be at higher risk. However, no previous large-scale study has investigated this among psychiatrists. This questionnaire-based survey of 10,429 UK psychiatrists aimed to investigate the prevalence, nature and impact of stalking of UK psychiatrists. Of the 2,585 psychiatrists who submitted valid responses, 21% thought they had been stalked; the experiences of 33% met current legal criteria and 10% met strict research criteria. Three percent of respondents were currently being stalked; 2% reported that their stalking had begun in the past year. Of those who had been stalked, 64% were stalked by patients. The most commonly reported motives were intimacy seeking and resentment. Stalking persisted for over a year for 52% of victims. The stalking was intrusive, disruptive, and had significant impact. Organizational and individual responses varied in scope and effectiveness. Stalking of psychiatrists is therefore an important professional hazard with a serious impact. Improvements in organizational responses to stalking are needed.

Doctors and mental healthcare professionals are at greater risk of being stalked than the general population, particularly by their patients. Despite causing significant psychological distress, stalking remains underrecognised and poorly managed. Healthcare organisations should ensure appropriate policies are in place to aid awareness and minimise risk, including the provision of formal educational programmes.

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We assessed the long-stay inpatients (length of stay > 6 months) from a deprived inner-city catchment area with a population of 210,000 in 1993 and 1995 on a variety of measures, following up both cohorts after 24 months. Total numbers of long-stay inpatients were reduced from 56 (26.7 per 100,000 total population) to 35 (16.7 per 100,000) between 1993 and 1995, in line with the closure of dedicated long-stay beds. The 1995 cohort were more symptomatic according to the BPRS (t = 2.8, p = 0.007, 95% confidence interval 18.1, 3.0), more commonly detained under the Mental Health Act (chi 2 = 6.07 p = 0.05) and more commonly from an ethnic minority (chi 2 = 3.7 p = 0.05). At 2 year follow-up 57% of the 1993 cohort were living out of hospital, compared with 60% of the 1995 cohort. Patients were discharged to a variety of settings, some highly supported. For the combined sample the presence of certain challenging behaviours (absconding, disturbance at night, noncompliance with treatment and violence) predicted continuing inpatient status as did three items on the Social Behaviour Schedule (bizarre behaviour, laughing to oneself and violence). Only five (9%) of the original sample remained inpatients for the entire four year follow-up.