Workplace Assaults Rose 5.3% Annually Over the Past Decade, With Health Care Bearing the Brunt

Nonfatal workplace assaults climbed steadily from 2011 through 2022, driven overwhelmingly by violence in health care and social assistance settings, according to NCCI.
By: | April 15, 2026

Nonfatal workplace assaults increased at an annualized rate of 5.3% per year from 2011 through 2021-22, with the rate of assaults per 10,000 full-time equivalent workers jumping 62% over that span, according to a new report from the National Council on Compensation Insurance.

The analysis draws on Bureau of Labor Statistics data to trace a persistent upward trend in workplace violence, which risk managers in certain sectors should find particularly urgent.

Health Care Dominates Assault Cases

The concentration of workplace assaults in a single industry is striking, NCCI said. Health care and social assistance accounted for roughly 18,860 annualized assault cases in 2023-24, a figure 10 times larger than the next highest sector, retail trade, which recorded approximately 1,835, according to the NCCI report.

A major driver of health care violence is the nature of the work itself. In the 2021-22 data, 60.8% of all workplace assaults were attributed to patients, the report said. Under updated BLS classification codes used beginning in 2023, a broader category capturing assaults by individuals under a worker’s care, supervision, or responsibility — including students and patients — accounted for 74% of all workplace assaults. The vast majority of incidents, nearly 93%, involved hitting, kicking, or beating by another person.

Importantly, while physical altercations dominate case counts, rarer events such as shootings, stabbings, and sexual assaults carry outsized costs, the report noted. NCCI’s own claims data showed that gunshot-related workers’ compensation claims had the highest average severity among assault-related injury causes, and claims classified as “in act of crime” also ranked among the most severe. Meanwhile, the most common assault category — struck by fellow worker or patient — carried below-average severity, NCCI found.

The assault share among all days-away-from-work cases rose to a peak of 2.3% in 2019 from 1.3% in 2011, the report said. That share dipped during the pandemic years as COVID-19 illness cases inflated total injury and illness counts, but it rebounded to 3.0% in 2023-24, though NCCI cautioned that part of the increase may reflect changes in how the BLS classifies injury events.

Women and Younger Workers Face Elevated Risk

The demographic profile of workplace assault victims is sharply skewed. Women accounted for roughly two-thirds of all assault victims despite making up 47% of the private-industry workforce, according to the report. The workplace assault rate for women was approximately 2.7 times that of men — 4.0 per 10,000 FTE compared with 1.5.

Sector composition explains much of this gap, NCCI said. Women comprised about 78% of the health care and social assistance workforce in 2024, placing a disproportionate share of female workers in the highest-risk industry.

Younger workers also face heightened exposure. Workers aged 20 to 34 experienced a disproportionately high share of assaults relative to their presence in the labor force, the report found. Several factors may contribute, including the concentration of younger employees in entry-level, high-contact roles and possible differences in tenure and experience navigating volatile interactions, the report said.

Implications for Risk Managers

The steady rise in workplace assaults stands in contrast to broader crime trends. From 2011 to 2021-22, workplace assault rates grew 62%, far exceeding the 13% increase in national aggravated assault rates over the same period, according to the report.

For risk managers — particularly those overseeing health care, social services, and educational operations — the data underscores the importance of targeted prevention strategies. NCCI’s report highlighted recommendations from NIOSH and OSHA, including conducting worksite risk assessments, implementing engineering controls such as surveillance systems and secured access points, adjusting staffing levels and shift schedules, and training employees in de-escalation techniques.

Obtain the full report here.

The R&I Editorial Team can be reached at [email protected].

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