Physical Violence

Physical Violence

Physical violence refers to the intentional use of physical force against another person in a way that can cause pain, injury, fear, or harm to individuals in institutional settings such as prisons, hospitals, care facilities, or schools.

It manifests itself through beatings, restraints, confinement, or other acts carried out by staff or by the institutional system itself, often as a result of abuse of power and lack of oversight.

Physical violence refers to the intentional use of physical force against another person in a way that can cause pain, injury, fear, or harm. It involves direct physical actions meant to hurt, intimidate, or control someone and may occur as a single serious incident or as part of a repeated pattern over time. Physical violence frequently occurs in interpersonal contexts—including intimate partner relationships, family settings, law enforcement encounters, or public interactions—and is strongly associated with coercion, dominance, and fear-inducing behavior.

Behavioral manifestations may include hitting, punching, slapping, kicking, choking, pushing, grabbing, restraining, or using objects or weapons to inflict harm. It may also involve physically intimidating gestures or physically preventing a person from seeking help. Even acts that do not result in visible injury are clinically significant due to their strong association with future severe violence and fatal outcomes.

Consequences may include acute injuries (eg. bruises, fractures, traumatic brain injury), chronic pain, disability, and elevated risk of long-term physical and psychological conditions such as post-traumatic stress disorder, depression, and cardiovascular disorders. Repeated exposure increases vulnerability, impairs perceived safety, and contributes to sustained physiological stress responses.

Where you Find it

Institutional violence refers to forms of abuse, neglect, or degradation of dignity that occur within organizations and structures whose mission is to care for, educate, protect, or support people.

Institutional Violence

Institutional violence can occur in places such as hospitals, elderly care facilities, child protection institutions, shelters, schools, correctional facilities, or social welfare services.

Institutional violence can manifest itself in direct acts of violence, such as physical, psychological, or verbal abuse by individuals working in a facility. Such behavior may include humiliating treatment, threats, unjustified restrictions on freedom, or neglect of the basic needs of people who are accommodated or receive services.

At the same time, violence can also occur between the people staying in a facility. In environments where many people live together, often in conditions of limited resources, lack of privacy, or inadequate supervision, incidents of intimidation, aggression, or abuse may occur among residents. When such incidents are not prevented or dealt with effectively, they also constitute a form of institutional violence.

These phenomena are often linked to staff shortages, inadequate training, limited resources, or weak supervision and control mechanisms. The consequences of institutional violence can be serious and long-lasting, severely affecting people’s physical and mental health as well as their sense of security.

For this reason, systematic training and awareness-raising of staff is particularly important in order to recognize the signs of abuse in a timely manner, prevent conflicts, and ensure respect for the rights of all individuals living in the facilities. At the same time, supporting employees and preventing burnout are critical factors in maintaining a safe and healthy care environment. In addition, adequate staffing of facilities and the active participation of residents themselves in decisions that affect them can contribute to the creation of safe and humane environments.

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Violent Death – A Statistical Overview

Global picture and the situation in Greece

Sources: WHO (Injuries & Violence; Global Health Estimates) – UNODC Global Study on Homicide – ELSTAT / Hellenic Police – Eurostat. Figures are indicative; verify latest data before publication.

  • Suicide / Self-directed violence. ~1 in 6 injury deaths.

  • Homicide / Interpersonal violence. ~1 in 10 injury deaths.

  • War / conflict – Collective violence. ~1 in 61 injury deaths.

  • Wolrdwide, violence-related injuries kill ~1.25 million people each year (of ~4.4M total injury deaths).

Prevention steps

Recognize the warning signs, secure physical safety and De-escalate.
  • Recognize the warning signs of escalation

    Physical violence is usually preceded by observable build-up.

    Watch for:
    rising voice and rapid speech;
    clenched fists or jaw;
    pacing, invading personal space, looming;
    flushing or trembling;
    fixed, intense staring;
    verbal threats or “get out of my way” language;
    and throwing or hitting objects as a precursor to hitting people.

    The key teaching point is that there’s almost always a window between agitation and a blow — and that’s the window to act.

  • Prioritize physical safety first

    The first decision is not how to talk but whether anyone is in immediate physical danger.

    If a blow looks imminent or has already happened, the message is to create distance, get yourself and others (especially children) out of reach, and call emergency services (112), not to try to physically restrain or “stand your ground.”

    A person’s instinct to stay and reason with someone mid-escalation can be dangerous.

  • De-escalate when it’s safe to engage

    When there’s still a window and engaging is safe, simple de-escalation principles help more than most people expect:

    Stay calm and lower your own intensity — a quiet, steady voice tends to pull the other person’s arousal down; matching their volume pushes it up.

    Give space. Don’t crowd, corner, or touch the person; keep a non-threatening posture (open hands, slightly angled stance rather than squared-up and face-to-face).

    Acknowledge the feeling, not the behavior: “I can see you’re furious — I’m listening.” This is not agreement that violence is justified; it’s removing the sense of being unheard that often fuels escalation.

    Avoid triggers: no ultimatums, commands, mocking, finger-pointing, or “calm down,” which usually backfires.

    Give them an exit. People escalate when they feel trapped; offer a way to step back without losing face (“Let’s get some air”).

  • Know when not to engage

    De-escalation is not always the right or safe choice. If the person is intoxicated to the point of being unreachable, has a weapon, or is already striking out, talking is not the priority getting to safety and calling for help is.

  • After the immediate moment

    Once safe, encourage practical follow-through:
    ensure anyone injured gets medical attention;
    document what happened (useful for both medical and legal purposes);
    and recognize that a single incident often signals a pattern that needs addressing rather than a one-off to be brushed aside.

  • Connect the person to help

    Where the aggression reflects an underlying problem like poor impulse control, substance use, untreated mental health or neurological conditions, chronic stress.

    The constructive route is professional support:
    their doctor,
    a mental health professional,
    or anger-management and structured programs.

    Framing it as help rather than punishment makes it more likely to be accepted.

  • Important Note

    Separate “the person in front of you” from “the person you live with.”

    The in-the-moment de-escalation advice (steps 1–4) suits a one-off flare-up a stranger, a colleague, an agitated patient.

    Ongoing or domestic violence (step 7) needs different, safety-first guidance.

How to ask for help

Organizations, helplines, and support resources.

Safe Support Resources

Access trusted organizations, helplines, and support resources for anyone affected by violence, abuse, or harassment.

Learn how to seek help, find guidance, and connect with the right support services safely and confidentially.