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This study aimed to examine the prevalence rates of psychological symptoms and risk factors between female and male workers at 12 months after their sustaining occupational injurie. Demographic and injury-related risk factors for psychological symptoms were evaluated.Our study candidates were injured workers in Taiwan who were hospitalised for 3 days or longer and received hospitalisation benefits from the Labour Insurance program. A self-reported questionnaire including the Brief Symptom Rating Scale was sent to workers at 12 months after injury.A total of 1233 workers (response rate 28.0%) completed the questionnaire, including 356 women and 877 men. A higher percentage (30.1%) of women had elevated BSRS-5 score of 6 or higher than men (22.5%). The risk factors for elevated psychological symptom scores for female workers were lower education level (odds ratio, OR=1.8, 95% confidence interval, CI=1.1–3.0), main income contributor of the household (OR=1.8, CI=1.1–3.0), severely affected physical appearance due to injury (OR=2.8, CI=1.3–5.9), and having adverse life event after injury (OR=2.0, CI=1.1–3.6) after mutual adjustment. Whereas the risk factors for elevated psychological symptom scores for female workers were loss of consciousness after the injury (OR=2.0, CI=1.3–3.1), severely affected physical appearance due to injury (OR=3.7, CI=2.3–6.0), having adverse life event after injury (OR=2.5, CI=1.6–3.8), not return-to-work (OR=3.2, CI=2.0–5.1), and reduced salary as compared to that before injury (OR=2.4, CI=1.3–4.1).After occupational injury, women suffered from higher rate of psychological symptoms. Risk factors were different between men and women who sustained occupational injuries.