An NHS report in 2024 highlighted the difficulties of nursing teenagers on hospital wards alongside younger children.
The South West director of the Royal College of Nursing, Susan Masters, said it is a national problem, adding: "This trust (GWH) is the local provision. There isn't another provision anywhere else for these young people to go which is why its very difficult here.
"Children with physical health difficulties, young people with illnesses and procedures need a bright, distracting fun environment.
"Children and young people with mental health distress need the opposite-very calming very sombre. The other issue of course is specialist nursing staff.
"So currently these children are being cared for in an acute unit with children's' nurses that are not necessarily trained in specialist mental health services."
A statement from GWH trust said: "We have individual rooms providing privacy and division between age groups, alongside two dedicated rooms for patients experiencing a mental health crisis.
"Many of the children and young people we care for need specialised care and we are planning to recruit specialist mental health nurses so that we have the expertise to better support children and young people with severe mental health needs.
"It's unacceptable that NHS staff face violence and abuse and we do all we can to keep our staff, patients and visitors safe.
"This is a national issue, however these incidents can be extremely distressing, and we offer a package of mental health support to our staff, which includes de-briefing sessions and counselling services.
"Our Never OK campaign, in partnership with Wiltshire Police, encourages staff to report all incidents and the police regularly visit the hospital and support our own security team."