Mental health care utilization by first responders after Paris attacks
| Autor: | Gabrielle Rabet, Thierry Baubet, Pierre Chauvin, P Pirard, L Eilin Stene, Stéphanie Vandentorren, Yvon Motreff, Cécile Vuillermoz, M Petitclerc |
|---|---|
| Přispěvatelé: | Institut de Veille Sanitaire (INVS), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Santé publique France - French National Public Health Agency [Saint-Maurice, France], Brigade de sapeurs pompiers de Paris (BSPP), Norwegian Centre for Violence and Traumatic Stress Studies [Oslo, Norway] (NKVTS), Ecole doctorale Erasme, Photochimie moléculaire et macromoléculaire (PMM), Université Blaise Pascal - Clermont-Ferrand 2 (UBP)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), Unité Transversale de Recherche Psychogenèse et Psychopathologie (UTRPP), Université Paris 13 (UP13)-Université Sorbonne Paris Nord, Service de psychopathologie de l'enfant et de l'adolescent, psychiatrie générale [Avicenne], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Avicenne [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Sorbonne Paris Nord, Centre National de Ressources et de Résilience [Lille] (CN2R), Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), CHU Pontchaillou [Rennes] |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Paris animal structures [SDV]Life Sciences [q-bio] stress disorders Logistic regression Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Psychiatry Depression (differential diagnoses) business.industry Depression Public Health Environmental and Occupational Health Emergency Responders mental health services Patient Acceptance of Health Care Mental health 030227 psychiatry Stress disorders Mental health care [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] Terrorism business post-traumatic |
| Zdroj: | Occupational Medicine Occupational Medicine, Oxford University Press (OUP), 2021, ⟨10.1093/occmed/kqab150⟩ Occupational Medicine, 2022, 72 (2), pp.81-90. ⟨10.1093/occmed/kqab150⟩ |
| ISSN: | 1471-8405 0962-7480 |
| Popis: | Background First responders (FRs) are frequently exposed to potentially traumatic events, including terror attacks, and may consequently be at risk of developing mental health disorders. Prior research suggests that FRs with mental health disorders often do not receive appropriate treatment. More knowledge is needed about their use of mental health care (MHC). Aims This study aimed to identify factors associated with receiving immediate support, post-immediate support and engagement in MHC among FRs of the November 2015 terror attacks in Paris. Methods A web-based study was conducted 8–12 months after the attacks on 663 FRs who were mobilized during the night and/or the aftermath of the attacks. Logistic regression was performed to analyse factors associated with MHC. Results Overall, 44 FRs sought MHC. Among FRs with post-traumatic stress disorder (PTSD), partial PTSD or depression (n = 60), 38% sought MHC (n = 23). Post-immediate support was associated with immediate support, and both were associated with knowing someone who could help regarding the potential psychological risks following a traumatic event. MHC engagement was associated with a history of MHC, post-immediate support and the presence of PTSD, partial PTSD or depression. Conclusions Among FRs with PTSD, partial PTSD or depression, few sought MHC. Improved access to MHC for FRs after terror attacks is essential. Knowing someone who could help regarding potential psychological risks may facilitate immediate and/or post-immediate support. Furthermore, post-immediate support could encourage engagement in MHC. Efforts should be made before and after potentially traumatic events to ensure mental health education for FR. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|