Defusing  des victimes des attentats de Paris. Éléments d’évaluation un mois après

Prieto, Nathalie; Cheucle, Éric; Faure, Pascal; Digard, F; Dalphin, Catherine; Pachiaudi, V; Simond, Monique; Darbon, Rémy; Collinet, C; Habibi, Rusydiana Al; Gueugniaud, Pierre‐Yves

doi:10.1016/j.encep.2016.10.002

Cited by 17 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This result suggests that the OPS deployed immediately after the November 2015 attacks met a need for MHSu in people for whom exposure significantly impacted their subsequent mental health. Post-disaster studies highlight the importance of urgently implementing MHSu systems that help meet the exceptional - both immediate [ 7 , 27 ] and longer term [ 8 , 14 , 27 ] - needs of a disrupted community [ 40 ]. These systems seem to facilitate the subsequent recovery of people who are mentally injured [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is therefore important to meet the needs of people suffering from MHD in a timely fashion, and to provide appropriate treatment to reduce the intensity and duration of these consequences and associated social complications. Some studies recommend providing early and proactive outreach psychological support to satisfy the particular treatment needs of populations exposed to terrorist attacks [ 7 , 8 ]. Collective expertise recommends acute stress disorder management in the first month after exposure [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Emergency outreach psychosocial support units (French abbreviation: CUMP) were immediately deployed following the attacks [ 7 , 20 ]. There are 100 CUMP throughout the country, each comprising trained psychiatrists, psychologists and nurses.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of mental health supports by civilians exposed to the November 2015 terrorist attacks in Paris

Pirard

Baubet

Motreff

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background The use of mental health supports by populations exposed to terrorist attacks is rarely studied despite their need for psychotrauma care. This article focuses on civilians exposed to the November 2015 terrorist attacks in Paris and describes the different combinations of mental health supports (MHSu) used in the following year according to type of exposure and type of mental health disorder (MHD). Methods Santé publique France conducted a web-based survey of civilians 8–11 months after their exposure to the November 2015 terrorist attacks in Paris. All 454 respondents met criterion A of the DSM-5 definition of post-traumatic stress disorder (PTSD). MHD (anxiety, depression, PTSD) were assessed using the PCL-5 checklist and the Hospital Anxiety and Depression Scale. MHSu provided were grouped under outreach psychological support, visits for psychological difficulties to a victims’ or victim support association, consultation with a general practitioner (GP), consultation with a psychiatrist or psychologist (specialist), and initiation of regular mental health treatment (RMHT). Chi-squared tests highlighted differences in MHSu use according to type of exposure (directly threatened, witnessed, indirectly exposed) and MHD. Phi coefficients and joint tabulations were employed to analyse combinations of MHSu use. Results Two-thirds of respondents used MHSu in the months following the attacks. Visits to a specialist and RMHT were more frequent than visits to a GP (respectively, 39, 33, 17%). These were the three MHSu most frequently used among people with PTSD (46,46,23%), with depression (52,39,20%), or with both (56,58, 33%). Witnesses with PTSD were more likely not to have RMHT than those directly threatened (respectively, 65,35%). Outreach support (35%) and visiting an association (16%) were both associated with RMHT (Phi = 0.20 and 0.38, respectively). Very few (1%) respondents initiated RMHT directly. Those who indirectly initiated it (32%) had taken one or more intermediate steps. Visiting a specialist, not a GP, was the most frequent of these steps. Conclusion Our results highlight possibilities for greater coordination of mental health care after exposure to terrorist attacks including involving GP for screening and referral, and associations to promote targeted RMHT. They also indicate that greater efforts should be made to follow witnesses.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of mental health supports by civilians exposed to the November 2015 terrorist attacks in Paris

Pirard

Baubet

Motreff

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Third, participants spoke about the turmoil in their life following the attack, which is also something commonly described in the scientific literature (Davis, 2004; De Clercq et al, 1999; Freh et al, 2013; Le Maléfan & Coq, 2015; Prieto et al, 2018; Rougemont-Bücking, 2013). The victims expressed the feeling that their personality had been modified after the terrorist attack.…”

Section: Discussionmentioning

confidence: 99%

Experience of victims of brussels’ terrorists attacks: An interpretative phenomenological analysis.

et al. 2024

View full text Add to dashboard Cite

Although there is a significant amount of literature on the impact of terrorist attacks on victims, very little research has focused on the subjective experience of these victims. Therefore, this article aims to reveal how direct victims of the Brussels' terrorist attacks are living their lives 18 to 24 months after these events. It explores how the victims have made sense of this traumatic event and how they are coping with what happened and with the impact left by this event. Ten adults who directly experienced the bomb attacks in Brussels on 22 March 2016 were recruited. Semistructured interviews were conducted and analyzed using interpretative phenomenological analysis. The results show how much the terrorist threat is still present in the mind of victims. The emotional impact of terrorism is strong and sustainable, with central emotions, such as fear, guilt, and anger. The participants expressed their sense of a changed self and how their social relationships have been influenced, particularly by there being a distance between them and others. The professional sphere and leisure activities have also been deeply impacted by the personal experience of the victims. Social support was considered primordial in recovery, and the victims have developed a large variety of coping strategies to face their traumatic experiences. However, the victims were also confronted with a lack of consideration and respect from society, government, and health care professionals, while they insist on their need for public recognition.

show abstract

“…In France, collective emergency measures are deployed in the aftermath of an attack, including Medical-psychological emergency units: in Nice, psychiatrists, psychologists and volunteers intervened to ensure immediate and post-immediate care of the victims, the healthcare providers and rescuers on site, as well as members of hospital staff who expressed the need for it [ 22 ]. Under the aegis of Nice hospital management, mobile teams including psychiatrists and psychologists were set up to reach out to the most exposed participants; an anonymous psychological support helpline exclusively dedicated to staff was set up in each hospital site for 6 months; the occupational health departments of the CHU and Lenval hospitals contributed in receiving and directing hospital staff towards specialized care departments according to each one’s particular situation.…”

Section: Introductionmentioning

confidence: 99%

Mental health impact among hospital staff in the aftermath of the Nice 2016 terror attack: the ECHOS de Nice study

Bentz¹,

Vandentorren

Fabre

et al. 2021

BMC Public Health

View full text Add to dashboard Cite

Background The Nice terror attack of July 14, 2016 resulted in 84 deaths and 434 injured, with many hospital staff exposed to the attack, either as bystanders on site at the time of the attack (‘bystander exposure’) who may or may not have provided care to attack victims subsequently, or as care providers to victims only (‘professional exposure only’). The objective of this study is to describe the impact on mental health among hospital staff by category of exposure with a particular focus on those with ‘professional exposure only’, and to assess their use of psychological support resources. Method An observational, cross-sectional, multicenter study conducted from 06/20/2017 to 10/31/2017 among all staff of two healthcare institutions in Nice, using a web questionnaire. Collected data included social, demographic and professional characteristics; trauma exposure category (‘bystanders to the attack’; ‘professional exposure only’; ‘unexposed’); indicators of psychological impact (Hospital Anxiety and Depression Scale); PTSD (PCL-5) level; support sought. Responders could enter open comments in each section of the questionnaire, which were processed by inductive analysis. Results 804 staff members’ questionnaires were analysed. Among responding staff, 488 were exposed (61%): 203 were ‘bystanders to the attack’, 285 had ‘professional exposure only’. The staff with ‘professional exposure only’ reported anxiety (13.2%), depression (4.6%), suicidal thoughts (5.5%); rates of full PTSD was 9.4% and of partial PTSD, 17.7%. Multivariate analysis in the ‘professional exposure only’ category showed that the following characteristics were associated with full or partial PTSD: female gender (OR = 2.79; 95% CI = 1.19–6.56, p = 0.019); social isolation (OR = 3.80; 95% CI = 1.30–11.16, p = 0.015); having been confronted with an unfamiliar task (OR = 3.04; 95% CI = 1.18–7.85; p = 0.022). Lastly, 70.6% of the staff with ‘professional exposure only’ with full PTSD did not seek psychological support. Conclusion Despite a significant impact on mental health, few staff with ‘professional exposure only’ sought psychological support. Robust prevention and follow-up programs must be developed for hospital staff, in order to manage the health hazards they face when exposed to exceptional health-related events such as mass terror attacks. Study registration Ethical approval for the trial was obtained from the National Ethics Committee for Human Research (RCBID N° 2017-A00812–51).

show abstract

Defusing des victimes des attentats de Paris. Éléments d’évaluation un mois après

Cited by 17 publications

References 5 publications

Use of mental health supports by civilians exposed to the November 2015 terrorist attacks in Paris

Use of mental health supports by civilians exposed to the November 2015 terrorist attacks in Paris

Experience of victims of brussels’ terrorists attacks: An interpretative phenomenological analysis.

Mental health impact among hospital staff in the aftermath of the Nice 2016 terror attack: the ECHOS de Nice study

Contact Info

Product

Resources

About