Triple Threat Trauma: Evidence-Based Mental Health Response for the 2011 Japan Disaster

Shultz, James M.; Kelly, F. E.; Forbes, David; Verdeli, Helen; Leon, Gloria R.; Rosen, Alexa; Neria, Yuval

doi:10.1017/s1049023x11006364

Cited by 19 publications

(23 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The TSIG summary table illustrates that internal displacement generates a confluence of major psychological risk factors that, singly and collectively, carry a high risk for psychopathology. The elements of (1) decades-long duration, (2) ever-enlarging numbers of persons affected, and (3) intentional human causation differentiate forced migration in Colombia from TSIG case studies of natural, hybrid, and non-intentional technological disasters previously performed [33–41]. These features also contribute to the finding that most psychological risk factors appearing in Table 5 are rated as either “very severe” or “extreme.”…”

Section: Resultsmentioning

confidence: 90%

“…Consistent with the Disaster Ecology Model [29–32], TSIG analysis advances the position that this singular “signature” of exposure risks is a predictor of the psychosocial and mental health consequences sustained by Colombian IDPs. Internal displacement in Colombia provides the context for extending TSIG applications from catastrophic natural disasters [33–38], human-generated (anthropogenic) technological disasters [39], and “hybrid” disasters (featuring both prominent natural and anthropogenic elements) [40, 41], to the realm of intentional, perpetrated acts of violence [42] and armed conflict situations that can evolve into complex emergencies [1••, 43–45]. …”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

Shultz

Garfin

Espinel

et al. 2014

Curr Psychiatry Rep

Self Cite

114

View full text Add to dashboard Cite

While conflict-induced forced migration is a global phenomenon, the situation in Colombia, South America, is distinctive. Colombia has ranked either first or second in the number of internally displaced persons for 10 years, a consequence of decades of armed conflict compounded by high prevalence of drug trafficking. The displacement trajectory for displaced persons in Colombia proceeds through a sequence of stages: (1) pre-expulsion threats and vulnerability, (2) expulsion, (3) migration, (4) initial adaptation to relocation, (5) protracted resettlement (the end point for most forced migrants), and, rarely, (6) return to the community of origin. Trauma signature analysis, an evidence-based method that elucidates the physical and psychological consequences associated with exposures to harm and loss during disasters and complex emergencies, was used to identify the psychological risk factors and potentially traumatic events experienced by conflict-displaced persons in Colombia, stratified across the phases of displacement. Trauma and loss are experienced differentially throughout the pathway of displacement.

show abstract

Section: Resultsmentioning

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

Shultz

Garfin

Espinel

et al. 2014

Curr Psychiatry Rep

Self Cite

114

View full text Add to dashboard Cite

show abstract

“…Trauma signature (TSIG) analysis [16][17][18][19][20][21][22][23] was applied to examine the psychological and mental health effects of Hurricane Matthew. TSIG analysis is defined as "an evidence-based method that examines the interrelationship between population exposure to a disaster, extreme event, or complex emergency; and the inter-related physical and psychological consequences; for the purpose of providing timely, actionable guidance for effective disaster behavioral health (DBH) support that is tailored to the defining features of the event."…”

Section: Methodsmentioning

confidence: 99%

“…TSIG analyses have been conducted across a spectrum of disasters, both natural and anthropogenic. [17][18][19][20][21][22][23] In the depiction of Hurricane Matthew, TSIG analyses are applied to illuminate the manner in which the physical forces of harm associated with this tropical cyclone were tranmuted into psychological outcomes.…”

Section: Disaster Ecology Model and Trauma Signature (Tsig) Analysismentioning

confidence: 99%

The trauma signature of 2016 Hurricane Matthew and the psychosocial impact on Haiti

et al. 2016

Self Cite

View full text Add to dashboard Cite

Background. Hurricane Matthew was the most powerful tropical cyclone of the 2016 Atlantic Basin season, bringing severe impacts to multiple nations including direct landfalls in Cuba, Haiti, Bahamas, and the United States. However, Haiti experienced the greatest loss of life and population disruption.Methods. An established trauma signature (TSIG) methodology was used to examine the psychological consequences of Hurricane Matthew in relation to the distinguishing features of this event. TSIG analyses described the exposures of Haitian citizens to the unique constellation of hazards associated with this tropical cyclone. A hazard profile, a matrix of psychological stressors, and a "trauma signature" summary for the affected population of Haiti -in terms of exposures to hazard, loss, and change -were created specifically for this natural ecological disaster.Results. Hazard characteristics of this event included: deluging rains that triggered mudslides along steep, deforested terrain; battering hurricane winds (Category 4 winds in the "eye-wall" at landfall) that dismantled the built environment and launched projectile debris; flooding "storm surge" that moved ashore and submerged villages on the Tiburon peninsula; and pummeling wave action that destroyed infrastructure along the coastline. Many coastal residents were left defenseless to face the ravages of the storm. Hurricane Matthew's slow forward progress as it remained over super-heated ocean waters added to the duration and degree of the devastation. Added to the havoc of the storm itself, the risks for infectious disease spread, particularly in relation to ongoing epidemics of cholera and Zika, were exacerbated.Conclusions. Hurricane Matthew was a ferocious tropical cyclone whose meteorological characteristics amplified the system's destructive force during the storm's encounter with Haiti, leading to significant mortality, injury, and psychological trauma.

show abstract

“…Optimal MHPSS response 1 , 2 that incorporates TSIG analysis can be summarized as a sequence of six steps (see also Figure 1): 1) initial TSIG analysis to guide response based on the defining features of the disaster or potentially-traumatizing event (PTE), 2) TSIG-guided preparation of responders for what to expect and deployment of appropriate response assets, 3) delivery and evaluation of evidence-informed early interventions, 4) implementation of onsite validated disaster behavioral health needs assessment, 5) identification and intervention with individuals at high risk for disaster-related psychological distress, impairment, or psychopathology, and 6) continuous monitoring of responder and survivor mental health throughout recovery with comprehensive (“end-to-end”) evaluation of the MHPSS response.…”

Section: Tsig Analysis In the Context Of Evidence-based Mhpss Disastementioning

confidence: 99%

Trauma signature analysis

Shultz

Neria

2013

Disaster Health

Self Cite

View full text Add to dashboard Cite

Trauma signature (TSIG) analysis is an evidence-based method that examines the interrelationship between population exposure to a disaster, extreme event, or complex emergency, and the inter-related physical and psychological consequences for the purpose of providing timely, actionable guidance for effective mental health and psychosocial support that is organically tailored and targeted to the defining features of the event. A series of TSIG case studies has been published since 2011 and TSIG analyses of recent disasters are in process. Disaster Health intends to expedite and feature novel TSIG research focusing on late-breaking disaster events. At the current stage of development, expert consensus is sought for refining the TSIG methodology using a Delphi process. The overarching goal is to create a fully operational system to provide timely guidance for adapting disaster behavioral health support to the salient psychological risk factors in each disaster.

show abstract

Triple Threat Trauma: Evidence-Based Mental Health Response for the 2011 Japan Disaster

Cited by 19 publications

References 41 publications

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

The trauma signature of 2016 Hurricane Matthew and the psychosocial impact on Haiti

Trauma signature analysis

Contact Info

Product

Resources

About