Role of Families, Schools, and Communities in Treatment and Recovery: From First Responders to Sustained Support

2019 ◽  
pp. 115-125
Author(s):  
David G. Stewart ◽  
Anita Chu ◽  
Nancy Rappaport
Keyword(s):  
2019 ◽  
Author(s):  
David Herr ◽  
Erin Michelle Buchanan

Background and ObjectivesAnxiety buffer disruption theory (ABDT) is an application of terror management theory to posttraumatic stress disorder (PTSD). ABDT predicts that posttraumatic stress reactions occur when buffers of awareness of death, such as meaning in life, self-esteem, and social intimacy, fail to suppress overwhelming death-anxiety. In this study, we hypothesized that generativity may also serve as an effective buffer of awareness of death and PTSD. Design The present study investigated the presence of anxiety buffering disruption in first responders with a spectrum of posttraumatic stress via a mediation path model of self-report measures of PTSD symptoms, anxiety buffer variables, and death-though accessibility. MethodsTo investigate the role of anxiety buffering in PTSD, a sample of 986 first responders completed self-report measures of PTSD symptoms and anxiety buffer variables in randomized order, and a death-thought accessibility measure following random assignment to mortality salience (n = 290) or control (n = 302) conditioning. Results and ConclusionWhile results indicate PTSD symptoms have a small relation to increased awareness of death, results indicate anxiety buffering variables did not mediate the relation between PTSD symptoms and awareness of death. Nonetheless, generativity and meaning in life, self-esteem, and social support were significant predictors of lower levels of PTSD.


Crisis ◽  
2021 ◽  
Author(s):  
Nguyen Viet Ngo ◽  
Shirley D. Gregor ◽  
Gary Beavan ◽  
Bianca Riley

Abstract. Background: Bystanders can play a key role in preventing railway suicides by taking direct action or by raising an alarm. Aims: The study investigated in this context: (1) the prevalence of preventative actions by bystanders; (2) the relationship, if any, between first-hand preventions by bystanders and the degree of ambiguity around the imminence of danger; and (3) the nature of first-hand preventions by bystanders. Method: Data were obtained from a security reporting database at Sydney Trains for 2011–2019 for accident and suicide-related incidents ( N = 1,278). Results: In 635 cases of suicide prevention, bystanders were identified as first responders in 11% of cases and as raising the alarm in 11% of cases. Bystanders as first responders intervened proportionally more where the ambiguity of danger is low (jumping) compared with high (sitting, standing, wandering). Of the 69 cases of bystander preventions, 77% involved physical interaction (e.g., holding back) and 49% involved more than one bystander. Limitations: The data source could be biased because of incompleteness or nonstandard reporting. Conclusion: Rail policy-makers should consider education and support for bystanders and staff: for example, by making known the prevalence of helping, the importance of intervening, and what types of intervention are most helpful.


2020 ◽  
Vol 5 (1) ◽  
pp. 8 ◽  
Author(s):  
Daniel M. Blumberg ◽  
Luciano Giromini ◽  
Konstantinos Papazoglou ◽  
A. Renee Thornton

First responders experience a myriad of stressors (e.g., operational, organizational, personal) over the course of their career. An abundance of empirical evidence shows that the impact of those stressors on first responders’ health, well-being, and performance can be detrimental. Nevertheless, previous research has mainly focused on the role of a specific technique (e.g., mindfulness, breathing exercises, psychoeducation) towards the promotion of well-being among first responders. This allows us to explore the role of a single technique in supporting first responders. However, given the complexity of stressors experienced by this population, it appears that a synergistic role of multileveled intervention is imperative to promote lasting improvement in first responders’ well-being. To this end, The HEROES Project, an eight-week online training program, was developed to address the aforementioned gap in the literature. The HEROES Project incorporates lessons that aim to build a cluster of skills that together promote first responders’ wellbeing. In the present study, a sample of first responders (n = 124) from the US Midwest were recruited and completed The HEROES Project. They were assessed before and after completion of the program, and then follow-up measurements were obtained for two years following the baseline assessment. Results showed that participants with higher distress and lower psychological resources before the training benefited most from The HEROES Project, but that the training significantly improved psychological capital and reduced stress, depression, anxiety, and trauma symptoms for all participants. Clinical and training implications as well as future research directions are discussed.


2018 ◽  
Vol 92 (4) ◽  
pp. 277-295 ◽  
Author(s):  
Vicky Lamb ◽  
Emma Tarpey

Police officers are first responders in a role which not only encompasses crime, but also increasing welfare issues. Issues have been highlighted with officers ‘detaining’ those with mental health difficulties and the impact that this process can have upon all involved. However, there appears to be a shift towards a police-health nexus. An exploratory study interviewed ten UK police officers with a view to understanding officers’ experiences of working with people with mental health difficulties and the availability of training for this role. With increasing demands to support people with mental health concerns, alongside a reduction in officer numbers, thematic analysis highlighted three themes: Support, Impact on the Officer and Understanding Mental Health. Increasing demands, a lack of training and limited multi-agency working were experienced by officers. However, officer-to-officer support was strong. Recommendations are made to increase collaborative multi-agency working and review the role of police officers as first responders in mental health crises.


2010 ◽  
Author(s):  
Richard Cage ◽  
Marsha K. Salus ◽  
Jeannie Newman ◽  
Matthew Shuman ◽  
Lindsay Ritter Taylor

2006 ◽  
Vol 43 (3) ◽  
pp. 361-367 ◽  
Author(s):  
N.J. Nusbaum ◽  
V.M. Cheung ◽  
J. Cohen ◽  
M. Keca ◽  
B. Mailey
Keyword(s):  
At Risk ◽  

2017 ◽  
Vol 26 (3) ◽  
pp. 286-297 ◽  
Author(s):  
Daniel Shepherd ◽  
David McBride ◽  
Kirsten Lovelock

Purpose The role of first responders in mitigating the effects of earthquakes is vital. Unlike other disasters, earthquakes are not single events, and exposure to dangerous and trauma-inducing events may be ongoing. Understanding how first responders cope in the face of such conditions is important, for both their own well-being as well as the general public whom they serve. The paper aims to discuss these issues. Design/methodology/approach Using questionnaires, this study measured posttraumatic stress disorder (PTSD), psychological resilience, and reactive coping styles in a sample of first responders active during the 2011 Canterbury earthquake in New Zealand. Findings The prevalence of PTSD was similar to that reported in the literature. Psychological resilience, but not disaster exposure, was found to be associated with PTSD. Maladaptive coping strategies best predicted resiliency, but there were significant gender differences. Originality/value These findings can inform those managing first responder disaster workers through the consideration of preventive and treatment interventions.


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