Risk and protective factors for post-traumatic stress among New Zealand police personnel: a cross sectional study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Garth den Heyer

PurposeThe purpose of this research was to examine which factors increase the risk of post-traumatic stress in police officers to assist with identifying strategies that will minimize its occurrence.Design/methodology/approachThis study of constabulary and non-constabulary members of the New Zealand Police has been based on an 80-question electronic survey, which was sent to all serving, resigned and retired members of the New Zealand Police Association, which number approximately 18,000. The survey included a series of questions that measured the post-traumatic stress that participants experienced.FindingsVariables associated with post-traumatic stress were examined using logistic regression modeling techniques. The study found that post-traumatic stress was prevalent among serving, resigned and retired police members and exposure to trauma, especially prolonged exposure, was significantly associated with post-traumatic stress. More than 49% of participants were found to have some post-traumatic stress symptoms and more than 14% of participants indicated a presumptive clinical diagnosis of post-traumatic stress.Research limitations/implicationsThe limitations of the research included not include questions relating to the Social Provisions Scale (SPS) and General Health Questionnaire, nor did it include police officer recruits. A further limitation was that it was a cross-sectional study.Originality/valueAn understanding as to which variables influence or increase post-traumatic stress disorder is important for police officers and the police institution. The findings from this study indicate that exposure to trauma is strongly associated with high levels of post-traumatic stress, while good sleep and relaxation decrease the influence of such variables.

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231460
Author(s):  
Amy Richardson ◽  
Gagan Gurung ◽  
Ari Samaranayaka ◽  
Dianne Gardner ◽  
Brandon deGraaf ◽  
...  

2021 ◽  
pp. 114353
Author(s):  
Giuseppe Craparo ◽  
Valentina Lucia La Rosa ◽  
Graziella Marino ◽  
Michela Vezzoli ◽  
Gabriella Serena Cinà ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e033816
Author(s):  
Karel Willem Frank Scheepstra ◽  
Hannah S Pauw ◽  
Minouk Esmee van Steijn ◽  
Claire A I Stramrood ◽  
Miranda Olff ◽  
...  

ObjectiveTo compare the prevalence of work-related potential traumatic events (PTEs), support protocols and mental health symptoms across Dutch gynaecologists, orthopaedic surgeons and paediatricians.DesignCross-sectional study, supplementary analysis of combined data.SettingNationwide survey between 2014 and 2017.ParticipantsAn online questionnaire was sent to all Dutch gynaecologists, orthopaedic surgeons and paediatricians, including resident physicians (4959 physicians). 1374 questionnaires were eligible for analysis, corresponding with a response rate of 27.7%.Outcome measuresPrimary outcome measures were the prevalence of work-related PTEs, depression, anxiety, psychological distress and traumatic stress, measured with validated screening instruments (Hospital Anxiety and Depression Scale, Trauma Screening Questionnaire). Secondary outcomes were the association of mental health and defensive practice to traumatic events and support protocols.ResultsOf the respondents, 20.8% experienced a work-related PTE at least 4 weeks ago. Prevalence rates indicative of depression, anxiety or post-traumatic stress disorder (PTSD) were 6.4%, 13.6% and 1.5%, respectively. Depression (9.2% vs 5.2%, p=0.019), anxiety (18.2% vs 8.2%, p<0.001) and psychological distress (22.8% vs 12.5%, p<0.001) were significantly more prevalent in female compared with male attendings. The absence of a support protocol was significantly associated with more probable PTSD (p=0.022). Those who witnessed a PTE, reported more defensive work changes (28.0% vs 20.5%, p=0.007) and those with probable PTSD considered to quit medical work more often (60.0% vs 35.8%, p=0.032).ConclusionPhysicians are frequently exposed to PTEs with high emotional impact over the course of their career. Lacking a support protocol after adverse events was associated with more post-traumatic stress. Adverse events were associated with considering to quit medical practice and a more defensive practice. More awareness must be created for the mental health of physicians as well as for the implementation of a well-organised support system after PTEs.


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