scholarly journals Experiences and perceptions of family members of emergency first responders with post-traumatic stress disorder

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Karen May ◽  
Miranda Van Hooff ◽  
Matthew Doherty ◽  
Marie Iannos
1998 ◽  
Vol 37 (1) ◽  
pp. 41-58 ◽  
Author(s):  
Ginny Sprang ◽  
John McNeil

This article examines the impact of gender, religious beliefs, subjective health status, individuals' past experience with death, social support, and time since the death on the extent of mourning, the extent of grieving, and Post-traumatic Stress Disorder (PTSD) symptomatology. It is proposed that the mode of death complicates the nature and course of bereavement after the death of a primary family member in a drunk driving collision. The unnecessary and violent nature of the death of drunk driving victims adds to the depth and extent of the psychological response to trauma. It is proposed that the models of grief utilized to conceptualize the grieving process are inadequate as a sole measure of the response of this type of death. Therefore, the inclusion of Post-traumatic Stress Disorder was provided for a more comprehensive understanding of this type of grief response. Survey data were collected on 171 primary family members of drunk driving victims (spouses, parents, siblings, or children) randomly selected from support groups and social service agencies throughout Texas. Results provide a greater understanding of the factor influencing the responses of the surviving family members after a drunk driving fatality and demonstrate that the grief and PTSD response share common predictors.


2016 ◽  
Vol 1 (2) ◽  
pp. 26 ◽  
Author(s):  
Stuart Wilson ◽  
Harminder Guliani ◽  
Georgi Boichev

There is an increasing awareness of the tragic consequences of post-traumatic stress disorder (PTSD) among first responders in Canada. There is also an increasing awareness of the lack of understanding about the economic and social costs of PTSD in Canada. This article aims to briefly review the current evidence on the prevalence rates of PTSD, the economic costs associated with PTSD, and the costs and efficacy of various treatment strategies, to provide a framework for future research on the economic analysis of PTSD. Estimates suggest that as many as 2.5 million adult Canadians and 70,000 Canadian first responders have suffered from PTSD in their lifetimes. While we could not find any evidence on the economic cost of PTSD specifically, a recent estimate suggests that mental illness in the Canadian labour force results in productivity losses of $21 billion each year. Research from Australia suggests that expanded mental health care may improve the benefits of treatment over traditional care, and more cost-effectively. Given the methodological challenges in the existing studies and the paucity of evidence on Canada, more Canadian studies on prevalence, on the economic and social costs of PTSD, and on the costs and effectiveness of various treatment options are encouraged.


BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030668 ◽  
Author(s):  
Grace McKeon ◽  
Zachary Steel ◽  
Ruth Wells ◽  
Jill M Newby ◽  
Dusan Hadzi-Pavlovic ◽  
...  

BackgroundFirst responders (police, fire and ambulance officers) are at a significantly increased risk of experiencing poor mental health, including depression and post-traumatic stress disorder. These conditions are associated with high rates of cardiovascular disease, in part due to low levels of physical activity (PA) and high levels of sedentary behaviour. Using a person’s social support system may be an effective solution to help increase PA levels to improve mental and physical health outcomes. We will examine the efficacy of a group-based online intervention in increasing PA in first responders and their support partners, iteratively codesigned with advisors with lived experience of mental illness among first responders.MethodsThis study will recruit a convenience sample of self-identified sedentary first responders and their self-selected support partners to a 10-week PA programme delivered through a private Facebook group. We will deliver education on predetermined topics related to PA and diet and provide participants with an activity tracker (Fitbit). A stepped-wedged design will be applied to compare multiple baselines to intervention and follow-up phases within subjects. Five cohorts of n=20 will be recruited, with each cohort randomised to a different baseline length. Our primary outcome will be psychological distress (Kessler-6). Secondary outcomes include feasibility, self-report and objective PA data (Simple Physical Activity Questionnaire and Fitbit accelerometry), depression and anxiety (Depression Anxiety and Stress Scale-21 items), post-traumatic stress disorder symptoms (PTSD Checklist for DSM-5), quality of life Assessment of Quality of Life-6 dimensions, sleep quality (The Pittsburgh Sleep Quality Index), suicidal ideation (Suicidal Ideation Attributes Scale) and social support for exercise. The mobile data collection platform MetricWire will be used.Ethics and disseminationEthical approval was obtained from the University of New South Wales, Deupty Vice-Chancellor Research, Human Research Ethics Committee on 3 June 2019, HC180561. Findings will be published in peer-reviewed journals and disseminated at national conferences.Trial registration numberACTRN12619000877189.


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