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Short-Term Psychological Support for Civilians Exposed to the January 2015 Terrorist Attacks in France

Published online by Cambridge University Press:  06 December 2022

Cécile Vuillermoz Open the ORCID record for Cécile Vuillermoz [Opens in a new window] ,
Nathalie Prieto ,
Philippe Pirard ,
Thierry Baubet ,
Lise Eilin Stene  and
Stéphanie Vandentorren
Cécile Vuillermoz*
Affiliation:
Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, F75012 Paris, France Norwegian Centre for Violence and Traumatic Stress Studies (NKVTS), Oslo, Norway
Nathalie Prieto
Affiliation:
Cellule d’Urgence Médico-Psychologique 69, Hospices Civils de Lyon, F69437 Lyon Cedex, France
Philippe Pirard
Affiliation:
Santé Publique France, Direction des Maladies non Transmissibles et Traumatismes, F94415 Saint-Maurice, France
Thierry Baubet
Affiliation:
AP-HP, Hôpital Avicenne, F93000 Bobigny, France Université Sorbonne Paris Nord, F93430 Villetaneuse, France Centre National de Ressources et de Résilience (CN2R), F59000 Lille, France
Lise Eilin Stene
Affiliation:
Norwegian Centre for Violence and Traumatic Stress Studies (NKVTS), Oslo, Norway
Stéphanie Vandentorren
Affiliation:
Santé Publique France, Direction Scientifique et Internationale, F94415 Saint-Maurice, France University of Bordeaux, INSERM, Bordeaux Population Health Research Center, F-33000 Bordeaux, France
*
Correspondence: Cécile Vuillermoz 27 rue Chaligny, 75012 Paris, France E-mail: cecile.vuillermoz@inserm.fr
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Abstract

Introduction:

Following a terrorist attack, responses to a psychosocial disaster range from low-intensity initiatives to high-intensity treatment. Some studies described post-disaster psychosocial services and planning across Europe. However, little is known about the psychosocial support (PS) actually delivered after terrorist attacks.

Study Objective:

This study assesses prevalence and the factors associated with not receiving short-term PS among terror-exposed people with probable mental health disorders following the January 2015 terrorist attacks in France.

Methods:

This study used data from the first wave of a longitudinal survey conducted six months after the attacks. Prevalence and factors associated with not receiving PS were described in the immediate period (48 hours), the early post-immediate period (48 hours-one week), and the medium-term (over one week) using a robust Poisson regression for each of the three periods.

Results:

Nearly one-half of the participants (N = 189) did not receive PS in any period (46.6% in the immediate period, 45.5% in the early post-immediate period, and 54.5% in the medium-term). In each period, not receiving PS was associated with not being very close to the attack sites. Not receiving PS in the immediate period was also associated with being a direct witness (DW) rather than being directly threatened (DT) and not having support in daily life; in the early post-immediate period, not receiving PS was associated with not having a peri-traumatic dissociation experience and being followed for a psychological problem before the attacks; and in the medium-term period, it was associated with perceived social isolation.

Conclusion:

The characteristics of the terror exposure and social support seemed to influence presence or absence of PS after the terrorist attack and highlight the need for strategies to reach out to people regardless of the type of exposure.

Keywords

mental health disorderspsychosocial supportterror-exposed peopleterrorist attack
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 37 , Issue 6 , December 2022 , pp. 755 - 764
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Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Whalley, MG, Brewin, CR. Mental health following terrorist attacks. Br J Psychiatry. 2007;190(2):94–96.Google ScholarPubMed
De Cauwer, H, Somville, FJMP. Neurological disease in the aftermath of terrorism: a review. Acta Neurol Belg. 2018;118(2):193–199.Google ScholarPubMed
Gabriel, R, Ferrando, L, Cortón, ES, et al. Psychopathological consequences after a terrorist attack: an epidemiological study among victims, the general population, and police officers. Eur Psychiatry J Assoc Eur Psychiatr. 2007;22(6):339–346.CrossRefGoogle ScholarPubMed
Hansen, MB, Berthelsen, M, Nissen, A, Heir, T. Sick leave before and after a work-place targeted terror attack. Int Arch Occup Environ Health. 2019;92(3):327–335.CrossRefGoogle ScholarPubMed
Neria, Y, Olfson, M, Gameroff, MJ, et al. The mental health consequences of disaster-related loss: findings from primary care one year after the 9/11 terrorist attacks. Psychiatry. 2008;71(4):339–348.Google ScholarPubMed
Jordan, HT, Osahan, S, Li, J, et al. Persistent mental and physical health impact of exposure to the September 11, 2001 World Trade Center terrorist attacks. Environ Health. 2019;18(1):12.Google Scholar
Reifels, L, Pietrantoni, L, Prati, G, et al. Lessons learned about psychosocial responses to disaster and mass trauma: an international perspective. Eur J Psychotraumatology. 2013;4.Google ScholarPubMed
Witteveen, AB, Bisson, JI, Ajdukovic, D, et al. Post-disaster psychosocial services across Europe: the TENTS project. Soc Sci Med. 2012;75(9):1708–1714.Google ScholarPubMed
Stene, LE, Vuillermoz, C, Overmeire, RV, et al. Psychosocial care responses to terrorist attacks: a country case study of Norway, France and Belgium. BMC Health Serv Res. 2022;22(1):390.CrossRefGoogle ScholarPubMed
Bisson, JI, Tavakoly, B, Witteveen, AB, et al. TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process. Br J Psychiatry. 2010;196(1):69–74.Google ScholarPubMed
Auxéméry, Y. Treatment of post-traumatic psychiatric disorders: a continuum of immediate, post-immediate and follow-up care mediated by specific psychotherapeutic principles. Clinical experience in French-speaking countries. L’Encephale. 2018;44(5):403–408.CrossRefGoogle ScholarPubMed
Prieto, N, Cheucle, E, Faure, P, et al. Defusing of victims of the terrorist attacks in Paris. Elements of assessment one-month post-event. L’Encephale. 2018;44(2): 118–121.CrossRefGoogle ScholarPubMed
Pirard, P, Baubet, T, Motreff, Y, et al. Use of mental health supports by civilians exposed to the November 2015 terrorist attacks in Paris. BMC Health Serv Res. 2020;20(1):959.CrossRefGoogle Scholar
Vandentorren, S, Pirard, P, Sanna, A, et al. Healthcare provision and the psychological, somatic and social impact on people involved in the terror attacks in January 2015 in Paris: cohort study. Br J Psychiatry. 2018;212(4):207–214.CrossRefGoogle ScholarPubMed
Vuillermoz, C, Stene, LE, Aubert, L, et al. Non-participation and attrition in a longitudinal study of civilians exposed to the January 2015 terrorist attacks in Paris, France. BMC Med Res Methodol. 2020;20(1):63.Google Scholar
Heckathorn, DD. Snowball versus respondent-driven sampling. Sociol Methodol. 2011;41(1):355–366.Google ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, DC USA: American Psychiatric Association Publishing; 2013.Google Scholar
Stuber, J, Galea, S, Boscarino, JA, Schlesinger, M. Was there unmet mental health need after the September 11, 2001 terrorist attacks? Soc Psychiatry Psychiatr Epidemiol. 2006;41(3):230–240.CrossRefGoogle ScholarPubMed
Ghuman, SJ, Brackbill, RM, Stellman, SD, Farfel, MR, Cone, JE. Unmet mental health care need 10–11 years after the 9/11 terrorist attacks: 2011–2012 results from the World Trade Center Health Registry. BMC Public Health. 2014;14(1):491.CrossRefGoogle ScholarPubMed
Dyb, G, Jensen, T, Glad, KA, Nygaard, E, Thoresen, S. Early outreach to survivors of the shootings in Norway on the 22nd of July 2011. Eur J Psychotraumatology. 2014;5.Google Scholar
Boscarino, JA, Adams, RE, Figley, CR. Mental health service use after the World Trade Center disaster: utilization trends and comparative effectiveness. J Nerv Ment Dis. 2011;199(2):91–99.CrossRefGoogle ScholarPubMed
Bracha, HS, Williams, AE, Haynes, SN, Kubany, ES, Ralston, TC, Yamashita, JM. The STRS (shortness of breath, tremulousness, racing heart, and sweating): a brief checklist for acute distress with panic-like autonomic indicators; development and factor structure. Ann Gen Hosp Psychiatry. 2004;3(1):8.Google ScholarPubMed
Birmes, P, Brunet, A, Benoit, M, Defer, S, Hatton, L, Sztulman, H, Schmitt, L. Validation of the Peritraumatic Dissociative Experiences Questionnaire self-report version in two samples of French-speaking individuals exposed to trauma. Eur Psychiatry J Assoc Eur Psychiatr. 2005;20(2):145–151.Google ScholarPubMed
Sheehan, DV, Lecrubier, Y, Sheehan, KH, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–33.Google ScholarPubMed
Zou, G. A modified Poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–706.CrossRefGoogle ScholarPubMed
Boscarino, JA, Adams, RE, Figley, CR. Mental health service use 1-year after the World Trade Center disaster: implications for mental health care. Gen Hosp Psychiatry. 2004;26(5):346–358.CrossRefGoogle ScholarPubMed
Wiström, ED, Stene, LE, Dyb, G. Following the Utøya attack - who received early assistance? Tidsskr Den Nor Laegeforening Tidsskr Prakt Med Ny Raekke. 2016;136(14-15):1223–1226.CrossRefGoogle ScholarPubMed
Boscarino, JA, Adams, RE, Stuber, J, Galea, S. Disparities in mental health treatment following the World Trade Center Disaster: implications for mental health care and health services research. J Trauma Stress. 2005;18(4):287–297.CrossRefGoogle ScholarPubMed
Holman, EA, Silver, RC. Health status and health care utilization following collective trauma: a 3-year national study of the 9/11 terrorist attacks in the United States. Soc Sci Med. 2011;73(4):483–490.Google ScholarPubMed
MacGeorge, EL, Samter, W, Feng, B, Gillihan, SJ, Graves, AR. After 9/11: goal disruption, emotional support, and psychological health in a lower exposure sample. Health Commun. Routledge. 2007;21(1):11–22.Google Scholar
Van Overmeire, R, Muysewinkel, E, Van Keer, RL, Vesentini, L, Bilsen, J. Victims of the terrorist attacks in Belgium and professional mental health aid barriers: a qualitative study. Front Psychiatry. 2021;12:638272.CrossRefGoogle ScholarPubMed
Allsopp, K, Brewin, CR, Barrett, A, et al. Responding to mental health needs after terror attacks. BMJ. 2019;366:l4828.Google ScholarPubMed
Motreff, Y, Pirard, P, Vuillermoz, C, et al. Mental health care utilization by first responders after Paris attacks. Occup Med (Lon). 2022;72(2):81–90.CrossRefGoogle ScholarPubMed
Kelly, CM, Jorm, AF, Kitchener, BA. Development of mental health first aid guidelines on how a member of the public can support a person affected by a traumatic event: a Delphi study. BMC Psychiatry. 2010;10:49.CrossRefGoogle ScholarPubMed
Charuvastra, A, Cloitre, M. Social bonds and posttraumatic stress disorder. Annu Rev Psychol. 2008;59:301–328.Google ScholarPubMed
North, CS, Pfefferbaum, B. Mental health response to community disasters: a systematic review. JAMA. 2013;310(5):507–518.CrossRefGoogle ScholarPubMed