PMID- 32569104
OWN - NLM
STAT- MEDLINE
DCOM- 20200909
LR  - 20200909
IS  - 2163-0763 (Electronic)
IS  - 2163-0755 (Linking)
VI  - 89
IP  - 1
DP  - 2020 Jul
TI  - Heroes in crisis: Trauma centers should be screening for and intervening on 
      posttraumatic stress in our emergency responders.
PG  - 132-139
LID - 10.1097/TA.0000000000002671 [doi]
AB  - BACKGROUND: Emergency responders face a crisis of rising suicide rates, and many 
      resist seeking help due to the stigma surrounding mental health. We sought to 
      evaluate the feasibility of an urban trauma center to screen for posttraumatic 
      stress (PTS) among emergency responders and to provide mental health services. 
      METHODS: Paramedics, firefighters, law enforcement, and corrections officers 
      involved with patients in the trauma unit were asked to complete the 
      Post-Traumatic Growth Inventory (PTGI) and Post-Traumatic Checklist for 
      Diagnostic and Statistical Manual-5 (PCL-5). Additional factors known to affect 
      PTS were correlated: occupation, age, sex, years of service, marital status, 
      children, and pets. Willingness and barriers to seeking interventions for PTS 
      were evaluated. RESULTS: A total of 258 responded: 36.7% paramedics, 40.2% law 
      enforcement officers, 18.4% corrections officers, 0.8% firefighters, and 3.5% 
      with multiple positions. Responders had a mean of 14.5 years of service (SD, 9.9 
      years). Mean PTGI and PCL-5 scores were 52.1 (SD, 25.1) and 17.2 (SD, 16.5), 
      respectively. Overall, 24.7% had diagnostic PTS disorder with no difference seen 
      in rates between professions. Of these, 80.7% had not sought care. Barriers 
      included that they were not concerned (46%), did not recognize symptoms (24%), 
      and were worried about consequences (20%). Concern over career advancement or 
      losing one's job was the greatest barrier cited for seeking care. Among law 
      enforcement, 47.7% were concerned that they would lose their ability to carry a 
      firearm if they sought care for PTS. The PTGI score, divorce, and 46 years to 50 
      years were the only factors examined that correlated with increased PCL-5 score. 
      There were 82.5% that felt the trauma center was the right place to screen and 
      intervene upon PTS. CONCLUSION: Trauma centers are an ideal and safe place to 
      both screen for PTS and offer mental health assistance. Comprehensive 
      trauma-informed care by hospital-based intervention programs must expand to 
      include emergency responders. LEVEL OF EVIDENCE: Epidemiological study type, 
      Level II.
FAU - Tatebe, Leah C
AU  - Tatebe LC
AD  - From the Department of Trauma and Burn Surgery (L.C.T., M.K., V.S., A.D.), Cook 
      County Health Rush University Midwestern University; Department of Trauma and 
      Burn Surgery (N.R.S., A.W., C.R.), Cook County Health; Department of Trauma and 
      Burn Surgery (S.P., E.L., J.M.), Cook County Health Midwestern University; 
      Department of Trauma and Burn Surgery (T.M., F.B.), Cook County Health Rush 
      University; and Department of Trauma and Burn Surgery (F.S.), Cook County Health 
      Rush University Midwestern University, Chicago, Illinois.
FAU - Rajaram Siva, Nandini
AU  - Rajaram Siva N
FAU - Pekarek, Sydney
AU  - Pekarek S
FAU - Liesen, Erik
AU  - Liesen E
FAU - Wheeler, Andrew
AU  - Wheeler A
FAU - Reese, Carol
AU  - Reese C
FAU - Schlanser, Victoria
AU  - Schlanser V
FAU - Kaminsky, Matthew
AU  - Kaminsky M
FAU - Messer, Thomas
AU  - Messer T
FAU - Starr, Frederic
AU  - Starr F
FAU - Mis, Justin
AU  - Mis J
FAU - Bokhari, Faran
AU  - Bokhari F
FAU - Dennis, Andrew
AU  - Dennis A
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Trauma Acute Care Surg
JT  - The journal of trauma and acute care surgery
JID - 101570622
SB  - IM
MH  - Adult
MH  - Checklist
MH  - Emergency Responders/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening/*organization & administration
MH  - Middle Aged
MH  - Prospective Studies
MH  - Stress Disorders, Post-Traumatic/*diagnosis
MH  - Trauma Centers/*organization & administration
EDAT- 2020/06/23 06:00
MHDA- 2020/09/10 06:00
CRDT- 2020/06/23 06:00
PHST- 2020/06/23 06:00 [entrez]
PHST- 2020/06/23 06:00 [pubmed]
PHST- 2020/09/10 06:00 [medline]
AID - 01586154-202007000-00021 [pii]
AID - 10.1097/TA.0000000000002671 [doi]
PST - ppublish
SO  - J Trauma Acute Care Surg. 2020 Jul;89(1):132-139. doi: 
      10.1097/TA.0000000000002671.