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[巴黎恐怖袭击受害者的心理危机干预。事件发生后一个月的评估要点]

[Defusing of victims of the terrorist attacks in Paris. Elements of assessment one-month post-event].

作者信息

Prieto N, Cheucle E, Faure P, Digard F, Dalphin C, Pachiaudi V, Simond M, Darbon R, Collinet C, Habibi R, Gueugniaud P-Y

机构信息

Cellule d'urgence médico-psychologique Auvergne/Rhône-Alpes (CUMP 69), hôpital Édouard-Herriot, avenue Rockfeller, 69003 Lyon, France; SAMU de Lyon, hôpital Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France.

Cellule d'urgence médico-psychologique Auvergne/Rhône-Alpes (CUMP 69), hôpital Édouard-Herriot, avenue Rockfeller, 69003 Lyon, France.

出版信息

Encephale. 2018 Apr;44(2):118-121. doi: 10.1016/j.encep.2016.10.002. Epub 2016 Dec 29.

Abstract

The terrorist attacks (fusillades and suicide attacks) in Paris on 13 November 2015 have had a major psychic impact on all individuals directly or secondarily exposed to them. Medico-psychological unit (CUMP) of the Paris Île-de-France region's immediate care services were immediately mobilized and rapidly strengthened by all regional medico-psychological units (CUMP) throughout the country. Psychological assistance has been provided in several key points of Paris and specifically in the 11th district City Hall of Paris where Lyon's Medico-psychological unit was located. These specific immediate psychological assistances, referred to as a "defusing process" by the medico-psychological unit (CUMP), are mostly devoted to provide the victims with an entry point to a psychological healthcare relationship and give them a first sense of soothing and relief even though they do not prevent further psychological care follow up for the victims. Nonetheless, the potential therapeutic effect of this "defusing process" has not yet been sufficiently established nor demonstrated by any scientific study. A phoning survey was carried out one-month post-terrorist attacks and interviewed the 129 victims who benefited from the "defusing process" conducted by Lyon's medico-psychological unit (CUMP) in order to collect data and assess its effects. These people, whether directly exposed, bereaved relatives or witnesses, whose average age is 35, are mostly living in the Île-de-France region. Most of them present a high score on the IES-R scale, whether they were directly exposed, bereaved relatives or witnesses. Almost all of them (96.5%) experienced at least one medical care contact within this one-month post-trauma period with psychotropic medication for 37% of them. Regarding the defusing conducted by Lyon's medico-psychological unit (CUMP) in the 11th district City Hall of Paris, it appears that 93% of the victims who were looked after indicated that they were satisfied and 87.4% of them stated that they were soothed afterwards.

摘要

2015年11月13日发生在巴黎的恐怖袭击(枪击和自杀式袭击)对所有直接或间接接触到这些袭击的人都产生了重大的心理影响。巴黎法兰西岛大区紧急医疗服务的医学心理单元(CUMP)立即被动员起来,全国各地所有的区域医学心理单元(CUMP)迅速对其进行了强化。在巴黎的几个关键点提供了心理援助,特别是在巴黎第11区市政厅,里昂的医学心理单元就在那里。这些特定的即时心理援助,医学心理单元(CUMP)称之为“缓解过程”,主要致力于为受害者提供进入心理医疗关系的切入点,即使不能防止受害者后续进一步的心理护理跟进,也能给他们一种初步的舒缓和宽慰感。然而,这一“缓解过程”的潜在治疗效果尚未得到充分确立,也没有任何科学研究对其进行证明。在恐怖袭击发生一个月后进行了一项电话调查,采访了129名受益于里昂医学心理单元(CUMP)所进行的“缓解过程”的受害者,以便收集数据并评估其效果。这些人,无论是直接接触者、遗属还是目击者,平均年龄为35岁,大多居住在法兰西岛大区。无论他们是直接接触者、遗属还是目击者,他们中的大多数在IES-R量表上得分都很高。几乎所有人(96.5%)在创伤后的这一个月内至少有过一次医疗接触,其中37%的人使用了精神药物。关于里昂医学心理单元(CUMP)在巴黎第11区市政厅进行的缓解工作,接受护理的受害者中93%表示满意,87.4%的人表示之后得到了舒缓。

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