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针对经历创伤事件的警察开展心理急救作为一种支持性干预措施的可行性研究。

A feasibility study of psychological first aid as a supportive intervention among police officers exposed to traumatic events.

作者信息

Geoffrion Steve, Leduc Marie-Pierre, Bourgouin Elody, Bellemare François, Arenzon Valérie, Genest Christine

机构信息

Trauma Studies Center, Research Centre of the University Institute in Mental Health of Montreal, Montreal, QC, Canada.

School of Psychoeducation, Université de Montréal, Montreal, QC, Canada.

出版信息

Front Psychol. 2023 Mar 13;14:1149597. doi: 10.3389/fpsyg.2023.1149597. eCollection 2023.

Abstract

INTRODUCTION

Police officers are often exposed to traumatic events, which can induce psychological distress and increase the risk of developing post-traumatic stress injuries. To date, little is known about support and prevention of traumatic events in police organizations. Psychological first aid (PFA) has been promoted as a promising solution to prevent psychological distress following exposure to a traumatic event. However, PFA has not yet been adapted to policing reality, let alone to the frequent exposure to traumatic events faced by this population. This study aimed to evaluate the feasibility of PFA as an early intervention for the prevention of post-traumatic stress injuries among police officers in Quebec, Canada. Specifically, the objectives were to evaluate: (1) the demand. (2) the practicality, and (3) the acceptability of PFA in a police organization.

METHODS

A feasibility study was conducted to evaluate the implementation of PFA among Quebec's provincial police force. To do so, 36 police officers participated in semi-structured interviews between October 26th, 2021, and July 23rd, 2022. Participants were comprised of responders ( = 26), beneficiaries ( = 4) and managers ( = 6). Interviews were transcribed, coded, and evaluated according to a thematic analysis.

RESULTS

Eleven themes emerged from participants' responses. Results suggested that PFA met individual and organizational needs. References were also made regarding the impacts of this intervention. Moreover, participants provided feedback for improving the implementation and sustainability of a PFA program. All three groups of participants shared similar thematic content.

DISCUSSION

Findings revealed that implementation of a PFA program in a law enforcement agency was feasible and could be accomplished without major issues. Importantly, PFA had beneficial consequences within the organization. Specifically, PFA destigmatized mental health issues and renewed a sense of hope among police personnel. These findings are in line with previous research.

摘要

引言

警察经常接触创伤性事件,这可能会导致心理困扰,并增加患创伤后应激损伤的风险。迄今为止,对于警察组织中创伤性事件的支持和预防知之甚少。心理急救(PFA)已被推崇为预防接触创伤性事件后心理困扰的一种有前景的解决方案。然而,心理急救尚未适应警务现实,更不用说适应这一群体频繁接触创伤性事件的情况了。本研究旨在评估心理急救作为加拿大魁北克省警察预防创伤后应激损伤的早期干预措施的可行性。具体而言,目标是评估:(1)需求。(2)实用性,以及(3)心理急救在警察组织中的可接受性。

方法

进行了一项可行性研究,以评估心理急救在魁北克省警察部队中的实施情况。为此,36名警察在2021年10月26日至2022年7月23日期间参加了半结构化访谈。参与者包括应急人员(n = 26)、受益者(n = 4)和管理人员(n = 6)。访谈进行了转录、编码,并根据主题分析进行评估。

结果

参与者的回答产生了11个主题。结果表明,心理急救满足了个人和组织的需求。还提到了这种干预的影响。此外,参与者提供了反馈,以改进心理急救计划的实施和可持续性。所有三组参与者都分享了相似的主题内容。

讨论

研究结果表明,在执法机构中实施心理急救计划是可行的,并且可以在没有重大问题的情况下完成。重要的是,心理急救在组织内产生了有益的影响。具体而言,心理急救消除了心理健康问题的污名化,并在警察人员中重新燃起了希望感。这些发现与先前的研究一致。

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