The short-term impact of terrorism on public mental health: an emergency primary care approach
Abstract Background Terrorist attacks commonly have mental health consequences for those directly affected. Existing research is, however, divided when it comes to how and whether terrorist attacks affect the general population’s mental health. There is a need for studies investigating a broader ran...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-17240-z |
| _version_ | 1827632851690979328 |
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| author | Lisa Govasli Nilsen Tore Wentzel-Larsen Lise Eilin Stene |
| author_facet | Lisa Govasli Nilsen Tore Wentzel-Larsen Lise Eilin Stene |
| author_sort | Lisa Govasli Nilsen |
| collection | DOAJ |
| description | Abstract Background Terrorist attacks commonly have mental health consequences for those directly affected. Existing research is, however, divided when it comes to how and whether terrorist attacks affect the general population’s mental health. There is a need for studies investigating a broader range of mental health reactions to understand more about how different groups of the population are affected by terrorist attacks, while also illuminating important systemic factors. Methods In this study we investigated whether there was any change in the number of consultations with out-of-hours emergency primary care for psychological reactions in association with the 2011 terrorist attacks in Norway. Data covering the entire Norwegian population’s primary care contacts in 2008–2013, where the reason for encounter was coded as psychological concerns or psychiatric disorders, were studied. A time series intervention analysis, using ARIMA modelling, was used to estimate whether there was indeed a change in healthcare utilisation associated with the terrorist attacks. Results The analysis uncovered an increase in contacts with emergency primary care by the overall population for mental health concerns associated with the terrorist attacks. When divided into groups according to geographical proximity to attacks, no significant change was found in the area closest to the attack in Oslo, whereas an increase was found for the rest of the country. There was also heterogeneity across different age groups. An increase was found among youths, young adults, and middle-aged people, but not the other age groups, and an increase was found for both men and women. Conclusions These findings highlight the need for primary care services to be prepared to meet mental health reactions in the general population when planning for healthcare provision in the aftermath of terrorism. Simultaneously, it should be noted that needs may vary across different groups of the population. |
| first_indexed | 2024-03-09T14:50:27Z |
| format | Article |
| id | doaj.art-7ac044c8eb9d4a26a94ded91da5a8e45 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-09T14:50:27Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7ac044c8eb9d4a26a94ded91da5a8e452023-11-26T14:29:18ZengBMCBMC Public Health1471-24582023-11-0123111310.1186/s12889-023-17240-zThe short-term impact of terrorism on public mental health: an emergency primary care approachLisa Govasli Nilsen0Tore Wentzel-Larsen1Lise Eilin Stene2Norwegian Centre for Violence and Traumatic Stress StudiesNorwegian Centre for Violence and Traumatic Stress StudiesNorwegian Centre for Violence and Traumatic Stress StudiesAbstract Background Terrorist attacks commonly have mental health consequences for those directly affected. Existing research is, however, divided when it comes to how and whether terrorist attacks affect the general population’s mental health. There is a need for studies investigating a broader range of mental health reactions to understand more about how different groups of the population are affected by terrorist attacks, while also illuminating important systemic factors. Methods In this study we investigated whether there was any change in the number of consultations with out-of-hours emergency primary care for psychological reactions in association with the 2011 terrorist attacks in Norway. Data covering the entire Norwegian population’s primary care contacts in 2008–2013, where the reason for encounter was coded as psychological concerns or psychiatric disorders, were studied. A time series intervention analysis, using ARIMA modelling, was used to estimate whether there was indeed a change in healthcare utilisation associated with the terrorist attacks. Results The analysis uncovered an increase in contacts with emergency primary care by the overall population for mental health concerns associated with the terrorist attacks. When divided into groups according to geographical proximity to attacks, no significant change was found in the area closest to the attack in Oslo, whereas an increase was found for the rest of the country. There was also heterogeneity across different age groups. An increase was found among youths, young adults, and middle-aged people, but not the other age groups, and an increase was found for both men and women. Conclusions These findings highlight the need for primary care services to be prepared to meet mental health reactions in the general population when planning for healthcare provision in the aftermath of terrorism. Simultaneously, it should be noted that needs may vary across different groups of the population.https://doi.org/10.1186/s12889-023-17240-zTerrorismDisastersPrimary careMental healthTime series dataHealthcare utilisation |
| spellingShingle | Lisa Govasli Nilsen Tore Wentzel-Larsen Lise Eilin Stene The short-term impact of terrorism on public mental health: an emergency primary care approach BMC Public Health Terrorism Disasters Primary care Mental health Time series data Healthcare utilisation |
| title | The short-term impact of terrorism on public mental health: an emergency primary care approach |
| title_full | The short-term impact of terrorism on public mental health: an emergency primary care approach |
| title_fullStr | The short-term impact of terrorism on public mental health: an emergency primary care approach |
| title_full_unstemmed | The short-term impact of terrorism on public mental health: an emergency primary care approach |
| title_short | The short-term impact of terrorism on public mental health: an emergency primary care approach |
| title_sort | short term impact of terrorism on public mental health an emergency primary care approach |
| topic | Terrorism Disasters Primary care Mental health Time series data Healthcare utilisation |
| url | https://doi.org/10.1186/s12889-023-17240-z |
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