Breaking the silence: A qualitative analysis of trauma narratives submitted online by first responders.

Abstract

Trauma narration is important to PTSD recovery and is widely used in clinical interventions. First responders experience high rates of exposure to trauma yet there are no studies with a primarily first responder population despite that trauma exposure is a chronic and unavoidable aspect of their occupation. The aim of the current study was to qualitatively examine trauma narratives posted online through a supportive website dedicated for first responders. 30 trauma narratives of police officers, firefighters, and emergency medical personnel were randomly chosen for inclusion in the study. While some narrative posters remained somewhat anonymous, overall, there was moderate diversity in terms of age, sex, job field, number of years on the job, and the locations of the employer. Online narration offered a less formalized opportunity for self-disclosure that allowed for authenticity, honesty, and vulnerability. Thematic analyses revealed 5 themes: idealization with the job, disillusionment with the job, on the job trauma, trauma sequalae, and coping with trauma. Findings suggest that first responders are exposed to trauma on the job that significantly alters their work and home lives. Although they experience psychopathology, and could benefit from formal treatment, their decision to seek treatment is impacted by stigma in the culture. Implications and future directions are discussed regarding the need to improve perceived connectedness and support and reduce stigma in online platforms and within the subculture to encourage healing. (PsycInfo Database Record (c) 2022 APA, all rights reserved).