Postmortem Inquiries and Trauma Responses in Paramedics and Firefighters

Abstract

Following a critical event resulting in loss of life, members of emergency service organizations are frequently required to participate in postmortem inquiries that seek to understand the cause of the tragedy and ensure that such an event does not occur again. Although researchers have become increasingly knowledgeable about the effects of critical events on rescue workers, to date, no studies have focused on the stress and trauma experienced as a result of having one's actions questioned in such a process. This study compares trauma responses in firefighters and paramedics who have been questioned in postmortem inquiries following a critical event in the work-place and those who have not. Involvement in a review was found to be associated with significantly higher traumatic stress and depression symptoms. Those involved in reviews were more likely to have taken mental health stress leave. In addition, both media coverage of the event and the review were significantly associated with depression scores.