ArticleBMC health services research2015
Health service utilization after terrorism: a longitudinal study of survivors of the 2011 Utøya attack in Norway.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 36 citations in OpenAlex.
- The Effects of Boko Haram Terrorism on Adolescents' and Young Adults' Psychosocial Adjustment in the Northeast of Nigeria.Transcultural psychiatry · 2026Article
- Has mental health changed in children and adolescents registered with a dedicated support service responding to the Manchester Arena attack: 3-year follow-up.The British journal of psychiatry : the journal of mental science · 2026Article
- Proactive psychosocial follow-up of youth exposed to a terrorist attack: longitudinal study linking interviews and register-based data.BJPsych open · 2025Article
- US States with poor social health outcomes and more firearms have more morbidity due to mass shootings.Journal of injury & violence research · 2024Article
- Initiation of multiple-session psychological care in civilians exposed to the November 2015 Paris terrorist attacks.Archives of public health = Archives belges de sante publique · 2023Article
- Healthcare utilization after mass trauma: a register-based study of consultations with primary care and mental health services in survivors of terrorism.BMC psychiatry · 2022Article
- Psychosocial care responses to terrorist attacks: a country case study of Norway, France and Belgium.BMC health services research · 2022Article
- Insomnia in survivors 8.5 years after the Utøya Island terrorist attack: transition from late adolescence to early adulthood - the Utøya study.European journal of psychotraumatology · 2022Article
- The impact of a terrorist attack: Survivors' health, functioning and need for support following the 2019 Utrecht tram shooting 6 and 18 months post-attack.Frontiers in psychology · 2022Article
- The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada.Frontiers in psychiatry · 2021Article
- Victims of the Terrorist Attacks in Belgium and Professional Mental Health Aid Barriers: A Qualitative Study.Frontiers in psychiatry · 2021Article
- Use of mental health supports by civilians exposed to the November 2015 terrorist attacks in Paris.BMC health services research · 2020Article
- Long-term mental health in unaccompanied refugee minors: pre- and post-flight predictors.European child & adolescent psychiatry · 2019Article
- What are the long-term consequences of youth exposure to firearm injury, and how do we prevent them? A scoping review.Journal of behavioral medicine · 2019Article
- Returning to school after a terror attack: a longitudinal study of school functioning and health in terror-exposed youth.European child & adolescent psychiatry · 2019Article
- Impact of a Terrorist Attack on the Mental Health of Directly Exposed French Adolescents: Study Protocol for the First Step of the AVAL Cohort Study.Frontiers in psychiatry · 2019Article
- Research participation after terrorism: an open cohort study of survivors and parents after the 2011 Utøya attack in Norway.BMC research notes · 2016Article
- Healthcare Needs, Experiences and Satisfaction after Terrorism: A Longitudinal Study of Survivors from the Utøya Attack.Frontiers in psychology · 2016Article
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2 authors at 1 institution in 1 country.
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Abstract
backgroundFor effective organization of health services after terror attacks, it is vital to gain insight into survivors' health service utilization. Following the 2011 Utøya mass shooting in Norway, a proactive outreach programme was launched to prevent unmet help needs. All survivors received health services during the first five months, yet an important minority were not proactively followed-up. This study assessed the prevalence of health service utilization and factors associated with mental health service utilization among the survivors 5-15 months after the attack.
methodsThe study comprised data from interviews using standardised questionnaires performed 4-5 (T1) and 14-15 (T2) months after the attack. Altogether 281 of 490 (57.3%) survivors answered questions on health service utilization at T2 and were included in this study. Users and non-users of mental health services were compared using Pearson Chi Square tests (categorical variables) and independent t-tests (continuous variables). Multivariate logistic regression analyses were conducted to examine the relationship between mental health service utilization at T2 and early (model 1) and concurrent (model 2) posttraumatic stress reactions, mental distress and somatic symptoms. Both models were adjusted for age, gender and predisaster utilization of mental health services.
resultsAltogether 267 (95.0%) of 281 survivors reported contact with health services at T2, including 254 (90.4%) with ≥1 types of primary care services; and 192 (68.3%) with mental health services. In bivariate analyses, mental health service utilization was associated with female gender, injuries, PTSD, mental distress, somatic symptoms, and sleep problems. After multivariate adjustments for early symptom levels (model 1), only mental distress remained significantly associated with mental health service utilization at T2 (OR 2.8, 95% CI 1.2-6.8). In the analysis adjusting for concurrent symptom levels (model 2), only somatic symptoms were associated with mental health service utilization (OR 4.4, 95% CI 1.8-10.8).
conclusionsThe high utilization of both primary and secondary health services among young survivors 5-15 months after the attack underscores the importance of allocating resources to meet the increased demand for services over a longer time period. The results further highlight the need to address somatic symptoms in disaster survivors who receive mental health services.
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