ReviewHarvard review of psychiatry
Conceptualization, Assessment, and Treatment of Traumatic Stress in First Responders: A Review of Critical Issues.
Review in Harvard review of psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 120 citations in OpenAlex.
- Exploring the experiences, views, and needs of family members of emergency response workers: a systematic review and meta-synthesis.European journal of psychotraumatology · 2026Pooled it
- Comparing the molecular correlates of PTSD in first responders and the broader molecular PTSD literature: a hybrid review.Frontiers in psychology · 2026Pooled it
- The effects of emergency medical service work on the psychological, physical, and social well-being of ambulance personnel: a systematic review of qualitative research.BMC psychiatry · 2020Pooled it
- Randomized, controlled clinical trial of acoustic stimulation to reduce postconcussive symptoms.Annals of clinical and translational neurology · 2024Trial
- MDMA-assisted therapy for moderate to severe PTSD: a randomized, placebo-controlled phase 3 trial.Nature medicine · 2023Trial
- The Listening to music tuned to 440 Hz versus 432 Hz to reduce anxiety and stress in emergency nurses during the COVID-19 pandemic: a double-blind, randomized controlled pilot study.Acta bio-medica : Atenei Parmensis · 2022Trial
- Effects of a Smartphone-Based Mindfulness Intervention on Momentary Stress Among First Responders: a Micro-Randomized Trial.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- The Experiences and Challenges Encountered by Tow Truck Driver's Attending Roadside Events: A PRISMA Scoping Review.Public health challenges · 2026Review
- Modelling the multidimensional structure of workplace violence against emergency medical technicians and mitigation strategies in Ghana: a confirmatory factor analysis.BMC public health · 2026Article
- Association between workload and support utilisation - a longitudinal study on emergency medical service personnel.BMC emergency medicine · 2026Article
- Burnout, PTSD, and Medical Error: The Medico-Legal Implications of the Mental Health Crisis Among Frontline Healthcare Professionals During COVID-19.Medicina (Kaunas, Lithuania) · 2026Review
- Posttraumatic Stress Symptoms and Anger Among Police Officers Following a Fatal Knife Attack on a Team Member.Healthcare (Basel, Switzerland) · 2026Article
- A Selective RAG-Enhanced Hybrid ML-LLM Framework for Efficient and Explainable Fatigue Prediction Using Wearable Sensor Data.Bioengineering (Basel, Switzerland) · 2026Article
- A Retrospective Chart Review of PTSD Symptoms in Military Servicemembers Participating in an Individually Guided Neuromodulation (Alpha-rTMS) Wellness Program.Neuropsychiatric disease and treatment · 2026Article
- Addressing PTSD symptoms in first responders and healthcare workers through trauma-focused treatment in Employee Assistance Programs: Protocol for a randomized controlled trial.Contemporary clinical trials · 2026Article
- Qualitative evaluation of a pilot mental health program for public safety personnel with post-traumatic stress disorder.PLOS mental health · 2026Article
- Valuing impact: Estimating return on investment of mental health and wellbeing projects for veterans and first responders.PloS one · 2026Article
- Accessibility, safety, and effectiveness of telerehabilitation for public safety personnel with posttraumatic stress injuries: an interpretive description study.BMC health services research · 2025Article
- Examining moral injury and posttraumatic stress among firefighters, emergency medical services personnel, and emergency dispatchers.European journal of psychotraumatology · 2025Article
- Return-to-Work Outcomes Following Mental Health Treatment Among Public Safety Personnel Disabled by Post-Traumatic Stress Disorder.Journal of occupational rehabilitation · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
First responders are regularly confronted with exposure to traumatic events, including potentially life-threatening situations as well as the grave injuries and deaths of colleagues and civilians. Evidence indicates that the prevalence of posttraumatic stress disorder (PTSD) is substantially higher among first responders than the general population. This article provides information about the outpatient trauma services at McLean Hospital's LEADER (Law Enforcement, Active Duty, Emergency Responder) program to assist clinicians who encounter these first responders in their practices or who are specifically interested in working with this patient population. We begin by synthesizing the literature on the prevalence of PTSD in first responders following work-related exposure to traumatic stress, and by addressing the occupation-specific risk factors and the third-variable risk factors that may contribute to potentiated risk. We then discuss assessment strategies and treatment options used in our program, which is tailored for individuals who are dealing with mental health issues stemming from occupation-specific traumatic-stress exposure. We also address the unique challenges of treating traumatized first responders with more complex issues such as traumatic stress exposure across the lifespan and safety issues, including acute suicidality. We conclude by discussing notable gaps in the literature, including the need to investigate why and how women present with different PTSD symptoms than men and how these differences need to be taken into account in determining appropriate treatment for women.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.