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. 2022 Feb 1;64(2):e70-e77.
doi: 10.1097/JOM.0000000000002456.

Impact of Railway Critical Incidents on Train Drivers and Effectiveness of Critical Incident Management and Support Protocols: A Recovery Trajectory Analysis

Cécile Bardon  1 , Luc Dargis, Brian L Mishara
Affiliations

Impact of Railway Critical Incidents on Train Drivers and Effectiveness of Critical Incident Management and Support Protocols: A Recovery Trajectory Analysis

Cécile Bardon et al. J Occup Environ Med. .

Abstract

Objective: Train drivers are regularly involved in railway critical incidents (CI) and critical incident management and support protocols (CIMSPs) have been developed to support them. This study describes the impact of CIs and evaluates the effectiveness of CIMSPs.

Methods: We interviewed 74 train drivers 1 week, 1, 3, and 6 months after a CI. We performed Linear growth model analyses to describe recovery paths and the effect of CIMSPs, considering the effect of CI complexity, proximity to victims, social support, self-assessment of health, use of resources, and attribution of responsibility.

Results: CIs have a significant negative impact on train drivers. Recovery paths can be explained by the level of implementation of CIMSPs, and other contributing factors.

Conclusions: CIMSPs are effective in reducing the negative impact of CIs and should be implemented rigorously by employers.

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Conflict of interest statement

Conflicts of interest: None declared.

References

    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). 2013. Available at: https://doi.org/10.1176/appi.books.9780890425596 .
    1. Clarner A, Graessel E, Scholz J, Niedermeier A, Uter W, Drexler H. Work-related posttraumatic stress disorder (PTSD) and other emotional diseases as consequence of traumatic events in public transportation: a systematic review. Int Arch Occup Environ Health 2015; 88:549–564.
    1. Margiotta SM. Effects of ’Person-Under-Train’ Incidents on Locomotive Engineers. 2000; US: ProQuest Information & Learning, 5819.
    1. Bardon C, Mishara B. Systematic review of the impact of suicides and other critical incidents on railway personnel. Suicide Life Threat Behav 2015; 45:720–731.
    1. Mehnert A, Nanninga I, Fauth M, Schäfer I. Course and predictors of posttraumatic stress among male train drivers after the experience of ‘person under the train’incidents. J Psychosom Res 2012; 73:191–196.

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