Skip to main content
Log in

Coroners and PTSD: Treatment Implications

  • Review Article
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

Experimental studies have documented the development of posttraumatic stress disorder (PTSD) in first responders. These studies have routinely included police, firefighters, and paramedics. However, there is another group of first responders that are at risk for PTSD but that has received less research attention. This group is comprised of coroners. This paper reviewed the published data concerning coroners and PTSD and outlined various treatments for addressing coronial PTSD. The findings, the differing treatments, and a detailed methodological inquiry are presented. The need for a conceptual framework for the various other professional groups responding to critical incidents and a crisis intervention approach to address the psychological needs of both family survivors and coronial personnel are noted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Flannery RB Jr. Treating psychological trauma in first responders: a multi-modal paradigm. Psychiatry Q. 2015;86:261–7.

    Article  Google Scholar 

  2. Jacobowitz W. PTSD in psychiatric nurses and other mental health care providers: a review of the literature. Issues Ment Health Nurs. 2013;34:787–95.

    Article  Google Scholar 

  3. Milner A, Witt K, Maheen H, LaMontagne AD. Suicide among emergency and protective service workers: a retrospective morality study in Australia, 2001-2012. Work. 2017;57:281–7.

    Article  CAS  Google Scholar 

  4. Surgenor LJ, Snell DL, Dorahy MJ, et al. Posttraumatic stress symptoms in police staff 12-18 months after the Canterbury earthquake. J Trauma Stress. 2015;28:162–6.

    Article  Google Scholar 

  5. Skogstad M, Skorstand A, Lie A, et al. Work-related post-traumatic stress disorder. Occup Med. 2013;63:175–82.

    Article  CAS  Google Scholar 

  6. Gray SE, Collie A. The nature and burden of occupational injury among first responder occupations: a retrosepctive cohort study in Australian workers. Injury. 2017;48:2470–7.

    Article  Google Scholar 

  7. Crawford KA, Flannery RB Jr. Critical incident stress management and the Office of the Chief Medical Examiner: preliminary inquiry. Int J Emerg Ment Health. 2002;4:93–7.

    PubMed  Google Scholar 

  8. Wright RJ, Peters CP, Flannery RB Jr. Victim indentification and family support in mass casualties: the Massachusetts model. Int J Emerg Ment Health. 1999;1:237–42.

    CAS  PubMed  Google Scholar 

  9. Flannery RB Jr. Posttraumatic Stresss disorder: the victim’s guide to healing and recovery. 2nd ed. American Mental Health Foundation: New York; 2012.

    Google Scholar 

  10. Brondolo E, Wellington R, Brondolo E, Brondolo TJ, Delahanty D. Work-related predictors of psychological distress among mendical examiner personnel. Acad Forensic Pathol. 2012;2:80–91.

    Article  Google Scholar 

  11. Coleman JA, Delahanty DL, Schwartz J, Murani K, Brondolo E. The moderating impact of interacting with distressed families of decedants on trauma exposure in medical examiner personnel. Psychol Trauma. 2016;8:668–75.

    Article  Google Scholar 

  12. Brondolo E, Eftekharzadeh P, Clifton C, et al. Work-related trauma, alienation, and postraumatic and depressive symptoms in medical examiner personnel. Psychol Trauma. 2017;9:1–9.

    Google Scholar 

  13. Brondolo E, Wellinton R, Brady N, et al. Mechanisms and strategies for prventing post-traumatic stress disorder in forensic workers responding to mass fatality incidents. J Forensic Legal Med. 2008;15:78–88.

    Article  Google Scholar 

  14. Tait G, Carpenter B, Quadrelli C, et al. Decision-making in a death invenstigation. Jounral of law and. Medicine. 2016;23:571–81.

    Google Scholar 

  15. Trabsky M, Baron P. Negotiating grief and trauma in coronial jurisdictions. J Law Med. 2016;23:582–94.

    PubMed  Google Scholar 

  16. Witt K, Milner A, Allisey A, Davenport L, LaMontagne AD. Effectiveness of suicide prevention programs for emergency and protective service employeees: a systematic review and meta-analysis. Am J Ind Med. 2017;60:394–407.

    Article  Google Scholar 

  17. Brondolo E, Kaur A, Brondolo T, et al. Developmenmt of a web-based scalable intervention to reduce metnal health risks in medical examiner personnel. TPM. 2017;24:409–21.

    Article  Google Scholar 

  18. Jareo I, Artigas L, Luber M. The EMDR protocol for recent critical incidents: Aplications in a disaster mental health continuum of care context. J EMDR Pract Res. 2011;5:82–94.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Raymond B. Flannery Jr.

Ethics declarations

Conflicts of Interest

The corresponding author, writing on behalf of both authors, states that there are no potential conflicts of interest of any kind in this submission to Psychiatric Quarterly.

Human and Animal Studies

This review of published findings involved no direct research for this manuscript that involved human or animal participants.

Informed Consent

Thus, there was no need for an IRB review or informed consent.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Flannery, R.B., Greenhalgh, T. Coroners and PTSD: Treatment Implications. Psychiatr Q 89, 765–770 (2018). https://doi.org/10.1007/s11126-018-9580-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-018-9580-9

Keywords

Navigation