Early psychosocial and pharmacological interventions after traumatic events.
1. There is no evidence to suggest that routine provision of single-session psychological interventions after traumatic events prevents the development of psychological sequelae. Some such evidence exists regarding multiple-session, cognitive-behavioral interventions. 2. There is no evidence to suggest that routine use of pharmacological agents prevents development of psychological sequelae in traumatized individuals. 3. Given the current evidence base, development of stepped-care programs focusing on education, screening, and treatment is warranted. 4. Currently, the main role of mental health professionals early on is to ensure emotionally supportive systems of care are in place, which will help identify individuals who appear most distressed so evidence-based interventions can be offered.
Bisson
Jonathan I
JI
University Hospital of Wales, Heath Park, Cardiff, United Kingdom CF14 4XN. JonBisson@aol.com
Kitchiner
Neil J
NJ
D000928:Antidepressive Agents / Q000627:therapeutic use*; D006801:Humans; D011613:Psychotherapy / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000188:drug therapy / Q000628:therapy*; D013997:Time Factors
D000928:Antidepressive Agents