{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:10:06Z","timestamp":1790435406154,"version":"4.1.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:00:00Z","timestamp":1635897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"French Ministry of Health"},{"name":"French General Secretariat for Investment"},{"name":"National Research Agency"},{"name":"Programme d\u2019investissement pour l\u2019Avenir","award":["PIA ANR-10-EQPX-0021-01"],"award-info":[{"award-number":["PIA ANR-10-EQPX-0021-01"]}]},{"DOI":"10.13039\/501100005416","name":"Research Council of Norway","doi-asserted-by":"publisher","award":["288321"],"award-info":[{"award-number":["288321"]}],"id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>First responders (FRs) are frequently exposed to potentially traumatic events, including terror attacks, and may consequently be at risk of developing mental health disorders. Prior research suggests that FRs with mental health disorders often do not receive appropriate treatment. More knowledge is needed about their use of mental health care (MHC).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>This study aimed to identify factors associated with receiving immediate support, post-immediate support and engagement in MHC among FRs of the November 2015 terror attacks in Paris.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A web-based study was conducted 8\u201312 months after the attacks on 663 FRs who were mobilized during the night and\/or the aftermath of the attacks. Logistic regression was performed to analyse factors associated with MHC.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 44 FRs sought MHC. Among FRs with post-traumatic stress disorder (PTSD), partial PTSD or depression (n = 60), 38% sought MHC (n = 23). Post-immediate support was associated with immediate support, and both were associated with knowing someone who could help regarding the potential psychological risks following a traumatic event. MHC engagement was associated with a history of MHC, post-immediate support and the presence of PTSD, partial PTSD or depression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Among FRs with PTSD, partial PTSD or depression, few sought MHC. Improved access to MHC for FRs after terror attacks is essential. Knowing someone who could help regarding potential psychological risks may facilitate immediate and\/or post-immediate support. Furthermore, post-immediate support could encourage engagement in MHC. Efforts should be made before and after potentially traumatic events to ensure mental health education for FR.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqab150","type":"journal-article","created":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T00:08:27Z","timestamp":1633651707000},"page":"81-90","source":"Crossref","is-referenced-by-count":14,"title":["Mental health care utilization by first responders after Paris attacks"],"prefix":"10.1093","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2961-3412","authenticated-orcid":false,"given":"Y","family":"Motreff","sequence":"first","affiliation":[{"name":"Sant\u00e9 publique France, Direction des maladies non transmissibles et traumatismes, Saint-Maurice, France"},{"name":"INSERM, Sorbonne Universit\u00e9, Institut Pierre Louis d\u2019Epid\u00e9miologie et de Sant\u00e9 Publique (IPLESP), Department of Social Epidemiology, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Pirard","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France, Direction des maladies non transmissibles et traumatismes, Saint-Maurice, France"},{"name":"MOODS, INSERM U 1018, CESP, Universit\u00e9 Paris\u2013Saclay, Facult\u00e9 de M\u00e9decine Paris\u2013Saclay, Le Kremlin Bic\u00eatre, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Vuillermoz","sequence":"additional","affiliation":[{"name":"INSERM, Sorbonne Universit\u00e9, Institut Pierre Louis d\u2019Epid\u00e9miologie et de Sant\u00e9 Publique (IPLESP), Department of Social Epidemiology, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Rabet","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France, Direction appui, traitements et analyses des donn\u00e9es, Saint-Maurice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Petitclerc","sequence":"additional","affiliation":[{"name":"Service m\u00e9dical d\u2019urgence\u2014bureau de sant\u00e9 et de pr\u00e9vention, Brigade de sapeurs-pompiers de Paris, 1, place Jules-Renard, Paris, France"},{"name":"Universit\u00e9 Sorbonne Paris Nord, Ecole doctorale Erasme, Laboratoire UTRPP, Villetaneuse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L Eilin","family":"Stene","sequence":"additional","affiliation":[{"name":"Norwegian Centre for Violence and Traumatic Stress Studies (NKVTS), Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Baubet","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Sorbonne Paris Nord, Ecole doctorale Erasme, Laboratoire UTRPP, Villetaneuse, France"},{"name":"APHP H\u00f4pital Avicenne, Psychopathology Department for Children, Adolescents, General Psychiatry and Specialized 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