Exposure to Trauma and Mental Health Service Engagement Among Adults Who were Children of the Northern Ireland Troubles of 1968 to 1998

Research output: Contribution to journalArticle

Abstract

Northern Ireland is an appropriate region to examine the impact of traumatic experiences, owing to the many years of civil violence that have characterised its recent history, known colloquially as the “Troubles.” Given the prominence of traumatic experiences among the ageing population of Northern Ireland (NI), an evidence base is required to inform the planning and provision of effective mental health and other services. We analyzed the follow-up interviews (n = 225) of individuals from the Northern Ireland Study of Health and Stress (NISHS), aged 45 years and older, who experienced one or more conflict-related traumatic events. This study demonstrated that in NI, traumatic events, such as being involved in an explosion, seeing someone killed or seriously injured, and living in a region of terror were most likely to be related to the Troubles. However, event types that we had not previously known to be related to conflict (such as the sudden death of a loved one), were also often related to the Troubles. Two-thirds of participants (67.1%) reported exposure to a Troubles-related event, and 57.8% reported being a civilian in a region of terror. The vast majority (85.9%) of participants who experienced a Troubles-related trauma never sought help, despite 59.1% meeting the criteria for a lifetime mental disorder. The reasons for not seeking help and sources of help are outlined. Policy makers must address Troubles related mental health effects, in terms of how they carry forward into aging and consider ways of improving engagement with services and treatments.
LanguageEnglish
Pages593-601
JournalJournal of Traumatic Stress
Volume30
Issue number6
Early online date27 Nov 2017
DOIs
Publication statusPublished - Dec 2017

Fingerprint

Northern Ireland
Mental Health Services
Wounds and Injuries
Explosions
Sudden Death
Administrative Personnel
Violence
Mental Disorders
Mental Health
History
Interviews
Health
Population
Conflict (Psychology)
Therapeutics

Keywords

  • Trauma
  • Troubles

Cite this

@article{203fcdb996de446c9b44986be910bf5d,
title = "Exposure to Trauma and Mental Health Service Engagement Among Adults Who were Children of the Northern Ireland Troubles of 1968 to 1998",
abstract = "Northern Ireland is an appropriate region to examine the impact of traumatic experiences, owing to the many years of civil violence that have characterised its recent history, known colloquially as the “Troubles.” Given the prominence of traumatic experiences among the ageing population of Northern Ireland (NI), an evidence base is required to inform the planning and provision of effective mental health and other services. We analyzed the follow-up interviews (n = 225) of individuals from the Northern Ireland Study of Health and Stress (NISHS), aged 45 years and older, who experienced one or more conflict-related traumatic events. This study demonstrated that in NI, traumatic events, such as being involved in an explosion, seeing someone killed or seriously injured, and living in a region of terror were most likely to be related to the Troubles. However, event types that we had not previously known to be related to conflict (such as the sudden death of a loved one), were also often related to the Troubles. Two-thirds of participants (67.1{\%}) reported exposure to a Troubles-related event, and 57.8{\%} reported being a civilian in a region of terror. The vast majority (85.9{\%}) of participants who experienced a Troubles-related trauma never sought help, despite 59.1{\%} meeting the criteria for a lifetime mental disorder. The reasons for not seeking help and sources of help are outlined. Policy makers must address Troubles related mental health effects, in terms of how they carry forward into aging and consider ways of improving engagement with services and treatments.",
keywords = "Trauma, Troubles",
author = "Finola Ferry and Edel Ennis and Brendan Bunting and SD Murphy and David Bolton and Siobhan O'Neill",
note = "UIR Compliant - evidence uploaded to other files",
year = "2017",
month = "12",
doi = "10.1002/jts.22237",
language = "English",
volume = "30",
pages = "593--601",
journal = "Journal of Traumatic Stress",
issn = "0894-9867",
number = "6",

}

TY - JOUR

T1 - Exposure to Trauma and Mental Health Service Engagement Among Adults Who were Children of the Northern Ireland Troubles of 1968 to 1998

AU - Ferry, Finola

AU - Ennis, Edel

AU - Bunting, Brendan

AU - Murphy, SD

AU - Bolton, David

AU - O'Neill, Siobhan

N1 - UIR Compliant - evidence uploaded to other files

PY - 2017/12

Y1 - 2017/12

N2 - Northern Ireland is an appropriate region to examine the impact of traumatic experiences, owing to the many years of civil violence that have characterised its recent history, known colloquially as the “Troubles.” Given the prominence of traumatic experiences among the ageing population of Northern Ireland (NI), an evidence base is required to inform the planning and provision of effective mental health and other services. We analyzed the follow-up interviews (n = 225) of individuals from the Northern Ireland Study of Health and Stress (NISHS), aged 45 years and older, who experienced one or more conflict-related traumatic events. This study demonstrated that in NI, traumatic events, such as being involved in an explosion, seeing someone killed or seriously injured, and living in a region of terror were most likely to be related to the Troubles. However, event types that we had not previously known to be related to conflict (such as the sudden death of a loved one), were also often related to the Troubles. Two-thirds of participants (67.1%) reported exposure to a Troubles-related event, and 57.8% reported being a civilian in a region of terror. The vast majority (85.9%) of participants who experienced a Troubles-related trauma never sought help, despite 59.1% meeting the criteria for a lifetime mental disorder. The reasons for not seeking help and sources of help are outlined. Policy makers must address Troubles related mental health effects, in terms of how they carry forward into aging and consider ways of improving engagement with services and treatments.

AB - Northern Ireland is an appropriate region to examine the impact of traumatic experiences, owing to the many years of civil violence that have characterised its recent history, known colloquially as the “Troubles.” Given the prominence of traumatic experiences among the ageing population of Northern Ireland (NI), an evidence base is required to inform the planning and provision of effective mental health and other services. We analyzed the follow-up interviews (n = 225) of individuals from the Northern Ireland Study of Health and Stress (NISHS), aged 45 years and older, who experienced one or more conflict-related traumatic events. This study demonstrated that in NI, traumatic events, such as being involved in an explosion, seeing someone killed or seriously injured, and living in a region of terror were most likely to be related to the Troubles. However, event types that we had not previously known to be related to conflict (such as the sudden death of a loved one), were also often related to the Troubles. Two-thirds of participants (67.1%) reported exposure to a Troubles-related event, and 57.8% reported being a civilian in a region of terror. The vast majority (85.9%) of participants who experienced a Troubles-related trauma never sought help, despite 59.1% meeting the criteria for a lifetime mental disorder. The reasons for not seeking help and sources of help are outlined. Policy makers must address Troubles related mental health effects, in terms of how they carry forward into aging and consider ways of improving engagement with services and treatments.

KW - Trauma

KW - Troubles

U2 - 10.1002/jts.22237

DO - 10.1002/jts.22237

M3 - Article

VL - 30

SP - 593

EP - 601

JO - Journal of Traumatic Stress

T2 - Journal of Traumatic Stress

JF - Journal of Traumatic Stress

SN - 0894-9867

IS - 6

ER -