AutomedicationFrancoV1, Main, Exploration, bibRecord, 000408

The Mass Casualty Incident in Turin, 2017: A Case Study of Disaster Responders' Mental Health in an Italian Level I Hospital.

Identifieur interne : 000408 ( Main/Exploration ); précédent : 000407; suivant : 000409

The Mass Casualty Incident in Turin, 2017: A Case Study of Disaster Responders' Mental Health in an Italian Level I Hospital.

Auteurs : Valeria Caramello [Italie] ; Leticia Bertuzzi [Italie, France] ; Fulvio Ricceri [Italie] ; Umberto Albert [Italie] ; Giuseppe Maina [Italie] ; Adriana Boccuzzi [Italie] ; Francesco Della Corte [Italie] ; Merritt C. Schreiber [États-Unis]

Source :

Disaster medicine and public health preparedness [ 1938-744X ] ; 2019.

RBID : pubmed:31217041

Descripteurs français

KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Autosoins (méthodes), Autosoins (normes), Autosoins (statistiques et données numériques), Femelle (MeSH), Humains (MeSH), Intervenants d'urgence (psychologie), Intervenants d'urgence (statistiques et données numériques), Italie (épidémiologie), Mâle (MeSH), Psychométrie (instrumentation), Psychométrie (méthodes), Psychométrie (statistiques et données numériques), Troubles de stress traumatique (psychologie), Troubles de stress traumatique (épidémiologie), Troubles mentaux (psychologie), Troubles mentaux (épidémiologie), Études cas-témoins (MeSH), Événements avec afflux massif de victimes (psychologie), Événements avec afflux massif de victimes (statistiques et données numériques).
MESH :
- méthodes : Autosoins, Psychométrie.
- normes : Autosoins.
- psychologie : Intervenants d'urgence, Troubles de stress traumatique, Troubles mentaux, Événements avec afflux massif de victimes.
- statistiques et données numériques : Autosoins, Intervenants d'urgence, Psychométrie, Événements avec afflux massif de victimes.
- épidémiologie : Italie, Psychométrie, Troubles de stress traumatique, Troubles mentaux.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Études cas-témoins.
Wicri :
- geographic : Italie.

English descriptors

KwdEn :
- Adolescent (MeSH), Adult (MeSH), Case-Control Studies (MeSH), Emergency Responders (psychology), Emergency Responders (statistics & numerical data), Female (MeSH), Humans (MeSH), Italy (epidemiology), Male (MeSH), Mass Casualty Incidents (psychology), Mass Casualty Incidents (statistics & numerical data), Mental Disorders (epidemiology), Mental Disorders (psychology), Middle Aged (MeSH), Psychometrics (instrumentation), Psychometrics (methods), Psychometrics (statistics & numerical data), Self Care (methods), Self Care (standards), Self Care (statistics & numerical data), Stress Disorders, Traumatic (epidemiology), Stress Disorders, Traumatic (psychology).
MESH :
- geographic , epidemiology : Italy.
- epidemiology : Mental Disorders, Stress Disorders, Traumatic.
- instrumentation : Psychometrics.
- methods : Psychometrics, Self Care.
- psychology : Emergency Responders, Mass Casualty Incidents, Mental Disorders, Stress Disorders, Traumatic.
- standards : Self Care.
- statistics & numerical data : Emergency Responders, Mass Casualty Incidents, Psychometrics, Self Care.
- Adolescent, Adult, Case-Control Studies, Female, Humans, Male, Middle Aged.

Abstract

OBJECTIVE

To assess the psychological impact of a mass casualty incident (MCI) in a subset of personnel in a level I hospital.

METHODS

Emergency department staff responded to an MCI in June 2017 in Turin, Italy by an unexpected sudden surge of casualties following a stampede (mass escape). Participants completed the Psychological Simple Triage and Rapid Treatment Responder Self-Triage System (PsySTART-R), which classified the potential risk of psychological distress in "no risk" versus "at risk" categorization and identified a range of impacts aggregated for the population of medical responders. Participants were administered a questionnaire on the perceived effectiveness of management of the MCI. Two months later, the participants were evaluated using the Hospital Anxiety and Depression Scale (HADS), the Kessler Psychological Distress Scale (K6), and the Posttraumatic Stress Disorder Checklist (PCL-5).

RESULTS

The majority of the responders were classified as "no risk" by the PsySTART-R; no significant differences on HADS, K6, and PCL-5 were found in the participants grouped by the PsySTART-R categories. The personnel acquainted to work in emergency contexts (emergency department and intensive care unit) scored significantly lower in the HADS than the personnel usually working in other wards. The number of positive PsySTART-R criteria correlated with the HADS depression score.

CONCLUSIONS

Most of the adverse psychological implications of the MCI were well handled and averted by the responders. A possible explanation could be related to factors such as the clinical condition of the victims (most were not severely injured, no fatalities), the small number of casualties (87) brought to the hospital, the event not being considered life-threatening, and its brief duration, among others. Responders had mainly to cope with a sudden surge in casualties and with organizational issues.

DOI: 10.1017/dmp.2019.2
PubMed: 31217041

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Boccuzzi, Adriana" sort="Boccuzzi, Adriana" uniqKey="Boccuzzi A" first="Adriana" last="Boccuzzi">Adriana Boccuzzi</name>
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<author><name sortKey="Della Corte, Francesco" sort="Della Corte, Francesco" uniqKey="Della Corte F" first="Francesco" last="Della Corte">Francesco Della Corte</name>
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<author><name sortKey="Schreiber, Merritt C" sort="Schreiber, Merritt C" uniqKey="Schreiber M" first="Merritt C" last="Schreiber">Merritt C. Schreiber</name>
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<placeName><region type="state">Californie</region>
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<series><title level="j">Disaster medicine and public health preparedness</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Emergency Responders (psychology)</term>
<term>Emergency Responders (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Italy (epidemiology)</term>
<term>Male (MeSH)</term>
<term>Mass Casualty Incidents (psychology)</term>
<term>Mass Casualty Incidents (statistics & numerical data)</term>
<term>Mental Disorders (epidemiology)</term>
<term>Mental Disorders (psychology)</term>
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<term>Psychometrics (instrumentation)</term>
<term>Psychometrics (methods)</term>
<term>Psychometrics (statistics & numerical data)</term>
<term>Self Care (methods)</term>
<term>Self Care (standards)</term>
<term>Self Care (statistics & numerical data)</term>
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<term>Stress Disorders, Traumatic (psychology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Autosoins (méthodes)</term>
<term>Autosoins (normes)</term>
<term>Autosoins (statistiques et données numériques)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Intervenants d'urgence (psychologie)</term>
<term>Intervenants d'urgence (statistiques et données numériques)</term>
<term>Italie (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Psychométrie (instrumentation)</term>
<term>Psychométrie (méthodes)</term>
<term>Psychométrie (statistiques et données numériques)</term>
<term>Troubles de stress traumatique (psychologie)</term>
<term>Troubles de stress traumatique (épidémiologie)</term>
<term>Troubles mentaux (psychologie)</term>
<term>Troubles mentaux (épidémiologie)</term>
<term>Études cas-témoins (MeSH)</term>
<term>Événements avec afflux massif de victimes (psychologie)</term>
<term>Événements avec afflux massif de victimes (statistiques et données numériques)</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Italy</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mental Disorders</term>
<term>Stress Disorders, Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Psychometrics</term>
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<term>Self Care</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Autosoins</term>
<term>Psychométrie</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Autosoins</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Intervenants d'urgence</term>
<term>Troubles de stress traumatique</term>
<term>Troubles mentaux</term>
<term>Événements avec afflux massif de victimes</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Emergency Responders</term>
<term>Mass Casualty Incidents</term>
<term>Mental Disorders</term>
<term>Stress Disorders, Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Self Care</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Responders</term>
<term>Mass Casualty Incidents</term>
<term>Psychometrics</term>
<term>Self Care</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Autosoins</term>
<term>Intervenants d'urgence</term>
<term>Psychométrie</term>
<term>Événements avec afflux massif de victimes</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Italie</term>
<term>Psychométrie</term>
<term>Troubles de stress traumatique</term>
<term>Troubles mentaux</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Études cas-témoins</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Italie</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To assess the psychological impact of a mass casualty incident (MCI) in a subset of personnel in a level I hospital.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Emergency department staff responded to an MCI in June 2017 in Turin, Italy by an unexpected sudden surge of casualties following a stampede (mass escape). Participants completed the Psychological Simple Triage and Rapid Treatment Responder Self-Triage System (PsySTART-R), which classified the potential risk of psychological distress in "no risk" versus "at risk" categorization and identified a range of impacts aggregated for the population of medical responders. Participants were administered a questionnaire on the perceived effectiveness of management of the MCI. Two months later, the participants were evaluated using the Hospital Anxiety and Depression Scale (HADS), the Kessler Psychological Distress Scale (K6), and the Posttraumatic Stress Disorder Checklist (PCL-5).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The majority of the responders were classified as "no risk" by the PsySTART-R; no significant differences on HADS, K6, and PCL-5 were found in the participants grouped by the PsySTART-R categories. The personnel acquainted to work in emergency contexts (emergency department and intensive care unit) scored significantly lower in the HADS than the personnel usually working in other wards. The number of positive PsySTART-R criteria correlated with the HADS depression score.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Most of the adverse psychological implications of the MCI were well handled and averted by the responders. A possible explanation could be related to factors such as the clinical condition of the victims (most were not severely injured, no fatalities), the small number of casualties (87) brought to the hospital, the event not being considered life-threatening, and its brief duration, among others. Responders had mainly to cope with a sudden surge in casualties and with organizational issues.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31217041</PMID>
<DateCompleted><Year>2020</Year>
<Month>06</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>06</Month>
<Day>16</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1938-744X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>13</Volume>
<Issue>5-6</Issue>
<PubDate><Year>2019</Year>
<Month>12</Month>
</PubDate>
</JournalIssue>
<Title>Disaster medicine and public health preparedness</Title>
<ISOAbbreviation>Disaster Med Public Health Prep</ISOAbbreviation>
</Journal>
<ArticleTitle>The Mass Casualty Incident in Turin, 2017: A Case Study of Disaster Responders' Mental Health in an Italian Level I Hospital.</ArticleTitle>
<Pagination><MedlinePgn>880-888</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1017/dmp.2019.2</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">To assess the psychological impact of a mass casualty incident (MCI) in a subset of personnel in a level I hospital.</AbstractText>
<AbstractText Label="METHODS">Emergency department staff responded to an MCI in June 2017 in Turin, Italy by an unexpected sudden surge of casualties following a stampede (mass escape). Participants completed the Psychological Simple Triage and Rapid Treatment Responder Self-Triage System (PsySTART-R), which classified the potential risk of psychological distress in "no risk" versus "at risk" categorization and identified a range of impacts aggregated for the population of medical responders. Participants were administered a questionnaire on the perceived effectiveness of management of the MCI. Two months later, the participants were evaluated using the Hospital Anxiety and Depression Scale (HADS), the Kessler Psychological Distress Scale (K6), and the Posttraumatic Stress Disorder Checklist (PCL-5).</AbstractText>
<AbstractText Label="RESULTS">The majority of the responders were classified as "no risk" by the PsySTART-R; no significant differences on HADS, K6, and PCL-5 were found in the participants grouped by the PsySTART-R categories. The personnel acquainted to work in emergency contexts (emergency department and intensive care unit) scored significantly lower in the HADS than the personnel usually working in other wards. The number of positive PsySTART-R criteria correlated with the HADS depression score.</AbstractText>
<AbstractText Label="CONCLUSIONS">Most of the adverse psychological implications of the MCI were well handled and averted by the responders. A possible explanation could be related to factors such as the clinical condition of the victims (most were not severely injured, no fatalities), the small number of casualties (87) brought to the hospital, the event not being considered life-threatening, and its brief duration, among others. Responders had mainly to cope with a sudden surge in casualties and with organizational issues.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Caramello</LastName>
<ForeName>Valeria</ForeName>
<Initials>V</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0002-6106-0432</Identifier>
<AffiliationInfo><Affiliation>Emergency Department, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bertuzzi</LastName>
<ForeName>Leticia</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Novara, Italy.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Laboratoire Adaptations Travail Individu, Université Paris Descartes, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ricceri</LastName>
<ForeName>Fulvio</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Department of Biological and Clinical Sciences, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Unit of Epidemiology, Regional Health Service ASL TO3, Grugliasco (TO), Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Albert</LastName>
<ForeName>Umberto</ForeName>
<Initials>U</Initials>
<AffiliationInfo><Affiliation>Rita Levi Montalcini Department of Neuroscience, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Maina</LastName>
<ForeName>Giuseppe</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Rita Levi Montalcini Department of Neuroscience, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Boccuzzi</LastName>
<ForeName>Adriana</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Emergency Department, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Della Corte</LastName>
<ForeName>Francesco</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Novara, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schreiber</LastName>
<ForeName>Merritt C</ForeName>
<Initials>MC</Initials>
<AffiliationInfo><Affiliation>Department of Clinical Pediatrics, Los Angeles Biomedical Research Institute, Harbor University of California at Los Angeles Medical Center, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, California.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Disaster Med Public Health Prep</MedlineTA>
<NlmUniqueID>101297401</NlmUniqueID>
<ISSNLinking>1935-7893</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D060731" MajorTopicYN="N">Emergency Responders</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007558" MajorTopicYN="N" Type="Geographic">Italy</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D054527" MajorTopicYN="N">Mass Casualty Incidents</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D040921" MajorTopicYN="N">Stress Disorders, Traumatic</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">PsySTART</Keyword>
<Keyword MajorTopicYN="Y">disaster responders</Keyword>
<Keyword MajorTopicYN="Y">mass casualty incident</Keyword>
<Keyword MajorTopicYN="Y">mental health triage</Keyword>
<Keyword MajorTopicYN="Y">responder self-triage system</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>6</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>6</Month>
<Day>17</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>6</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">31217041</ArticleId>
<ArticleId IdType="pii">S1935789319000028</ArticleId>
<ArticleId IdType="doi">10.1017/dmp.2019.2</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
<li>Italie</li>
<li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>Piémont</li>
<li>Île-de-France</li>
</region>
<settlement><li>Paris</li>
<li>Turin</li>
</settlement>
<orgName><li>Université Paris-Descartes</li>
</orgName>
</list>
<tree><country name="Italie"><region name="Piémont"><name sortKey="Caramello, Valeria" sort="Caramello, Valeria" uniqKey="Caramello V" first="Valeria" last="Caramello">Valeria Caramello</name>
</region>
<name sortKey="Albert, Umberto" sort="Albert, Umberto" uniqKey="Albert U" first="Umberto" last="Albert">Umberto Albert</name>
<name sortKey="Albert, Umberto" sort="Albert, Umberto" uniqKey="Albert U" first="Umberto" last="Albert">Umberto Albert</name>
<name sortKey="Bertuzzi, Leticia" sort="Bertuzzi, Leticia" uniqKey="Bertuzzi L" first="Leticia" last="Bertuzzi">Leticia Bertuzzi</name>
<name sortKey="Boccuzzi, Adriana" sort="Boccuzzi, Adriana" uniqKey="Boccuzzi A" first="Adriana" last="Boccuzzi">Adriana Boccuzzi</name>
<name sortKey="Della Corte, Francesco" sort="Della Corte, Francesco" uniqKey="Della Corte F" first="Francesco" last="Della Corte">Francesco Della Corte</name>
<name sortKey="Maina, Giuseppe" sort="Maina, Giuseppe" uniqKey="Maina G" first="Giuseppe" last="Maina">Giuseppe Maina</name>
<name sortKey="Maina, Giuseppe" sort="Maina, Giuseppe" uniqKey="Maina G" first="Giuseppe" last="Maina">Giuseppe Maina</name>
<name sortKey="Ricceri, Fulvio" sort="Ricceri, Fulvio" uniqKey="Ricceri F" first="Fulvio" last="Ricceri">Fulvio Ricceri</name>
<name sortKey="Ricceri, Fulvio" sort="Ricceri, Fulvio" uniqKey="Ricceri F" first="Fulvio" last="Ricceri">Fulvio Ricceri</name>
</country>
<country name="France"><region name="Île-de-France"><name sortKey="Bertuzzi, Leticia" sort="Bertuzzi, Leticia" uniqKey="Bertuzzi L" first="Leticia" last="Bertuzzi">Leticia Bertuzzi</name>
</region>
</country>
<country name="États-Unis"><region name="Californie"><name sortKey="Schreiber, Merritt C" sort="Schreiber, Merritt C" uniqKey="Schreiber M" first="Merritt C" last="Schreiber">Merritt C. Schreiber</name>
</region>
</country>
</tree>
</affiliations>
</record>

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The Mass Casualty Incident in Turin, 2017: A Case Study of Disaster Responders' Mental Health in an Italian Level I Hospital.

The Mass Casualty Incident in Turin, 2017: A Case Study of Disaster Responders' Mental Health in an Italian Level I Hospital.

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