Arid
DOI10.1016/j.amp.2015.01.011
Medico-psychological support of military involved in the immediate aftermath of an air disaster: The crash of AHS017 flight in Mali
Gheorghiev, Charles; Bourla, Alexis; Catrin, Edwige; Gault, Caroline; Leduc, Caroline; Rondier, Jean-Philippe
通讯作者Gheorghiev, Charles
来源期刊ANNALES MEDICO-PSYCHOLOGIQUES
ISSN0003-4487
EISSN1769-6631
出版年2015
卷号173期号:10页码:828-833
英文摘要

Introduction. - On the 24th July of 2014, the plane of the Air Algeria airline flight AH 5017 crashed in southern Mali with 116 passengers on board, including 54 French. The event required a prompt response of the French authorities, associated with an international mobilization. It presided at the commitment of the French military forces, which were prepositioned in Mali, in order to manage as soon as possible this disaster. Personal of French military health service, which provide medical support to forces in operations, were involved, with the reinforcement of the medical teams on the spot through a psychiatrist of military hospitals.


Method. - This work is based on the methodology of an experience feedback, by emphasizing the most salient points of the medico-psychological intervention realized on the occasion of this event.


Results. - The mission assigned to the French military forces was scalable: research for potential survivors, by providing them with the necessary help and care; identification of victims, by collecting the maximum of clues that could facilitate their recognition (identity papers, personal effects...); first judiciary and forensic findings; securing the crash zone to prevent outside intrusion on the scene. It ended with an unusual task involving the collection of human remains on the crash zone. Various experts were also essential for carrying out several surveys: an aeronautic investigation about flight safety, a criminal investigation to find the causes of an event which involved human deaths, and a forensic investigation working to identify the victims. The medico-psychological support included several prospects. The presence of a psychiatrist on the crash zone firstly allowed a psychological support for the staff early involved, and exposed to a startling scene; it anarchically combined debris of a pulverized aircraft cabin, personal passengers effects mixed with carbonized human remains in a disgusting unbreathable atmosphere. In a second time, it offered a presence for many units and personal engaged in an unexpected and testing mission. Facing an unusual situation, the main authorities involved on the area were accompanied by offering mental health advice in response to the everyday life events of a makeshift camp in the middle of the African desert. The psychiatrist’s action consisted in a work of mediation within the group by helping the flow of speech. The psychiatrist is also the privileged contact of the subject, by offering both a differentiated space, separated from the rest of the military environment, and a singular listening, allowing the welcome of a possible mental pain. The mission of collecting human remains required a special attention because of its psycho-traumatic risk. A volunteering principle was applied, as well as the identification of fragile or vulnerable subjects among volunteers, which concerned a total of a hundred soldiers. All the personal involved in this task were identified by the commandment, and then secondarily received in collective debriefing.


Conclusion. - The presence of a specialist of psychological care within a disaster shows an availability, which can lead to the possibility of a welcome, with a potentiality which already appears as a form of response and acknowledgment of a possible psychological suffering. Thus, the challenge consists in providing an assistance, which is less a gauche interventionism or an artificial forcing of an inaccurate request for care, than a careful and concerned presence for the psychological health of everyone. (C) 2015 Elsevier Masson SAS. All rights reserved.


英文关键词Accompaniment Army Plane Mali Psychological trauma Medico-psychological emergency
类型Article
语种French
国家France
收录类别SCI-E
WOS记录号WOS:000368213200003
WOS关键词FAMILIES
WOS类目Pharmacology & Pharmacy ; Psychiatry ; Psychology ; Psychology, Multidisciplinary
WOS研究方向Pharmacology & Pharmacy ; Psychiatry ; Psychology
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/185741
作者单位Hop Instruct Armees Begin, Psychiat Serv, F-94163 St Mande, France
推荐引用方式
GB/T 7714
Gheorghiev, Charles,Bourla, Alexis,Catrin, Edwige,et al. Medico-psychological support of military involved in the immediate aftermath of an air disaster: The crash of AHS017 flight in Mali[J],2015,173(10):828-833.
APA Gheorghiev, Charles,Bourla, Alexis,Catrin, Edwige,Gault, Caroline,Leduc, Caroline,&Rondier, Jean-Philippe.(2015).Medico-psychological support of military involved in the immediate aftermath of an air disaster: The crash of AHS017 flight in Mali.ANNALES MEDICO-PSYCHOLOGIQUES,173(10),828-833.
MLA Gheorghiev, Charles,et al."Medico-psychological support of military involved in the immediate aftermath of an air disaster: The crash of AHS017 flight in Mali".ANNALES MEDICO-PSYCHOLOGIQUES 173.10(2015):828-833.
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