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CompletedNCT03842553Updated Mar 22, 2019

Posttraumatic Stress Symptoms Among Rescuers at Risk

An observational study in Trauma, PTSD and Self Efficacy, sponsored by University of Bern. Completed at 1 site in Switzerland. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-22.

Sponsored by University of Bern · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
1,001
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This cross-sectional, anonymous online survey aims to examine how salient variables influence PTSS, well-being, and suicidal ideation across the following professions of rescue workers: firefighters, ambulance personnel, police officers, and emergency and psychiatric nurses. PTSS, coping strategies, well-being, suicidal ideation, previously experienced and work-related trauma, and self-efficacy were measured and analyzed using multiple regression and structural equation modeling.

Read the detailed description

Employees of rescue and emergency services are at a risk of posttraumatic stress symptoms (PTSS) due to exposure to trauma and work-related stressors. Salient predictors for the development of PTSS among rescue workers have been identified; however, little is known about how predictors (e.g. coping strategies) differ among professions requiring repeated engagement in emergencies. The present survey examines how these variables influence PTSS, well-being, and suicidal ideation across different professions of rescue Workers using multiple regression and structural equation modeling.

02

Conditions studied

  • Trauma
  • PTSD
  • Self Efficacy
  • Coping Skills
  • Suicidal Ideation

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Keywords

  • PTSD
  • Trauma
  • Coping
  • Self Efficacy
03

In context

Suicidal Ideation

515 studies on the registry are indexed under Suicidal Ideation; 195 are open to participants now.

This study's enrollment of 1,001 is above the median of 154 across 66 observational studies indexed under Suicidal Ideation.

Browse Suicidal Ideation studies →

Lead sponsor

University of Bern is the lead sponsor of 207 studies on the registry; 47 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Employees of rescue and emergency services in the canton Bern, Switzerland: - Firefighters of the canton Bern

  • Ambulance personnel of the canton Bern
  • Police officers of the canton Bern
  • Emergency nurses of the University Hospital of Bern
  • Psychiatric nurses of University Hospital of Psychiatry, Bern

Inclusion criteria

Employee at the rescue or emergency services. The participation in the anonymous online study is voluntary and promoted by the department heads at the places of work corresponding to the studied professions. No ethical approval is needed as the survey was voluntary and anonymous and participants gave consent to use the data with their participation.

Exclusion criteria

Exclusion Criteria:

  • None
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
1,001 participants (actual)
Patient registry
No

Groups and cohorts

  • Police officers

    Police officers from the cantonal police forces in Bern, Switzerland

    Other: No Intervention: anonymous online survey

  • Firefighters

    Firefighters from the professional fire service of the Canton Bern, Switzerland

    Other: No Intervention: anonymous online survey

  • Ambulance personnel

    Ambulance personnel of the Canton Bern, Switzerland

    Other: No Intervention: anonymous online survey

  • Emergency nurses

    Emergency nurses of the Emergency Unit of the University Hospital of Bern, Switzerland

    Other: No Intervention: anonymous online survey

  • Psychiatric nurses

    Psychiatric nurses of the University Hospital of Psychiatry, University of Bern, Switzerland

    Other: No Intervention: anonymous online survey

Interventions

  • OtherNo Intervention: anonymous online survey
06

What researchers measure

Primary outcomes

  1. PTSS-10

    Posttraumatic Stress Symptoms assessed with the Post Traumatic Symptom Scale, a self-rating scale used in screening and follow-up studies on catastrophe that measures the most common posttraumatic symptoms (sleep disorders, nightmares, fear of reminders, etc.)

    Time frame: at baseline

Secondary outcomes

  1. Well-being

    Mental well-being assessed with the German version of the shortest General Health Questionnaire 12 (GHQ-12). Psychological distress and psychiatric disorders were assessed with the German Version of the Brief Symptom Inventory (BSI).

    Time frame: at baseline

  2. Suicidal Ideation

    Participants were asked if they had suicidal ideation in the 12 months prior to the questionnaire

    Time frame: within the last 12 months before the survey

  3. Psychological distress and psychiatric disorders

    German Version of the Brief Symptom Inventory (BSI). The 53-item self-report questionnaire measures symptoms of general psychopathology.

    Time frame: at baseline

Other outcomes

  1. Self-efficacy

    Self-efficacy was measured using the General Perceived Self-Efficacy Scale, a 10-item self-report instrument for personality diagnostics based on Banduras's concept of perceived self-efficacy that measures the general optimistic competence expectation

    Time frame: at baseline

  2. Coping Strategies

    5-point Likert scale, ranging from a score of 1, indicating "not helpful"; to 5, "very helpful." According to the operationalization of Coolidge, coping strategies were divided into three main subscales: I) problem-focused coping strategies, which was comprised of the subscales of "instrumental support" (getting help and advice from psychologic professionals) and "active job coping" (debriefing with operation team, supervisor, and work colleagues); II) dysfunctional coping strategies, which included "substance use" (alcohol or medication), "avoidance" (avoidance of situations and emotions associated with the stressful/traumatic situation), and "self-distraction" (turning to work or other activities to take the mind off the stressful situation); III) emotion-focused coping strategy (humor, getting emotional support from close friends, thinking about the positive aspects of the job).

    Time frame: at baseline

  3. The burden of stressful job-related circumstances

    The burden of stressful job-related circumstances, such as dealing with situations including people (aggressive and violent people, dealing with deaths or suicide, threats, dealing with relatives, involvement of children) and job-related conditions (incorrect or wrong information about the emergency situation, shift work, time pressure). Participants stated if they had ever experienced a presented situation, and if so, whether the situation caused a light or heavy stress burden.

    Time frame: at baseline

  4. work-unrelated trauma

    Number of previous experienced work-unrelated trauma

    Time frame: at baseline

  5. work-related trauma

    Number of experienced trauma at work

    Time frame: at baseline

07

Study locations

1 site
  • University Hospital of Psychiatry, University of Bern
    Bern, 3000, Switzerland
08

References and documents

Publications

  • Soravia LM, Schwab S, Walther S, Muller T. Rescuers at Risk: Posttraumatic Stress Symptoms Among Police Officers, Fire Fighters, Ambulance Personnel, and Emergency and Psychiatric Nurses. Front Psychiatry. 2021 Jan 19;11:602064. doi: 10.3389/fpsyt.2020.602064. eCollection 2020. PubMed 33542696 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03842553
Lead sponsor
University of Bern
Responsible party
Sponsor
First posted
Feb 15, 2019
Start date
Jun 2014
Primary completion
May 2015
Completion
May 2015
Last update
Mar 22, 2019

Study contacts

Leila Soravia, Ph.D.
principal investigator · University Hospital of Psychiatry, University of Bern

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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