Recieved: 02/19/2021
Accepted: 03/12/2021
Published: 03/30/2021
Keywords: emergency psychological aid; grief; psychological service of the EMERCOM of Russia
p.: 115-126
DOI: 10.11621/npj.2021.0110
Available online: 30.03.2021
Shoigu, Yu.S. , Tolubaeva Natalia V., Varfolomeeva Elena I., Sokolova Anna A., Kurilova, Evgenia V. , Karmilova Margarita E.. Features of providing emergency psychological aid to people experiencing loss in emergency situations. // National Psychological Journal 2021. 1. p.115-126. doi: 10.11621/npj.2021.0110
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Background. In many countries frontline emergency workers of different specialties face the need to inform people of their relatives’ death and to support them during the acute period following the message. The need for psychological training in this area is evident. However, the research in this area is not only complicated in terms of logistics, but also hindered by a number of ethical difficulties.
The analysis presented in this paper has significant practical value and draws on the unique professional perspective of the EMERCOM emergency psychologists who provide psychological support to people experiencing loss in an acute period — relatives and loved ones of those who died in emergencies.
Objective. To give an outline of approaches to psychological support in cases of loss, of the factors influencing adaptation to a loss, and of the opportunities for early psychological interventions.
Design. The theoretical overview presents the analysis of foreign experience and main approaches to announcing the death of a relative. The following section describes and analyses the main approaches and practical experience of the EMERCOM psychologists. The conclusion outlines the possibilities of a systematic approach to providing emergency psychological aid in cases of loss.
Results. The study presents a list of characteristics of support providers, recipients and situations that need to be taken into account when choosing a strategy of work with people experiencing a recent loss.
Conclusion. The study allows to single out three main thematic blocks, the consideration of which is necessary when choosing a strategy for dealing with loss in an acute period. First, features of the situation; second, characteristics of the person experiencing loss; third, the characteristic of the support provider. The process of psychological support, as described in the paper, includes assessment and consideration of the objective characteristics of the situation, the recipient’s characteristics and response, and the characteristics of the specialist himself. The interpretation of relationship between these factors and their influence on the condition of the person who experiences a loss allows the psychologist to choose the most effective strategy for providing psychological support.
Bacque, M-F. (2008). The notification of a death. Studies on death, 15 (134), 99-104;
Emergency psychological help: handbook of the Russian Ministry of Emergency Situations psychologist. Ed. by Yu.S. Shoigu. Moscow. 320 p. (In Russ.)
Fomina E.V., Olenko E.S., Kodochigova A.I., Filippov D.Yu. (2019). Influence of stress on cognitive capacities of a healthy person: neuro-physiological aspects. Psychosomatic and integrative studies. [Psikhosomaticheskie i integrativnye issledovaniya],5 (4), 402-406. (In Russ.)
Gage Stermensky II and Robert R. Moss (2017). Cognitive symptoms and effects of stress. Stress in the Modern World: Understanding Science and SocietyChapter: 12Publisher: ABC-CLIO, January, pp. 95-103.
Issues of the Russian Federal Ministry of Civil Defense, Emergency Situations and Disaster Management (with changes and amendments): Russian Federation Presidential Decree № 868,11.07.2004. [Electronic resource] Garant:[site]. URL: https://base.garant.ru/187212/ (accessed 20.12.2020). (In Russ.)
John H. Ehrenreich (2001). Coping with disasters. A guidebook to psychosocial intervention. (Revised Edition). October.
Josef I. Ruzek, Melissa J. Brymer, Anne K. Jacobs, Christopher M. Layne, Eric M. Vernberg, Patricia J. Watson (2007). Psychological First Aid. Journal of Mental Health Counseling,29 (1) January, 17-49. doi: 10.17744/mehc.29.1.5racqxjueafabgwp Karapetyan L.V. (2018) Psychologists’ preparation for providing emergency psychological help: opportunities for diagnostics and development. Modern technologies of ensuring civil defense and natural disaster management. [Sovremennye tekhnologii obespecheniya grazhdanskoi oborony i likvidatsii posledstvii chrezvychainykh situatsii],1 (9), 196-198. (In Russ.)
Kitaev-Smyk L.A. (2009). Psychology of stress: psychological anthropology of stress. Moscow: Akademicheskii proekt. 943 p. (In Russ.)
Kitaev-Smyk L.A. (2012). Body and stress: life stress and death stress. Moscow: Smysl. 570 p. (In Russ.)
Laborie, J-М., Haegel, A., Carli, P. (2002). Notifying the family of a death in the context of hospital and pre-hospital emergencies. European Emergency Journal, 15, 5-14.
Lindemann E. (1984). Clinical manifestations of acute grief. Psychology of emotion. [Psikhologiya emotsii],ed. by V.K. Vilyunasa, Yu.B. Gippenreiter. Moscow: Izd-vo Mosk. un-ta. 288 p. (In Russ.)
Lupien, S., McEwen, B., Gunnar, M., & Heim, C. (2009). Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Reviews Neuroscience, 10 (6), 434-445. doi:10.1038/nrn2639;
Ministere de la Justice (2019). How can we improve the death notification process. Delegation interministerielle a l’aide aux victimes. Ministere de la justice de la Republique Fran^aise.Septembre. 48. [сайт]. URL: http://www.justice.gouv.fr/delegation-interministerielle-daide-aux-victimes-12894/remise-du-rapport-... (дата обращения 27.04.2021)
Ombres R., Montemorano L., Becker D. (2017). Death Notification: Someone Needs To Call the Family. Journal of palliative medicine,20 (6), 672-675. doi: 10.1089/jpm.2016.0481
On a unified state system of prevention and management of disasters: Russian Federation Government Decree № 794,30.12.2003. [Electronic resource] Garant: [site]. URL: https://base.garant.ru/186620 (accessed 20.12.2020); (In Russ.)
On establishing the procedure of providing emergency psychological help to survivours in zones of natural disasters and fires. Order of the Russian Ministry of Emergency Situations № 525,20.09.2011. [Electronic resource] Garant: [site]. URL: https://base.garant.ru/55172473 (accessed 20.12.2020). (In Russ.)
Parrish G, Holdren K, Skiendzielewski J, Lumpkin O. (1987). Emergency department experience with sudden death: a survey of survivors. Ann Emerg Med. doi: 10.1016/S0196-0644(87)80577-2
Reshetnikov M.M. (2004). General patterns in the dynamics of state, behaviour and activity of people in emergency and life-threatening situations: long-term consequences and rehabilitation of survivours. Bulletin of psychotherapy. [Vestnik psikhoterapii],12, 97-111. (In Russ.)
Richard J. McNally, Richard A. Bryan and Anke Ehlers (2003). Does early psychological intervention promote recovery from
posttraumatic stress? Psychological science in the public interest,4 (2) November, 44-78. doi: 10.1111/1529-1006.01421
Ronald S. Benenson, MD, Marc L. Pollack, MD. (2003), PhD Evaluation of Emergency Medicine Resident Death Notification
Skills by Direct Observation. Acad emerg medd, March, 10 (3), 219-223. doi: 10.1111/j.1553-2712.2003.tb01994.x
Schwabe, L., Joels, M., Roozendaal, B., et al. (2012). Stress effects on memory: An update and integration. Neurosci Biobehav Rev.,
Aug; 36 (7), 1740-9. doi: 10.1016/j.neubiorev.2011.07.002;
Shoigu Yu.S. (2005). System of preserving mental health in emergency situations. From origins to modernity: 130 years from the establishment of psychological society at Moscow university. Proceedings of anniversary conference, 5 vols. Vol. 3. Ed. by D.B. Bogoyavlenskaya.Moscow: Kogito-Tsentr, pp. 305-311. (In Russ.)
Shoigu Yu.S. (2012). Organizing the activity of psychological services within the Russian Ministry of Emergency Situations. National journal of psychology. [Natsionalnyipsikhologicheskii zhurnal],1 (7), 131-133. (In Russ.)
Shoigu Yu.S. (2016). Psychological service of the Russian Ministry of Emergency Situations: actual state and perspectives of development. Professional education. The capital. [ProfessionaTnoe obrazovanie. Stolitsa],3,29-33. (In Russ.)
Shoigu Yu.S., Filippova M.V. (2015). Ethical aspects of emergency psychological help to people with different cultural backgrounds. Bulletin of Moscow university. Series 14. Psychology. [Vestnik Moskovskogo universiteta. Seriya 14. Psikhologiya],3,108-116. (In Russ.), doi: 10.11621/vsp.2015.03.108
Shoigu Yu.S., Pavlova M.V. (2010). Cultural-specific and non cultural-specific reactions of emergency situation survivours. Bulletin of Saint Petersburg University. Series 12. [Vestnik SPbGU. Ser. 12.],1,300-306. (In Russ.)
Shoigu Yu.S., Timofeeva L.N., Kurilova E.V. (2019). Organizing and providing emergency psychological help to children who survived emergency situations (the example of specialists from the psychological service of the Russian Ministry of Emergency Situations who worked in school №127, the city of Perm’). National journal of psychology. [Natsionalnyi psikhologicheskii zhurnal], 2(34), 55-63. doi: 10.11621/npj.2019.0210; (In Russ.)
Shoigu Yu.S., Tolubaeva N.V., Timofeeva L.N. (2019). Features of organizing and providing emergency psychological help in different kinds of emergency situations within the Russian Federation. Oral report at the XVI European psychological congress. Moscow, July 2-5, 2019. URL: https://istina.msu.ru/conferences/presentations/233649834/ (accessed 20.12.2020). (In Russ.) Sudakov K.V. (2006). Social and biological aspects of psycho-emotional stress: ways of preventing its negative consequences. Bulletin of International Academy of sciences. Russian section. [Vestnik Mezhdunar о dnoi akademii nauk. Russkaya sektsiya],1,8-14. (In Russ.)
Vasilyuk F.E. (1991). Overcoming grief. On the humane in human beings. [O chelovecheskom v cheloveke],Moscow, pp. 230-247. (In Russ.)
Vorden V. (2020). Consulting and therapy of grief: handbook for specialists in mental health care. Moscow: Tsentr psikhologicheskogo konsul’tirovaniya i psikhoterapii. 330 p. (In Russ.)
Shoigu, Yu.S. , Tolubaeva Natalia V., Varfolomeeva Elena I., Sokolova Anna A., Kurilova, Evgenia V. , Karmilova Margarita E.. Features of providing emergency psychological aid to people experiencing loss in emergency situations. // National Psychological Journal 2021. 1. p.115-126. doi: 10.11621/npj.2021.0110
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