Caroline Bell, Ruqayya Sulaiman-Hill, Sandila Tanveer, Richard Porter, Shaystah Dean, Philip J Schluter, Ben Beaglehole, Joseph M Boden
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It included a diagnostic interview (MINI), measures of sociodemographic factors, prior mental health, prior traumatic events, exposure in the attacks, discrimination, life stressors, social support and religious coping. Logistic regression models examined associations with mental health outcomes.</p><p><strong>Results: </strong>The sample comprised 189 participants (mean age 41 (s.d. = 13); 60% female), and included: bereaved, 17% (<i>n</i> = 32); injured survivors 12% (<i>n</i> = 22); non-injured survivors, 19% (<i>n</i> = 36); family members of survivors, 35% (<i>n</i> = 67); and community members without the above exposures, 39% (<i>n</i> = 74). Overall, 61% had at least one mental disorder since the attacks. Those bereaved (<i>P</i> < 0.01, odds ratio 4.28, 95% CI 1.75-10.49) and survivors, whether injured (<i>P</i> < 0.001, odds ratio 18.08, 95% CI 4.70-69.60) or not (<i>P</i> < 0.01, odds ratio 5.26, 95% CI 1.99-13.89), had greater odds of post-traumatic stress disorder. Those bereaved (<i>P</i> < 0.001, odds ratio 5.79, 95% CI 2.49-13.46) or injured (<i>P</i> = 0.04, odds ratio 4.43, 95% CI 1.07-18.28) had greater odds of depression.</p><p><strong>Conclusions: </strong>Despite unique features of this attack on a Muslim population, findings accord with previous studies. They suggest generalisability of psychopathology after terror attacks, and that being bereaved or directly experiencing such events is associated with adverse mental health outcomes.</p><p><strong>Trial registration number: </strong>The study is registered on the Australian NZ Clinical Trials Registry (ACTRN12620000909921).</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"10 6","pages":"e209"},"PeriodicalIF":3.9000,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors associated with mental health outcomes in a Muslim community following the Christchurch terrorist attack.\",\"authors\":\"Caroline Bell, Ruqayya Sulaiman-Hill, Sandila Tanveer, Richard Porter, Shaystah Dean, Philip J Schluter, Ben Beaglehole, Joseph M Boden\",\"doi\":\"10.1192/bjo.2024.774\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>On 15 March 2019, a white supremacist terrorist attacked two mosques in Christchurch, New Zealand. Fifty-one people were killed and another 40 sustained non-fatal gunshot injuries.</p><p><strong>Aims: </strong>To examine the mental health of the Muslim community, and individual and exposure-related factors associated with mental health outcomes.</p><p><strong>Method: </strong>This is the baseline analysis of a longitudinal study of adults from the Muslim community interviewed 11-32 months after the shootings. It included a diagnostic interview (MINI), measures of sociodemographic factors, prior mental health, prior traumatic events, exposure in the attacks, discrimination, life stressors, social support and religious coping. Logistic regression models examined associations with mental health outcomes.</p><p><strong>Results: </strong>The sample comprised 189 participants (mean age 41 (s.d. = 13); 60% female), and included: bereaved, 17% (<i>n</i> = 32); injured survivors 12% (<i>n</i> = 22); non-injured survivors, 19% (<i>n</i> = 36); family members of survivors, 35% (<i>n</i> = 67); and community members without the above exposures, 39% (<i>n</i> = 74). Overall, 61% had at least one mental disorder since the attacks. Those bereaved (<i>P</i> < 0.01, odds ratio 4.28, 95% CI 1.75-10.49) and survivors, whether injured (<i>P</i> < 0.001, odds ratio 18.08, 95% CI 4.70-69.60) or not (<i>P</i> < 0.01, odds ratio 5.26, 95% CI 1.99-13.89), had greater odds of post-traumatic stress disorder. 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引用次数: 0
摘要
背景：2019年3月15日，一名白人至上主义恐怖分子袭击了新西兰基督城的两座清真寺。目的：研究穆斯林社区的心理健康状况，以及与心理健康结果相关的个人和接触相关因素：这是一项纵向研究的基线分析，研究对象是枪击事件发生 11-32 个月后接受采访的穆斯林社区成年人。研究内容包括诊断性访谈（MINI）、社会人口因素测量、先前的心理健康、先前的创伤事件、在袭击中的暴露、歧视、生活压力、社会支持和宗教应对。逻辑回归模型检验了与心理健康结果之间的关联：样本由 189 名参与者组成（平均年龄 41 岁（标准差 = 13）；60% 为女性），其中包括：丧亲者，17%（n = 32）；受伤幸存者，12%（n = 22）；非受伤幸存者，19%（n = 36）；幸存者家庭成员，35%（n = 67）；无上述经历的社区成员，39%（n = 74）。总体而言，61%的人在袭击发生后至少患有一种精神障碍。丧亲者（P < 0.01，几率比 4.28，95% CI 1.75-10.49）和幸存者，无论是否受伤（P < 0.001，几率比 18.08，95% CI 4.70-69.60）（P < 0.01，几率比 5.26，95% CI 1.99-13.89），患创伤后应激障碍的几率都较大。丧亲者（P < 0.001，几率比 5.79，95% CI 2.49-13.46）或受伤者（P = 0.04，几率比 4.43，95% CI 1.07-18.28）患抑郁症的几率更大：尽管这起针对穆斯林人群的袭击事件具有独特性，但研究结果与以往的研究结果一致。结论：尽管这起针对穆斯林人群的袭击事件具有特殊性，但研究结果与之前的研究结果一致，表明恐怖袭击后的心理病理学具有普遍性，而且失去亲人或直接经历此类事件与不良的心理健康结果有关：该研究已在澳大利亚新西兰临床试验注册中心（Australian NZ Clinical Trials Registry）注册（ACRN12620000909921）。
Factors associated with mental health outcomes in a Muslim community following the Christchurch terrorist attack.
Background: On 15 March 2019, a white supremacist terrorist attacked two mosques in Christchurch, New Zealand. Fifty-one people were killed and another 40 sustained non-fatal gunshot injuries.
Aims: To examine the mental health of the Muslim community, and individual and exposure-related factors associated with mental health outcomes.
Method: This is the baseline analysis of a longitudinal study of adults from the Muslim community interviewed 11-32 months after the shootings. It included a diagnostic interview (MINI), measures of sociodemographic factors, prior mental health, prior traumatic events, exposure in the attacks, discrimination, life stressors, social support and religious coping. Logistic regression models examined associations with mental health outcomes.
Results: The sample comprised 189 participants (mean age 41 (s.d. = 13); 60% female), and included: bereaved, 17% (n = 32); injured survivors 12% (n = 22); non-injured survivors, 19% (n = 36); family members of survivors, 35% (n = 67); and community members without the above exposures, 39% (n = 74). Overall, 61% had at least one mental disorder since the attacks. Those bereaved (P < 0.01, odds ratio 4.28, 95% CI 1.75-10.49) and survivors, whether injured (P < 0.001, odds ratio 18.08, 95% CI 4.70-69.60) or not (P < 0.01, odds ratio 5.26, 95% CI 1.99-13.89), had greater odds of post-traumatic stress disorder. Those bereaved (P < 0.001, odds ratio 5.79, 95% CI 2.49-13.46) or injured (P = 0.04, odds ratio 4.43, 95% CI 1.07-18.28) had greater odds of depression.
Conclusions: Despite unique features of this attack on a Muslim population, findings accord with previous studies. They suggest generalisability of psychopathology after terror attacks, and that being bereaved or directly experiencing such events is associated with adverse mental health outcomes.
Trial registration number: The study is registered on the Australian NZ Clinical Trials Registry (ACTRN12620000909921).
期刊介绍：
Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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