Coroners and PTSD: Treatment Implications

Work-related stress amongst legal medical doctors: the need for systematic psychological support. An Italian perspective

Legal medical doctors (LMDs) expertise encompasses a wide range of responsibilities. Work-related stress amongst LMDs is an extremely relevant factor, which affects the quality of LMDs life and work. Whilst it is a better-known problem abroad, this issue is poorly debated in Italy, as demonstrated by this literature analysis. The aim of this paper is to better understand the main sources of stress in the practice of legal medicine in Italy, highlighting the need for systematic psychological support. The risks of work-related stress for the social and health professions are well known in literature. In Italy, however, due to a series of complex circumstances and cultural and research delays, forensic practitioners often seem to be excluded from these kinds of complex issues. The authors, after a series of considerations drawn from a review of the literature and from experience in the forensic and medical field, point out how work in this area entails risks for workers, on par with all others belonging to the helping and social-health professions. They conclude their contribution with a series of proposals for appropriate protocols to cope with such problems for workers in the forensic and medical field.

Key points

Work-related risks for the social and health professionals are widely recognized in the literature.Although legal medical doctors are often thought to be safe from these types of issues, significant risks exist for this category as well.It is important to create appropriate protocols to address outcomes for legal medical doctors.

News Journalists and Postruamatic Stress Disorder: a Review of Literature, 2011-2020

Research has demonstrated that first responders may develop psychological trauma/ posttraumatic stress disorder (PTSD) in the performance of their duties. Often overlooked in these studies of police, firefighters, and paramedics is an additional group of providers who also respond to these same events: news journalists and photo journalists. Although limited in scope, the research literature from 1980 to 2010 assessed an association between PTSD and some news journalists. The strength of these findings are limited due to serious methodological limitations. The present paper reviewed the journalist/PTSD literature from 2011 to 2020. There were 4558 subjects in 23 studies, which were world-wide in scope. There were 2633 male reporters (58%) and 1925 female journalists (42%). The average age of subjects was 34.37 years and the average length of experience was 10.68 years. Many reported either PTSD, PTSD symptoms, depression, and/or substance use. A detailed methodological critique is presented.

Medicolegal death investigator workplace safety hazards: A scoping review of the literature

In the United States, medicolegal death investigation practices and policies pertaining to sudden unexpected deaths are mandated by state government. Practices vary across states, which contributes to inconsistency in job prerequisites and training. In preparation for a study focused on occupational safety and health of medicolegal death investigators in their on-scene and follow-up activities, a scoping review was conducted to document known occupational safety risks and health-related conditions associated with death investigation. Searches used Boolean and subject heading operators both broad and narrow in scope, and search terms included scene responder, hazard, investigator, forensic pathology, injury, and safety. Twenty-five articles met inclusion criteria, which included seventeen survey-mixed method designs, two systematic reviews, five quasi-experimental designs, and one case study. Twelve articles addressed mental health and eleven focused on risks associated with infectious disease. One article addressed the risk of chemical exposure from cyanide among autopsy personnel (including forensic pathologists) and nine included a wide range of employees within the setting of medical examiner or coroner offices. One article, addressing burnout, included employees in a forensic science laboratory setting as well as medicolegal death investigators and two articles included forensic pathologists and medicolegal death investigators. Only one article addressed medicolegal death investigators specifically. Articles addressing occupational and environmental hazards of medicolegal death investigators associated with musculoskeletal, respiratory, cardiovascular, radiological, nuclear, electrical, or explosive threats were not identified. There is little published about safety risks inherent in conducting death investigations. Research is needed to adequately inform health promotion and injury prevention strategies.

Trauma and coping mechanisms exhibited by forensic science practitioners: A literature review

Vicarious trauma (VT) has been studied in mental health experts for over 30 years due to their engagement with victims of trauma and exposure to details of events, crimes, and tragedies experienced by their patients. Recently, VT studies have been extended to first responders as they also engage with victims on a level which may affect their own wellbeing. First responders involved in the criminal justice system, such as law enforcement personnel, have benefited from these studies as the results have helped drive organizational change. However, other professionals throughout the criminal justice system, such as forensic scientists, have had far fewer studies published, and the awareness of VT they may be experiencing has only recently come to light. While this review is not exhaustive of all literature on VT, it showcases key studies and research gaps that could benefit the forensic science community and associated criminal justice system professionals.