This study aimed to examine the predictor variables of psychological distress and perceived growth among the survivors of motor vehicle accidents. Demographic characteristics as pre-accident variables, cognitive appraisals of the accident as accident related factors, coping strategies and social support as post-accident variables were used as predictors of distress and perceived growth. 200 adults (142 males and 58 females, ages between 18 and 65) participated in the study. Data was collected by a questionnaire which consisted of four parts. Three trained interviewers who were undergraduate psychology students, administered the questionaire individually. The first part examined on socio-demographic variables. The second part explored variables related to the accident, such as the status of the survivor as driver or non-driver, existence of injury or death to others in the accident, treatment after the accident, duration of hospitalization. The third part focused on the subject&rsquo / s accident related appraisals such as perceived level of responsibility, fear, helplessness, danger, thinking of death to oneself or others, sense of control, perceived level of injury severity. The fourth part contained five scales. Psychological distress was assessed by Impact of Event Scale (IES). Coping strategies were assessed by Ways of Coping Questionnaire (WCQ). Stress Related Growth Scale (SRGS) was used to examine perceived growth. Social support was assessed via Social Support Scale and Depression scores of the participants were assessed by Beck Depression Inventory. The results revealed that the present sample was moderately distressed. The current distress level was significantly related to perceived growth. The general distress level was predicted by age, perceived threat and helplessness coping. Considering intrusive symptoms, age, not having social security entitlement, depression, perceived threat and helplessness coping were found to be significant predictors. Considering avoidant symptoms, years of education, depression and fatalistic coping were found to be significant predictors. Not having an insurance policy, perceived threat, optimistic/problem solving coping and fatalistic coping were found to be significant predictors of percieved growth following motor vehicle accident. The findings are discussed within psychological distress and perceived growth. Limitations of the study, directions for future research and clinical implications are proposed.

Railway suicide constitutes a limited but significant fraction of all suicides, and a majority of all railway-related deaths, in Sweden as well as in many other countries. The aim of this thesis is to develop the scientific basis for the prevention of railway suicide, with special regard to knowledge and strategies within the reach of the railway system owners themselves. An initial descriptive epidemiologic study showed that railway suicide episodes cluster in densely populated areas, and that victims often seem to await approaching trains for some time on or close to tracks before being hit. This means that preventive efforts can be prioritized to geographically limited areas and that there exists a time margin for early detection, forewarning, braking, rescuing, and the like. Secondly, a theoretical study was conducted in order to derive an overview of theoretically possible barriers aimed at preventing railway suicide. The approach is based on the comparison and synthesis of theories and models from suicidology and safety sciences applied to the railway suicide phenomenon. This led to a list of possible barriers, also intended as a checklist. This was followed by a multiple case study, where a number of authentic cases were analysed in-depth on the basis of investigation reports by the police and railway officials, plus complementary researcher observations from the actual sites of the suicide occurrences. The study revealed some deficiency in current investigation and reporting routines from a preventative viewpoint and indicated the potential for a broader and more systematic collection of prevention-relevant information in immediate connection with the events. Finally, a focus group study, involving safety practitioners from both the railway and other sectors, confirmed a general understanding and acceptance among practitioners of the theoretically derived principles, and a readiness to broaden the scope of railway safety to include approaches to prevent suicide. In conclusion, it should be possible to influence the occurrence of railway suicides by means available within the railway transport system itself. A spectrum of possible alternative barriers is identified, as well as an, as yet, underutilized potential in the form of more systematic data collection and learning routines from actual events. Last but not least, there is a readiness among practitioners to incorporate these principles in regular railway safety work.

Understandings of the longer-term experiences of recovery from road trauma are limited. Many studies to date have examined the psychological and psychiatric consequences of road accidents in the short term, but few have moved to a focus on the psychosocial and subjective aspects of recovery, and the longer-term challenges of this process. (For complete abstract open document)

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Thesis (Ph. D.)--University of North Texas, Aug., 2007. / Title from title page display. Includes bibliographical references.

Diss. (sammanfattning) Linköping : Univ., 2003. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2002. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2005. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.