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critical incident stress

A critical incident (CI) is defined as an event out of the range of normal experience — one which is sudden and unexpected, makes you lose control, involves the perception of a threat to life and can include elements of physical or emotional loss.

Critical incidents include natural disasters, multiple-casualty accidents, sexual or other types of assault, death of a child, hostage-taking, suicide, traumatic death in family, duty-related death of a co-worker and warrelated civilian deaths.

Less familiar than cumulative stress and more difficult to deal with is “critical incident stress” — the reaction to a critical incident. It is estimated that 25% of individuals in North America alone will experience an event that qualifies as a “critical incident.” In other more politically unstable parts of the world that figure may be even higher.

EXAMPLES OF UN WORK-RELATED CRITICAL INCIDENTS:
Outbreak of hostilities
  • Pinned down in a crossfire situation by rifle, rocket and mortar, you are trapped in a location with limited food, no fresh water and no heat or light for almost four days.
Evacuation
  • You are caught in the middle of a civil war. Eventually you are evacuated to a safe place, but not before witnessing several people being brutally beaten or shot.
Peacekeeping mission
  • Some people from your team are attacked in a hotel lobby. Everyone is robbed, three are badly beaten, and one woman is beaten and raped.
On a project
  • Humanitarian workers involved in a disease-prevention project are hit by a severe tropical storm. Many locals are killed and several team members are injured.

Although a critical incident may occur at any time, anywhere, there are certain occupational groups that are at an increased risk of exposure to traumatic events. These include fire-fighters, emergency health-care workers, police officers, search and rescue personnel, disaster relief and humanitarian aid workers, and United Nations peacekeepers, staff members, observers and monitors.

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