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Longitudinal changes in the mental health of those affected by the 2017 Manchester Arena attack: 3-year follow-up of adults seeking support from the Resilience Hub[1]

Summary

Longitudinal analysis of adults registered with the Greater Manchester Resilience Hub after the 2017 Manchester Arena bombing, grouped into eight cohorts by time-to-registration and screened over 3 years for trauma, depression, anxiety, and work/social functioning. Baseline symptom scores rose the LONGER people took to register; all groups improved over 3 years; those registering earlier were less symptomatic at every point; and greater clinical contact time was associated with lower depression and anxiety scores. Concludes early and sustained engagement with post-incident psychological support is beneficial.

So what

The psychological-aftermath dimension of event terrorism, and the entry that makes the counter-terror shelf more than a trauma-surgery story: the medical footprint of a concert bombing extends years past the night, and the Resilience Hub model — a standing, proactively-outreaching support service — has outcome data showing early engagement pays off. For event planners and public-health authorities it argues that a deliberate-attack contingency plan must pre-designate a psychosocial-support pathway, not improvise one afterward. Complements the Barcelona (acute) and Raub (interagency) entries to give the shelf acute/organizational/recovery coverage.

Key findings

  • 3-year follow-up of adults at the Manchester Arena Resilience Hub, 8 registration cohorts
  • Later registration = higher baseline trauma/depression/anxiety scores
  • All groups improved over 3 years; earlier registrants less symptomatic throughout
  • More clinical contact time associated with lower depression/anxiety
  • Evidence for a pre-designated, proactive psychosocial-support pathway post-attack

Read the paper