عنوان انگلیسی مقاله:
State of damage to and support for victims of motor vehicle accidents in Japan
ترجمه فارسی عنوان مقاله:
وضعیت آسیب و پشتیبانی قربانیان حوادث وسایل نقلیه موتوری در ژاپن
Sciencedirect - Elsevier - IATSS Research 43 (2019) 97–107
Individuals are likely to be involved in at least one motor vehicle accident (MVA) during their lifetime.MVAs can
have a significant impact on both the victimsand their families; in the case of death, the bereaved familymay face
mental health problems. Ongoing studies have focused on devising strategies to support victims and their families
who face such problems.
This paper clarifies the reality of mental health issues ofMVA victims and reviews the current state of victimsupport
available in Japan, its significance and other relevant issues.
The prevalence of post-traumatic stress disorder (PTSD) inMVA survivors has been estimated to be 8%–45% one
month after the accident and 6%–40% six months after the accident. The mental health of the survivors families,
bereaved families, and orphaned children are usually affected afterMVAs. Bereaved families experience not only
PTSD but also symptoms of complicated grief. Based on studies using different scales to measure symptoms and
other items, symptoms of PTSD and complicated grief have been seen in 17%–75% and 6%–61% of bereaved families,
respectively, which were much higher than those observed in the general population. In addition to the actual
physical andmental damage caused byMVAs, it is necessary to take notice of survivors who are exposed to
post-accident secondary victimization.
Justice agencies, such as the National Police Agency andMinistry of Justice Investigation Bureau, as well as victim
support centers and self-help groups, provide support to MVA victims. To a certain extent, evaluating support
provided to MVA victims and their families is possible by initiating assistance promptly and actively using leaflets,
brochures, and other materials.
The literature reports thatwomen are at increased risk for developing PTSD and complicated grief; also,men and
women use differentmechanisms for coping with stress.Moreover, men tend not to express their pain and try to
manage it on their own. Thus, support that is appropriate for both sexes must be provided.
In the future, the effectiveness of the support provided should be evaluated by survivors. Whether acute-phase
support leads to improvement in survivors long-term prognoses must also be investigated.
Keywords: Motor vehicle accidents | MVA victims | Bereaved family | Social support | Self-help groups | Sex differences