Human rights investigators often review graphic imagery of potential war crimes and human rights abuses while conducting open source investigations. As a result, they are at risk of developing secondary trauma, a condition that can produce a range of cognitive and behavioral consequences, including elevated anxiety and distress, depression, and post-traumatic stress disorder. Human rights organizations have traditionally been slow to recognize the risk of secondary trauma. However, in recent years, several university programs offering students practical experience in open source human rights investigations have implemented training on secondary trauma mitigation. We administered a survey to students in these programs to determine whether they are implementing recommended mitigation techniques and to document what techniques they find helpful. From 33 responses, we identified six general practices as helping mitigate secondary trauma: processing graphic content, limiting exposure to graphic content, drawing boundaries between personal life and investigations, bringing positivity into investigations, learning from more experienced investigators, and employing a combination of techniques. We also identified recommendations for institutions to protect the right to health of investigators and to support secondary trauma mitigation, both through frequent training and through practices such as labeling graphic content and emphasizing self-care. The article concludes with areas for future research.
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JAMA Netw Open
January 2025
Department of Surgery, University of Washington, Seattle.
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Ir J Med Sci
January 2025
Emergency Department, University of Health Science, Kanuni Sultan Süleyman Research and Training Hospital, Istanbul, Turkey.
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Front Public Health
January 2025
Department of Family and Community Medicine, School of Medicine, Wake Forest University, Winston-Salem, NC, United States.
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View Article and Find Full Text PDFCureus
January 2025
Physiology, Thomas F. Frist, Jr. College of Medicine, Nashville, USA.
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View Article and Find Full Text PDFInt Med Case Rep J
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