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A tariff system for nervous shock: introducing the total impact score

Published online by Cambridge University Press:  13 June 2014

Peter Curran ,
Paul Miller ,
Michael Stevenson ,
Tony O'Neill ,
Stephen Hamilton  and
Iain McGowan
Peter Curran
Affiliation:
Mater Infirmorum Hospital, Crumlin Rd, Belfast, Northern Ireland
Paul Miller*
Affiliation:
Whiteabbey Hospital, Belfast, Northern Ireland
Michael Stevenson
Affiliation:
Mulhouse Building
Tony O'Neill
Affiliation:
Department of Mental Health, Queen's University, Belfast, Northern Ireland
Stephen Hamilton
Affiliation:
The Queen's University of Belfast, Northern Ireland
Iain McGowan
Affiliation:
University of Ulster, Cromore Rd, Coleraine, Northern Ireland
*
[email protected]
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Abstract

Objectives: This study was designed to test a proposed relationship between the total impact score (devised by the authors) and the quantum of damages in compensation received by victims of criminal and political violence. In so doing, the authors sought to develop a mathematical formula which could be used to quantify damages in a simple and expeditious manner.

Method: Data on 2,191 victims of violence was collated forming three databases of information, on the incident, on the victim and on the outcomes. A tool of measurement of the psychosocial impact of the traumatic event was designed (the Total Impact Score). Information on a subsample of the 208 survivors of attempted assassination was then selected and the TIS for each individual was calculated and examined for correlations with other variables including the quantum damages awarded.

Results: The TIS was shown to have validity as a measure of the psychosocial impact of a traumatic event upon an individual. The analysis showed a significant relationship between the TIS and quantum awarded. This relationship was used to generate a mathematical formula which could be used to calculate quantum damages in any case. Compensation = £500 × (10(0037t+0.059y) -1), where t is the TIS and y is the number of years after 1985.

Conclusions: The TIS can be taken as a valid tool for quantifying the psychosocial impact of a traumatic event or violent act. The tool consists of a checklist of readily ascertainable outcome variables each of which can be scored and a TIS calculated. From this score the amount of damages can be ascertained. The authors believe that this measurement tool represents a fair and equitable method of calculating a case's worth.

Keywords

TraumaTotal impact scoreNervous shockPTSDQuantum damagesCriminal injuries
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 21 , Issue 2 , June 2004 , pp. 48 - 52
Copyright
Copyright © Cambridge University Press 2004

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References

1.Miller, PW, McGowan, IW, Curran, PS, Hamilton, S, Stepheneon, M. An investigation into the total impact of traumatic events and its relationship to criminal injury compensation. Oral presentation, 7th European Conference on Traumatic Stress Studies. Edinburgh. UK. 2001Google Scholar
2.Curran, PS. Psychiatric aspects of terrorist violence in Northern Ireland 1969–87. British Journal of Psychiatry. 1988; 153: 470–475CrossRefGoogle Scholar
3.Curran, PS, Bell, P, Murray, A. Psychological consequences of the Enniskillen bombing. Br J Psychiatry 1990; 156: 479–482CrossRefGoogle ScholarPubMed
4.Gregg, W, Medley, I, Fowler-Dixon, R. Psychological aspects of the Kegworth air disaster. B J Psychiatry 1995; 167: 812–817CrossRefGoogle Scholar
5.Lord Denning, MR, HINZ v BERRY ([1970] 1 ALL E R. 1074)Google Scholar
6.Criminal Injuries (Compensation) (Northern Ireland) Order 1977. London. HMSOGoogle Scholar
7.Butterworth, , Hememann, , Curran, PS. Post traumatic stress disorder. In Addley (year) (ed) Occupational Stress: a practical approach. 1997Google Scholar
8.Kee, M, Bell, P, Loughrey, GC, Roddy, JR, Curran, PS. Victims of violence: a demographic and clinical study. Medicine, Science and the Law. 1987; 27(4), 241–247CrossRefGoogle ScholarPubMed
9.Loughrey, GC, Bell, P, Kee, M, Roddy, RJ, Curran, PS. Posttraumatic stress disorder and civil violence in Northern Ireland. B J Psychiatry 1988; 153, 554–560CrossRefGoogle ScholarPubMed
10.Bland, JM, Altman, DG. Validating Scales and Indexes. BMJ 2002; 324: 606–607CrossRefGoogle ScholarPubMed
11.Northern Ireland Census Agency Census Figures. Belfast: H.M.S.O. 1990Google Scholar
12.Curran, PS, Gregg, W. Psychiatric aspects of terrorist violence in Northern Ireland.Google Scholar
13.RIRB Medicolegal Journal. 1990; 58(2): 83–96Google Scholar