Stress and Accidents: Interventions for Accidental Injuries

  • Kyung Bong Koh


A variety of emotional factors and life stressors can be implicated as important causes of many accidents. Accidents result from the momentary convergence of psychological vulnerability, transient life stressors, and the physical opportunity for the accidents at one point in time. Victims of accidents often show resistance to and uncooperative attitude toward treatment because accidents work as a means of resolving their life problems. A detailed and investigative psychological interview will often elicit evidence indicating the psychological determinants and permit the consideration of various therapeutic options. Therefore, psychological understanding of accidents can prevent chronicity of disabilities after accidents and help treat patients. In addition, the general public should usually try to evaluate physical changes as well as psychological status suggesting stress in order to prevent accidents.


Emotional factors Life stressors Accidents Victims Life problems Psychological determinants Chronicity of disabilities 


  1. 1.
    Rosenbaum JF, Groves JE. Accident proneness and accident victims. In: Cassem NH, editor. MGH handbook of general hospital psychiatry. St. Louis: Mosby Year Book; 1991.Google Scholar
  2. 2.
    Ford CV, Smith GR Jr. Somatoform disorders, factitious disorder, and disability syndromes. In: Stoudemire A, Fogel BS, editors. Principles of medical psychiatry. Orlando: Grune & Stratton; 1987.Google Scholar
  3. 3.
    Schulzigner MS. Accident syndrome – a clinical approach. Arch Indust Hyg Occup Med. 1954;10:426–33.Google Scholar
  4. 4.
    Freud S. In: Strachey J, editor. The psychopathology of everyday life, vol. 6. Standard ed. London: Hogarth Press; 1960.Google Scholar
  5. 5.
    Crancer A Jr, Quiring DL Jr. Driving records of persons hospitalized for suicidal gestures. Behav Res Highway Safety. 1970;1:33–43.Google Scholar
  6. 6.
    Selzer ML, Payne CE. Automobile accidents, suicide, and unconscious motivation. Am J Psychiatry. 1962;119:237–40.CrossRefGoogle Scholar
  7. 7.
    Dunbar F. Mind and body. New York: Random House In; 1955.Google Scholar
  8. 8.
    Alexander F. The accident prone individual. Public Health Rep. 1949;64:357–62.CrossRefGoogle Scholar
  9. 9.
    Farmer E, Chambers EG. A psychological study of individual differences in accident rates. London: Industrial Health Research Board Rep No.38; 1926.Google Scholar
  10. 10.
    Farmer E, Chambers EG. A study of personal qualities in accident proneness and proficiency. London: Industrial Health Research Board Rep No.55; 1929.Google Scholar
  11. 11.
    Selzer ML, Rogers JE, Kern S. Fatal accidents: the role of psychopathology, social stress and acute disturbance. Am J Psychiatry. 1968;124:1028–36.CrossRefGoogle Scholar
  12. 12.
    Hirschfeld AH, Behan RC. The accident process: I. Etiological consideration of industrial injuries. JAMA. 1963;186:193–9.CrossRefGoogle Scholar
  13. 13.
    McMurray L. Emotional stress and driving performance: the effect of divorce. Behav Res Highway Saf. 1970;1:100–14.Google Scholar
  14. 14.
    Selzer ML. Automobile accidents as an expression of psychopathology in an alcoholic population. Q J Stud Alcohol. 1967;28:505–16.PubMedGoogle Scholar
  15. 15.
    Tabachnick N, Litman RE, Osman M, et al. Comparative psychiatric study of accidental and suicidal death. Arch Gen Psychiatry. 1996;14:60–8.CrossRefGoogle Scholar
  16. 16.
    Tomei G, Capozzella A, Rosati MV, et al. Stress and work-related injuries. Clin Ter. 2015;166:e7–e22.PubMedGoogle Scholar
  17. 17.
    Selzer ML. Alcoholism, mental illness, and stress in 96 drivers causing fatal accidents. Behav Sci. 1969;14:1–10.CrossRefGoogle Scholar
  18. 18.
    Waller JA, Turkel HW. Alcoholism and traffic deaths. N Engl J Med. 1966;275:532–6.CrossRefGoogle Scholar
  19. 19.
    Arbous AG, Kerrich JE. Accident statistics and the concept of accident proneness. Biometrics. 1951;7:340–432.CrossRefGoogle Scholar
  20. 20.
    McLean AA. Accident proneness: a clinical approach to injury liability. Ind Med Surg. 1955;24:122–6.PubMedGoogle Scholar
  21. 21.
    Webb WB. Illusive phenomena in accident proneness. Public Health Rep. 1955;70:951–6.CrossRefGoogle Scholar
  22. 22.
    Conger JJ. Psychological and psychophysiological factors in motor vehicle accidents. JAMA. 1959;169:1581–7.CrossRefGoogle Scholar
  23. 23.
    Tillman WA, Hobbs GE. The accident-prone automobile driver: a study of the psychiatric and social background. Am J Psychiatry. 1949;106:321–31.CrossRefGoogle Scholar
  24. 24.
    Tsuang MT, Boor M, Fleming J. Psychiatric aspects of traffic accidents. Am J Psychiatry. 1985;142:538–46.CrossRefGoogle Scholar
  25. 25.
    Alexander F. Psychosomatic medicine. New York: WW Norton & Co; 1950.Google Scholar
  26. 26.
    Behan RC, Hirschfeld AH. The accident process: II. Toward more rational treatment of industrial injuries. JAMA. 1963;186:300–6.CrossRefGoogle Scholar
  27. 27.
    Hirschfeld AH, Behan RC. The accident process: III. Disability—acceptable and unacceptable. JAMA. 1966;197:85–129.CrossRefGoogle Scholar
  28. 28.
    Nemiah JC. Psychological complications in industrial injuries. Arch Environ Health. 1963;7:481–6.CrossRefGoogle Scholar
  29. 29.
    Berger JC. Some psychological aspects of industrial injury. Illinois Med J. 1975;147:364–5.Google Scholar

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© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Kyung Bong Koh
    • 1
  1. 1.Department of PsychiatryYonsei University College of MedicineSeoulKorea

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