Promoting organizational well-being: a comprehensive review of Trauma Risk Management

Occup Med (Lond). 2015 Jun;65(4):331-6. doi: 10.1093/occmed/kqv024. Epub 2015 Apr 16.


Background: Trauma Risk Management (TRiM) is a peer support system developed within the British Armed Forces. It aims to ensure that trauma-exposed personnel are properly supported and encouraged to seek timely help should they develop mental health problems that fail to resolve spontaneously.

Aims: To summarize current knowledge about TRiM and make recommendations for further research.

Methods: A search of PsychINFO, CINAHL and PubMed identified 13 published papers.

Results: TRiM outcomes were represented in different ways within the relevant studies suggesting that TRiM may have effects additional to those that it seeks to achieve. For example, a randomized controlled trial demonstrated that TRiM had a specific positive occupational effect and did no harm; a qualitative study suggested that TRiM enhanced liaison between mental health workers and line managers and a service evaluation suggested that it reduced sickness absence. In general, the process appears to enhance trauma-exposed personnel's reliance on peer support and TRiM was reportedly acceptable and sustainable.

Conclusions: Evidence suggests that TRiM's utility has moved beyond the military to other organizations where personnel risk occupational traumatic exposure. Further research would help to understand how TRiM is perceived by line managers and how it functions within the trauma-prone populations.

Keywords: Forward psychiatry; PTSD; TRiM.; health promotion.

MeSH terms

  • Humans
  • Military Personnel / psychology*
  • Organizational Culture*
  • Peer Group
  • Program Evaluation
  • Risk Management
  • Stress Disorders, Post-Traumatic / psychology*
  • Suicide / prevention & control
  • Suicide / psychology