Procedure

GD Guillaume Dezecache
JM Jean-Rémy Martin
CT Cédric Tessier
LS Lou Safra
VP Victor Pitron
PN Philippe Nuss
JG Julie Grèzes
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Before the interview, a clinical questionnaire (Posttraumatic Stress Disorder Checklist Scale (PCL-S)) was sent to evaluate clinical manifestations associated with a post-traumatic stress disorder. Respondents scored high on this scale (mean = 51.5), and only 8 scored under the detection threshold of 44. Note that one Respondent did not fulfill the questionnaire before the interview.

On the day of the interview (which took place within the facilities of the Hospital Saint Antoine in Paris, France), Respondents first met with PN (PhD, MD, psychiatrist) to run a general psychiatric screening, anticipate potential distress reactions, and make sure that participation was appropriate.

Following a brief and informal chat, a semi-directed and individual interview (original version of the interview guide available as Supporting information) was conducted and led by either CT (PhD, postdoctoral student then) and/or VP (PhD and Medical student at that time), professional health care practitioners, with the presence of GD (PhD, postdoctoral student then) and/or JRM (PhD, postdoctoral student then) (all males). No one else was ever present during the course of the interviews. Respondents were briefed about the structure of the interview and informed about the general goals of the research (i.e., the way oneself and others have felt and behaved when confronted by the terrorists). Respondents were told that they could skip any question that felt inappropriate and terminate the interview at all time. They were also free to express any distressing thoughts. Note that the interview guide (available as Supporting information) was not pilot tested.

The interview started with basic demographic questions (age, gender, education level, occupation, marital and familial status). We then asked some contextual information on the Respondents’ situation on the evening of the attack (with whom they were, whether they had been hit by a bullet and whether they had to undergo surgery after the event). This was followed by a focus on three specific time-periods that Respondents were invited to identify in their own narratives: time-period 1 was when they realized something serious was happening but they did not know what it exactly was yet; time-period 2 was when they realized it was a terrorist attack; finally, for time-period 3, they were invited to narrate the rest of their time in the Bataclan, ideally by focusing on a key moment (for instance, the denouement). This division in time-periods was meant to explore the extent to which supportive vs. non-supportive actions may unfold over time (an analysis not pursued further due to the difficulty in relating actions with time-periods in narratives). For each of the time-periods that were identified, Respondents were asked about their location on a map of the Bataclan, that of the people they came with at the concert and the likely position of the threat/terrorists. For each time-period, a series of questions were asked on their spontaneous reaction, their behavior towards others and their communication with people inside and outside the Bataclan. Respondents were also invited to digress and questions that were not relevant to the specific situation of the Respondent could be omitted. For each of the time-periods, Respondents were also asked about their feeling of interpersonal closeness to familiar others at the Bataclan, familiar others not present at the Bataclan, the rest of the crowd and the music band, using a scale ranging from A (no interpersonal closeness) to E (very high interpersonal closeness) [28, 29]. Since the time-periods did not apply clearly to all Respondents, they were not considered in our analyses.

After narrating freely about the aftermath of the attacks, Respondents were then debriefed about the aims of the study, asked not to communicate about the aim of the study to other members of their association, and thanked for their participation. The interview took place only once.

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