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Summary

Traumatic experience matters. Trauma isn’t some post-millennial concern. In fact, the idea that trauma has pathological effects has been around for a long time. In this chapter, the costs of trauma in terms of death and disability are considered before turning to the mental health costs of trauma. The World Mental Health surveys are used to consider the global cost of post-traumatic stress and the associated disorder, post-traumatic stress disorder. Both are believed to flow directly from traumatic experience. Trauma also has a significant human cost, driving incidence of substance misuse and depression, which can be thought of as relevant comorbidities. The potential for symptoms of post-traumatic stress to be misinterpreted and for affected populations to be pilloried because of their trauma is also considered. Finally, the social and economic burdens of trauma are reviewed. Trauma can contribute to poverty, disability and underemployment, migration of populations, family separation and homelessness, all of which carry significant social and economic costs.

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2 - The Cost of Trauma

Summary