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Psychological First Aid After a Critical Incident: A Practical Guide for Teams in China

When a serious incident affects a workplace, school or community organisation, the first response is physical safety and emergency care. The next human task is to give affected people clear information, practical help and a route to further support. Psychological First Aid (PFA) offers a way to do that without turning a manager, teacher or colleague into a therapist.

What happens after the immediate danger has passed?

People may have witnessed an injury, death, threat or other distressing event. Some want to talk; others want space, a family contact or a practical answer about what happens next. Reactions can change over the following hours and days. An organisation needs a plan for the people directly affected, those who witnessed the event, responders and the colleagues who must keep essential work running.

The first decision is whether anyone still faces an urgent physical or mental-health risk. Call the appropriate emergency service when immediate help is needed; in China, the ambulance number is 120. Once people are safe, identify a calm place to meet, a reliable source of information and a person authorised to coordinate the next steps. Avoid sending unverified details through a group chat or asking colleagues to investigate someone else's private experience.

Use “look, listen, link” in a practical way

The World Health Organization's PFA guide describes three connected actions. Look means check safety, urgent needs and people who may require extra attention. Listen means approach respectfully, ask what is needed and allow the person to decide how much to say. Link means help them reach accurate information, family or trusted contacts, practical resources and professional help where appropriate.

For example, after a serious workplace accident, one manager may confirm who has been taken for medical assessment while another gives witnesses a private way to ask for support. A colleague can offer to contact a family member with the person's agreement, arrange a safe journey home or explain when the next verified update will be available. They should not press witnesses to recount the event in detail or promise that distress will disappear quickly.

Prepare roles before an incident

HR, EHS, school leadership and on-site responders have different responsibilities. A simple post-incident brief can name who handles immediate safety, who communicates with families or employees, who protects confidential information, who knows the available support resources and who checks back later. For a multilingual team, agree how essential messages will be translated and how someone can ask a sensitive question in a language they understand.

A follow-up contact should be offered without forcing a conversation. Where a person expresses a wish to harm themselves or others, cannot remain safe, or has a serious medical concern, use the organisation's urgent escalation route and professional services. Routine PFA is not a replacement for that response.

How is PFA different from Mental Health First Aid?

Mental Health First Aid develops skills for noticing a possible mental-health difficulty or crisis, starting a supportive conversation and encouraging appropriate help. PFA is organised around the immediate aftermath of a distressing event and the person's practical and psychosocial needs at that moment. An employer may use both capabilities, but a post-incident plan should not assume that a general wellbeing talk has prepared everyone for an acute event.

Sinoaid Health Promotion Center can discuss PFA and post-incident support training for organisations, schools and response teams. A useful enquiry describes the audience, likely scenarios, existing support pathway and languages needed. The broader Health & Wellbeing gateway connects this topic to workplace mental-health education and other support skills.