ICU sedation, delirium & recovery

“It was torture for him, and it was torture for us to see him like that”: understanding multiple intensive care units (ICU)-related triggers of family post-traumatic stress disorder (PTSD) symptoms—a qualitative thematic study

Intensive Care MedPublished Qualitative thematic study

Authors' conclusion

Multiple triggers related to personal history, the ICU environment, clinician communication, and end-of-life experiences were identified

Study context

Population
Family members of adult ICU patients ventilated invasively ≥48 h, with clinically significant PTSD symptoms 3 months after ICU discharge or deathof 18 eligible approached
Participants
17 members
Comparison
Bereaved relatives vs Relatives of patients alive at 6 months
  • Bereaved relativesn = 8
  • Relatives of patients alive at 6 monthsn = 9
Outcome
ICU-phase triggers of family PTSD symptoms (main themes)
Methodological detailsin-depth, semi-structured interviews, thematic analysis
  • In-depth, semi-structured interviews
  • Thematic analysis

Main finding

As reported in the abstract

  • Biographical trajectories and ICU admission: sudden illness onset, guilt, major disruption of daily life
  • Navigating the ICU environment: distress related to the technical setting, altered relationships, vicarious suffering, waiting
  • Dying and death in the ICU: emotional intensity of preparation for death, interactions with medical devices, the moment of death
  • PTSD symptoms appeared to arise from accumulation of stressors throughout the illness trajectory rather than a single event

Further findings

Participant age and interview duration

Mean age (range)
45 (21-70)
Mean interview duration (range)
1h38mins (49 min-2 h 35)

Original publication

“It was torture for him, and it was torture for us to see him like that”: understanding multiple ICU-related triggers of family PTSD symptoms—a qualitative thematic study. Intensive Care Med. Published 10 June 2026. doi:10.1007/s00134-026-08504-4

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