Adverse Events
death, psychiatric, trauma
In session 2, 7 participants (8.8%) assigned to METRA were excluded from the study and referred to the local hospital, as they presented with serious psychiatric symptoms. These 7 adolescents had been particularly impacted by a recent terrorist attack and all closely witnessed the graphic death of a sister or friend. The discussion of trauma in METRA session 1 appeared to exacerbate symptoms. We conducted sensitivity analyses by assuming there were no changes in the outcomes for those 7 participants after the intervention and used their baseline outcomes to impute postintervention outcomes. A similar pattern of results was found (eResults in 