Abstract: Objective To investigate the psychological characteristics in the casualties of 4·28 train crash on the Jiao-Ji railway track and to find a effective way to relieve the psychological crisis induced by traffic accident.Method A total of 226 casualties were assessed in respect of psychological crisis with interview questionfrom DSM-IV were treated with EMDR.The therapeutic effects of eye movement desensitization and reprocessing (EMDR) on ASD were assessed.Results The incidence of ASD was 9.73% (22 casualties).The major psychological consequences in casualties were intrusive symptoms,symptoms of hyperaroasal,and negative emotional symptoms.Significant differences on gender had been found in incidence rate of ASD female 14.85% and male 5.60%,P<0.05.The women manifested more severe psychological consequences than men in this wain crash accident.Significant treatment effect was found in EMDR on ASD.EMDR can significantly improve the intrusive symptoms and symptoms of hyperaronsal (P<0.05),but can not significantly improve negative emotional symptoms (P>0.05).Conclusions The women showed more severe psychological consequences than men after train crash accident.EMDR was effective treatment on ASD but negative emotional symptoms.