I am a Mechanical/Aerospace engineer.... I wish my scariest stories 'only' involved a potential bricking of a main computer on an unmanned $500M rover. No... I was the senior safety-crit signoff on things carrying human lives. I had to look over pictures of parts broken from a crash and have the potential feeling of 'what-if that's my calculation gone wrong'. My joint that slipped. My inappropriate test procedure inv…
I believe that it can be quite hard sometimes if you have empathy and don't take the "Once the rockets are up, who cares where they come down? That's not my department" approach."
Perhaps some peer support group (possibly facilitated) for people that build safety critical systems or deal with the fallout. Not all companies will provide good counseling etc.
Perhaps the engineering boards / chartered engineer organizations should provide this and fund it from their membership fee, though that would probably scare people off going to the service as they could be afraid of losing their stamp / chartered engineer status / license.
Perhaps this would be dealt with in the past by getting drunk with colleagues in the pub, though alcoholism (or being impaired at work the next morning) is bad and pubs etc. are less popular now.