Mental disorder symptom among public safety personnel in Canada

Background: Canadian public safety personnel (PSP; e.g., correctional workers, dispatchers, firefighters, paramedics, police officers) are exposed to potentially traumatic events as a function of their work. Such exposures contribute to the risk of developing clinically significant symptoms related to mental disorders. The current study was designed to provide estimates of mental disorder symptom frequencies and […]

Mental health correlates of probable posttraumatic stress disorder, probable alcohol use disorder, and their co-occurrence among firefighters

Firefighters demonstrate high rates of posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). Research has yet to compare how these diagnoses and their co-occurrence relate to firefighter mental health. This study evaluated trauma load, PTSD, alcohol use, depression, sleep, suicide risk, anger, and occupational stress across four discrete groups of firefighters (N = 660): (1) trauma-exposed […]

Conceptualizing suicide prevention in firefighters through the lens of the Interpersonal-Psychological Theory of suicide: A narrative review

Suicide is the 10th leading cause of death in the United States and is a significant public health problem. Suicide has also become a major concern among career American firefighters with rates for suicidal ideation and attempts in firefighters two to three times higher than rates in the general population. Firefighter suicide and mental health […]

A test of the Interpersonal Theory of Suicide (thwarted belonging and burdensomeness) among firefighters in Tehran

Introduction: The purpose of this study was to investigate the interpersonal theory of suicide in firefighters in Tehran. This research was based on an interpersonal suicide theory in understanding whether two variables of thwarted belonging and burdensomeness play an important role in suicidal thoughts of firefighters or not. Method: The present study was a quantitative and correlational […]

An epidemiologic study of suicide among firefighters: Findings from the National Violent Death Reporting System, 2003-2017

Suicide is a significant concern among fire service due to high rates of suicide behaviors. The aim of this study was to describe suicides among firefighters using national suicide death data. Data from the National Violent Death Reporting System for 722 firefighters and 192,430 non-firefighters were analyzed to compare sociodemographics and risk factors between firefighter […]

The capability for suicide in firefighters

Objective Suicide among firefighters is a critical mental health concern that remains under studied. The interpersonal–psychological theory of suicidal behavior (IPTS) states that, to engage in lethal suicidal behaviors, an individual must possess thwarted belongingness, perceived burdensomeness, and fearlessness about death (IPTS factors). Social cognitive theory may assist IPTS in explaining suicidal behavior. Method Participants […]

Suicidal thoughts and behaviors among women firefighters: An examination of associated features and comparison of pre-career and career prevalence rates.

BACKGROUND: Women protective service workers die by suicide at a higher rate than women workers in other occupational groups. However, no study has examined rates and correlates of suicidal thoughts and behaviors among women firefighters, despite the potential for these data to inform suicide screening, prevention, and intervention initiatives. The purpose of this study is […]

PTSD symptoms and suicidal thoughts and behaviors among firefighters.

focus on sectors of the workforce, such as firefighters, who experience occupational hazards that may confer risk for suicide. Elevated levels of posttraumatic stress symptoms (PTSS), which show robust relationships with both suicidal ideation (SI) and suicide attempts, are common among firefighters. However, no study to date has investigated the relationship between PTSS and suicidality among […]

Examining physical and sexual abuse histories as correlates of suicide risk among firefighters.

Research indicates that physical and sexual abuse are associated with increased suicide risk; however, these associations have not been investigated among firefighters—an occupational group that has been shown to be at elevated suicide risk. This study examined whether physical and sexual abuse histories are associated with (a) career suicide ideation, plans, and attempts; and (b) […]

Women firefighters and workplace harassment: Associated suicidality and mental health sequelae.

This cross-sectional study investigated the association between harassment, career suicidality, and psychiatric symptoms among women firefighters. Women firefighters (n = 290) completed self-report measures of experiences with harassment on the job, career suicidality, and various psychiatric symptoms. Logistic regression analyses and one-way analyses of variance were used to address study aims. Of the sample, 21.7% reported having experienced sexual harassment and 20.3% reported having been […]

Correlates of suicidality in firefighters/EMS personnel.

Background Firefighter and Emergency Medical Services (EMS) personnel experience higher rates of lifetime suicidal ideation and attempts than the general population and other protective service professions. Several correlates of suicidality (alcohol use, depression, posttraumatic stress) have been identified in the literature as applicable to firefighter/EMS populations; however, few studies to date have examined the specific […]

Career prevalence and correlates of suicidal thoughts and behaviors among firefighters.

Background Firefighters experience high-risk occupational hazards that may confer increased risk for suicide; however, prevalence rates of suicidal thoughts and behaviors among firefighters are unknown. The purpose of this study is to describe the career prevalence of suicide ideation, plans, attempts, and non-suicidal self-injury among firefighters, in addition to sociodemographic, physical health, and occupational correlates. […]

Suicidal thoughts and behaviors among women firefighters: An examination of associated features and comparison of pre-career and career prevalence rates.

Background Women protective service workers die by suicide at a higher rate than women workers in other occupational groups. However, no study has examined rates and correlates of suicidal thoughts and behaviors among women firefighters, despite the potential for these data to inform suicide screening, prevention, and intervention initiatives. The purpose of this study is […]

Posttraumatic stress and suicidality among firefighters: The moderating role of distress tolerance.

Firefighters report high rates of suicidality and posttraumatic stress disorder (PTSD). This investigation explored the moderating role of distress tolerance (DT) in the association between PTSD symptomatology and suicidality in firefighters. Covariates included trauma load, depressive symptom severity, gender, race, age, and education. The sample was comprised of 765 (94.0% male; Mage = 38.8, SD = 8.6) trauma-exposed firefighters who […]

Examining anxiety sensitivity as a mediator of the association between PTSD symptoms and suicide risk among women firefighters.

Objective Posttraumatic stress disorder (PTSD) symptoms are associated with increased suicide risk. Anxiety sensitivity (AS)—the fear of anxiety-related sensations—is both a vulnerability factor for and consequence of PTSD symptoms. AS also predicts suicide risk. To our knowledge, no study has examined whether AS concerns account for the association between PTSD symptoms and suicide risk. Method […]

Is cumulative exposure to suicide attempts and deaths a risk factor for suicidal behavior among firefighters? A preliminary study.

This research was supported by a Federal Emergency Management Agency (FEMA) Award (EMW2012FP00243) to Dr. Gulliver entitled “Developing Standard Operating Procedures for Suicide in Fire Service.” Dr. Kimbrel was supported by a Career Development Award (IK2 CX000525) from the Clinical Science Research and Development Service of the Department of Veterans Affairs’ (VA) Office of Research […]

Mental health service use among firefighters with suicidal thoughts and behaviors.

This study aimed to characterize rates and correlates of mental health service use, as well as barriers to care, among a sample of firefighters reporting a history of suicide ideation, plans, or attempts during their firefighting careers. Methods: Participants (N=483) completed a Web-based survey assessing history of suicidal thoughts and behaviors, prior mental health service […]

A systematic review of suicidal thoughts and behaviors among police officers, EMTs, and paramedics.

First responders, police officers, firefighters, emergency medical technicians (EMTs), and paramedics, experience significant job-related stressors and exposures that may confer increased risk for mental health morbidities (e.g., posttraumatic stress disorder PTSD, suicidal thoughts and behaviors) and hastened mortality (e.g., death by suicide). Inherent in these occupations, however, are also factors (e.g., camaraderie, pre-enlistment screening) that […]

Confronting suicide in the fire service: Strategies for intervention & prevention.

A fire department is three times more likely to experience a suicide in any given year than a line-of-duty death. Contact us for a copy of this article, or view online at https://www.everyonegoeshome.com/wp-content/uploads/sites/2/2015/02/Confronting_Suicide_FINAL.pdf