Career prevalence and correlates of suicidal thoughts and behaviors among firefighters
Career prevalence and correlates of suicidal thoughts and behaviors among firefighters
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DOI：
10.1016/j.jad.2015.08.007
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发表时间：
2015-11-15
影响因子：
6.6
通讯作者：
Joiner, Thomas E.
中科院分区：
文献类型：
--
作者：
Stanley, Ian H.;Hom, Melanie A.;Joiner, Thomas E.
背景资料：消防员经历高风险的职业危害，可能会增加自杀的风险;然而，消防员自杀想法和行为的流行率是未知的。本研究的目的是描述消防员中自杀意念、计划、企图和非自杀性自伤的职业流行率，以及社会人口学、身体健康和职业相关因素。方法：数据来自1027名现任和退休消防员的横断面便利样本，他们完成了一项全国性的基于网络的心理健康调查（平均年龄=38.49，SD=11.70; 91.2%男性; 87.3%白色）。通过结构化问卷评估了社会人口、身体健康和职业相关因素。结果：自杀意念、自杀计划、自杀未遂和非自杀性自伤的职业患病率分别为46.8%、19.2%、15.5%和164%。与报告自杀想法和行为的风险增加相关的关键因素包括消防员级别较低，消防员服务年限较短，在全志愿部门的成员资格，对自杀企图或死亡的专业反应史，以及现役军人身份。局限性：目前的研究使用了消防员的横断面便利样本。消防员报告称，职业生涯中自杀念头和行为的发生率高得惊人。我们的初步数据是令人信服的，表明需要更多的研究以及增加消防员的预防和治疗工作，以降低自杀风险。(C)2015年由Elsevier B. V.出版
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.Methods: Data were obtained from a cross-sectional convenience sample of 1027 current and retired firefighters who completed a nationwide web-based survey on mental health (mean age=38.49, SD=11.70; 91.2% male; 87.3% White). Sociodemographic, physical health, and occupational correlates were assessed via a structured questionnaire. Suicidal thoughts and behaviors were assessed using a modified version of the Self-Injurious Thoughts and Behaviors Interview-Short Form (SITBI-SF).Results: The career prevalence estimates of suicide ideation, plans, attempts, and non-suicidal self-injury were found to be 46.8%, 19.2%, 15.5%, and 164%, respectively. Key factors associated with increased risk for reporting suicidal thoughts and behaviors included lower firefighter rank, fewer years of firefighter service, membership in an all-volunteer department, a history of professionally responding to a suicide attempt or death, and active duty military status.Limitations: The current study utilized a cross-sectional convenience sample of firefighters.Conclusions: Firefighters report an alarmingly high career prevalence of suicidal thoughts and behaviors. Our preliminary data are compelling, indicating the need for additional research as well as increased prevention and treatment efforts among firefighters to decrease suicide risk. (C) 2015 Published by Elsevier B.V.