Hom Melanie A, Stanley Ian H, Ringer Fallon B, Joiner Thomas E
The authors are with the Department of Psychology, Florida State University, Tallahassee (e-mail:
Psychiatr Serv. 2016 Jun 1;67(6):688-91. doi: 10.1176/appi.ps.201500177. Epub 2016 Feb 29.
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.
Participants (N=483) completed a Web-based survey assessing history of suicidal thoughts and behaviors, prior mental health service utilization, and barriers to treatment.
Overall, 77% of participants reported receipt of mental health services during their firefighting careers (attempt history, 93%; plan but no attempt, 77%; and ideation only 68%). Firefighters with fewer years of service were less likely than those with more years to have accessed treatment. Service nonusers were more likely than service users to report concerns regarding reputation and embarrassment as barriers to care.
Findings from this preliminary investigation suggest that the majority of firefighters with a history of elevated suicide risk have received mental health services.
本研究旨在描述有自杀意念、计划或在其消防生涯中曾有过自杀未遂经历的消防员样本中，心理健康服务的使用率、相关因素以及护理障碍。
参与者（N = 483）完成了一项基于网络的调查，评估自杀想法和行为史、先前的心理健康服务利用情况以及治疗障碍。
总体而言，77%的参与者报告在其消防生涯中接受过心理健康服务（有自杀未遂史的为93%；有计划但未实施的为77%；仅有自杀意念的为68%）。服役年限较少的消防员比服役年限较长的消防员接受治疗的可能性更小。未使用服务的消防员比使用服务的消防员更有可能报告担心声誉和尴尬是护理障碍。
这项初步调查的结果表明，大多数有较高自杀风险史的消防员都接受过心理健康服务。
