University of Colorado Colorado Springs, Colorado Springs, CO, USA.
Suicide Life Threat Behav. 2019 Aug;49(4):980-995. doi: 10.1111/sltb.12500. Epub 2018 Aug 6.
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.
Participants for the study were 216 volunteers and career firefighters. The sample was almost exclusively male, non-Hispanic or Latino, and Caucasian with a mean age of 40.6. We examined the mediating effect of firefighter coping self-efficacy (FFCSE) and coping self-efficacy for trauma (CSE-T) in the relationship between critical incidents and the IPTS factors. Moderated mediation analyses were performed with separate conditional effects of each social support subscale on the indirect effect of each self-efficacy perception in the relationship between critical incidents and the IPTS factors.
Mediation analysis indicated that FFCSE did not mediate the relationships; however, CSE-T did mediate the relationships between critical incidents and the IPTS factors. These significant indirect effects of CSE-T were moderated by social support from significant other.
CSE-T within the context of significant other support is important to consider in understanding firefighter mental health.
消防员自杀是一个严重的心理健康问题，仍有待研究。自杀的人际关系-心理理论（IPTS）指出，要进行致命的自杀行为，个体必须具有归属感受挫、被认为是累赘和不怕死（IPTS 因素）。社会认知理论可能有助于解释自杀行为。
本研究的参与者是 216 名志愿者和职业消防员。样本几乎全部为男性、非西班牙裔或拉丁裔和白种人，平均年龄为 40.6 岁。我们研究了消防员应对自我效能感（FFCSE）和创伤应对自我效能感（CSE-T）在关键事件与 IPTS 因素之间关系中的中介作用。对每个社会支持子量表在关键事件与 IPTS 因素之间的关系中对每个自我效能感知的间接效应的调节作用进行了中介分析。
中介分析表明，FFCSE 并没有中介这些关系；然而，CSE-T 确实中介了关键事件与 IPTS 因素之间的关系。CSE-T 的这些显著间接效应受到来自重要他人的社会支持的调节。
在重要他人支持的背景下，CSE-T 对于理解消防员的心理健康是很重要的。
