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执法人员中的自杀暴露。

Suicide Exposure in Law Enforcement Officers.

机构信息

College of Social Work, University of Kentucky, Lexington, KY, USA.

Family and Consumer Sciences, University of Kentucky, Lexington, KY, USA.

出版信息

Suicide Life Threat Behav. 2019 Oct;49(5):1281-1289. doi: 10.1111/sltb.12516. Epub 2018 Oct 9.

Abstract

OBJECTIVE

To examine occupational and personal suicide exposure among Law Enforcement Officers (LEOs) and related mental health outcomes.

METHODS

Law Enforcement Officers (N = 813) completed an online survey about their suicide exposure, whether scenes stayed with them, and current symptoms of depression, anxiety, PTSD, and suicidal ideation.

RESULTS

Almost all participants (95%) had responded to at least one suicide scene with an average of 30.90 (SD = 57.28) career suicide scenes and 2.17 in the last year (SD = 4.11). One in five (22%) reported a scene that they cannot shake or have nightmares about, and 42.5% reported one scene that stayed with them. Almost three fourths (73.4%) knew someone personally who had died by suicide. There was a significant association between high levels of occupational exposure to suicide and behavioral health consequences including PTSD, persistent thoughts of a suicide scene, and the inability to shake a scene. The inability to shake a scene and having a scene stick with them was associated with increased symptoms of depression, anxiety, PTSD, and suicidal ideation.

CONCLUSIONS

LEOs experience a tremendous amount of exposure to suicide scenes and also have personal exposure. There is a need for training to mitigate the effect of these multiple traumas on their mental health.

摘要

目的

研究执法人员(LEO)的职业和个人自杀暴露情况以及相关心理健康后果。

方法

执法人员(N=813)完成了一项关于自杀暴露、场景是否困扰他们以及当前抑郁、焦虑、创伤后应激障碍和自杀意念症状的在线调查。

结果

几乎所有参与者(95%)都至少应对过一次自杀场景,平均有 30.90(SD=57.28)次职业自杀场景,去年有 2.17 次(SD=4.11)。五分之一(22%)的人报告说有一个他们无法摆脱或经常做噩梦的场景,42.5%的人报告说有一个场景一直困扰着他们。近四分之三(73.4%)的人认识一个因自杀而死亡的人。职业暴露于自杀的高风险与心理健康后果(包括创伤后应激障碍、持续出现自杀场景的想法和无法摆脱场景)显著相关。无法摆脱场景和场景一直困扰着他们与抑郁、焦虑、创伤后应激障碍和自杀意念症状的增加有关。

结论

执法人员经历了大量的自杀场景暴露,也有个人暴露。需要培训来减轻这些多重创伤对他们心理健康的影响。

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