College of Social Work, University of Kentucky, Lexington, KY, USA.
Family and Consumer Sciences, University of Kentucky, Lexington, KY, USA.
Suicide Life Threat Behav. 2019 Oct;49(5):1281-1289. doi: 10.1111/sltb.12516. Epub 2018 Oct 9.
To examine occupational and personal suicide exposure among Law Enforcement Officers (LEOs) and related mental health outcomes.
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.
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.
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.
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。
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。
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。
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。
