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。