Department of Psychology, Florida State University, Tallahassee, Florida.
Houston Fire Department, Houston, Texas.
J Clin Psychol. 2019 Apr;75(4):696-709. doi: 10.1002/jclp.22748. Epub 2019 Jan 23.
Posttraumatic stress disorder (PTSD) symptoms are associated with increased suicide risk among firefighters. Few studies have examined modifiable factors, such as mindfulness facets, that might attenuate this association. This study examined the interactive effects of PTSD symptoms and mindfulness facets in relation to suicide risk among firefighters.
Overall, 831 career firefighters were assessed for PTSD symptoms, mindfulness facets, and suicide risk via the PTSD Checklist for DSM-5, Five Facet Mindfulness Questionnaire, and Suicidal Behaviors Questionnaire-Revised, respectively.
Greater PTSD symptoms were associated with more severe suicide risk; however, higher levels of two specific mindfulness facets, acting with awareness and nonjudging of inner experience, attenuated this association. By contrast, higher levels of the observing facet of mindfulness potentiated the association between PTSD symptoms and suicide risk.
Suicide prevention initiatives among firefighters, particularly those experiencing trauma-related sequelae, might benefit from the inclusion of mindfulness-based practices alongside frontline empirically-supported approaches.
创伤后应激障碍（PTSD）症状与消防员自杀风险增加有关。很少有研究探讨可改变的因素，如正念方面，可能会减轻这种关联。本研究探讨了 PTSD 症状和正念方面与消防员自杀风险的相互作用。
共有 831 名职业消防员通过 PTSD 检查表-5、五因素正念问卷和修订后的自杀行为问卷-R 分别评估 PTSD 症状、正念方面和自杀风险。
更严重的 PTSD 症状与更严重的自杀风险相关；然而，两个特定的正念方面的更高水平，即有意识地行动和不评判内在体验，减轻了这种关联。相比之下，更高水平的正念观察方面增强了 PTSD 症状与自杀风险之间的关联。
在消防员中，特别是那些经历与创伤相关的后遗症的消防员中，预防自杀的计划可能受益于将正念为基础的实践与前线经验支持的方法结合起来。
