Canadian Institute for Public Safety Research and Treatment - Institut Canadien de recherche et de traitement en sécurité publique (CIPSRT-ICRTSP), University of Regina, Regina, Saskatchewan, Canada.
Max Rady College of Medicine, Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Can J Psychiatry. 2023 Sep;68(9):691-698. doi: 10.1177/07067437221149469. Epub 2023 Feb 3.
Royal Canadian Mounted Police (RCMP) report diverse occupational stressors and repeated exposures to potentially psychologically traumatic events, which may increase the odds of screening positive for a mental disorder, and increase the risk of death by suicide. The current study was designed to provide prevalence information regarding suicidal behaviours (i.e., ideation, planning, attempts) and assess for sociodemographic differences among cadets at the start of the RCMP Cadet Training Program (CTP).
Cadets ( = 736, 74.0% male) were administered the structured Mini International Neuropsychiatric Interview by a mental health clinician or a supervised clinical psychologist trainee. The interview includes an assessment of past month suicidal ideation, planning, attempts and lifetime suicide attempts.
Within 1 month of starting the CTP, a small percentage of cadets reported past month suicidal ideation (1.6%) and no cadets reported any suicidal planning (0%) or attempts (0%). Lifetime suicide attempts were reported by (1.5%) of cadets.
The current results provide the first information describing the prevalence of suicidal ideation, planning, and attempts among RCMP cadets starting the CTP. The estimates of suicidal behaviours appear lower than the general population and lower than reports from serving RCMP. Higher prevalence estimates of suicidal behaviours reported by serving RCMP, relative to lower estimates among cadets starting the CTP in the current study, may be related to age, cumulative experiences or protracted exposures to operational and organizational stressors, rather than insufficient screening of recruits.
加拿大皇家骑警(RCMP)报告了多种职业压力源和反复接触潜在心理创伤事件,这可能会增加筛查出精神障碍的几率,并增加自杀死亡的风险。本研究旨在提供有关自杀行为(即意念、计划、尝试)的流行率信息,并评估 RCMP 学员培训计划(CTP)开始时学员的社会人口统计学差异。
通过心理健康临床医生或监督临床心理学家培训生,向学员发放结构化的 Mini 国际神经精神病学访谈。访谈包括过去一个月自杀意念、计划、尝试和终身自杀尝试的评估。
在开始 CTP 的 1 个月内,一小部分学员报告了过去一个月的自杀意念(1.6%),没有学员报告任何自杀计划(0%)或尝试(0%)。有 1.5%的学员报告了终身自杀尝试。
目前的结果提供了有关开始 CTP 的 RCMP 学员自杀意念、计划和尝试的流行率的第一手信息。自杀行为的估计值似乎低于一般人群,也低于现役 RCMP 的报告。与本研究中 CTP 开始时学员的低估计值相比,现役 RCMP 报告的自杀行为的更高流行率估计值可能与年龄、累积经验或长期接触操作和组织压力源有关,而不是对新兵的筛查不足。