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消防员的童年创伤与解离:自杀欲望的中介作用。

Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire.

作者信息

Saglam Ozgur, Ozturk Erdinc, Derin Gorkem

机构信息

Hatay Training and Research Hospital, Child Monitoring Center, Hatay, Turkey.

Institute of Forensic Sciences and Legal Medicine, Department of Social Sciences, Psychotraumatology and Psychohistory Research Unit, Istanbul University-Cerrahpaşa, Istanbul, Turkey.

出版信息

J Behav Health Serv Res. 2025 Mar 4. doi: 10.1007/s11414-025-09936-4.

Abstract

Firefighters are public safety personnel who act as first responders to protect people and property from fire dangers. Although firefighters frequently face severe incidents in their profession, there has been limited attention given to the childhood traumas they may have experienced and the long-term psychological impact of these early traumatic experiences within this professional group. This study aims to examine the correlation between childhood traumas and dissociative experiences, as well as suicidal ideas, among firefighters. The study was conducted on firefighters employed by the Hatay Metropolitan Municipality Fire Department. Between January and June 2024, the study recruited 210 firefighters from the Fire Department. Childhood traumas, dissociative experiences, and suicidal ideas were evaluated with validated psychometric instruments. The 4th model of the Hayes was utilized to examine the mediating role of suicidal ideas on the relationship between childhood traumas and dissociative experiences. Additionally, independent samples t-test and coefficient of determination were utilized. The firefighters who scored higher on the CTQ cut-off score showed greater levels of dissociative experiences and suicidal ideas compared to the lower-scoring group. The r values emphasized significant correlations between childhood traumas, dissociative experiences, and suicidal ideas. Dissociative experiences partially mediate the relationship between childhood traumas and suicidal desire. The establishment of specific mental health services is essential to mitigate the psychological effects of both occupational and previous traumas that firefighters have encountered. The long-term consequences of traumatic experiences should be the primary focus when developing mental health interventions for firefighters.

摘要

消防员是公共安全人员,作为第一响应者,保护人员和财产免受火灾危险。尽管消防员在其职业中经常面临严峻事件,但对于他们可能经历的童年创伤以及这些早期创伤经历在该职业群体中的长期心理影响,关注有限。本研究旨在探讨消防员童年创伤与分离性体验以及自杀观念之间的相关性。该研究针对哈塔伊市大都会市政府消防局雇佣的消防员展开。在2024年1月至6月期间,该研究从消防局招募了210名消防员。使用经过验证的心理测量工具对童年创伤、分离性体验和自杀观念进行评估。采用海斯的第4种模型来检验自杀观念在童年创伤与分离性体验关系中的中介作用。此外,还使用了独立样本t检验和决定系数。在儿童创伤问卷(CTQ)临界值得分较高的消防员与得分较低的组相比,表现出更高水平的分离性体验和自杀观念。r值强调了童年创伤、分离性体验和自杀观念之间的显著相关性。分离性体验部分中介了童年创伤与自杀欲望之间的关系。建立特定的心理健康服务对于减轻消防员所经历的职业创伤和既往创伤的心理影响至关重要。在为消防员制定心理健康干预措施时,创伤经历的长期后果应作为主要关注点。

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