Information About Issues - See Below for More Information
Suicide
Post Traumatic Stress Disorder (PTDS)
Substance Use Disorder (SUD)
Suicide in the fire service has reached alarming proportions, surpassing line of duty deaths (LODD) in firefighters. According to the National Fire Protection Association (NFPA), there were 60 firefighter LODD in 2017. Compare this to 91 firefighter suicides.
Substance Use Disorder (SUD)
Post Traumatic Stress Disorder (PTDS)
Substance Use Disorder (SUD)
SUD is a common issue within the first responder community. Current research suggests that those in fire service engage in binge drinking at almost double the rate of the general public.
Post Traumatic Stress Disorder (PTDS)
Post Traumatic Stress Disorder (PTDS)
Post Traumatic Stress Disorder (PTDS)
PTSD has reached epidemic proportions in the fire service. Symptoms include intrusion, avoidance, negative cognition and mood, and alteration in arousal response.
Depression
Sleep Disorders
Post Traumatic Stress Disorder (PTDS)
Firefighters experience depressive disorders at more that twice the rate of the general public (17% vs 7%). Resources are available to help.
Family Issues
Sleep Disorders
Sleep Disorders
The firefighter is not the only one affected by the job. Spouses, partners, significant others, children and even parents can all face challenges.
Sleep Disorders
Sleep Disorders
Sleep Disorders
Ask mental health professionals and they will tell you that everything is related to sleep. Many mental health (and physical) issues can be affected by poor sleep.
Suicide in the Fire Service
The Problem
Suicide has grown into a serious problem in the American fire service.
Prevalence of Suicide vs. Line of Duty Death (LODD) Firefighters
According to the National Fire Protection Association (NFPA), the suicide rate among firefighters is much higher than the LODD rate.
2017: 60 LODD, 91 Suicides
2016: 69 LODD, 99 Suicides
2015: 68 LODD, 94 Suicides
The Special Problem of Emergency Medical Services
According to the International Critical Incident Stress Foundation (ICISF), EMS practitioners have a suicide rate that is 12x the national average.
Ideation (thinking about suicide)
5-13% of the general population.
21% of the firefighter population.
Planning (actually having a plan)
5% of the general population.
7-12% of the firefighter population.
Important
Studies show that 90% of all completed suicides show some sign before they occur. Know the signs!
Some Signs (not all inclusive list, there are others)
Expressing feeling that the world would be better off without them;
Hopelessness/purposeless;
Withdrawal;
Giving away possessions;
Anxious, reckless behavior;
Extreme mood swings
Substance Use Disorder (SUD)/Addiction
Binge Drinking
Studies show that the rate of firefighter binge drinking is near double that of the general population.
Energy Drinks
Believe it or not, the rush provided by energy drinks may be addictive.
High Risk Behavior
High risk behavior may be addictive as well.
Post Traumatic Stress Disorder (PTSD)
Prevalence Nation-wide
Most Americans will suffer some sort of a traumatic event in their lifetime. Only 8% will be afflicted with PTSD, however. The reasons for this, presumably, are resilience and support. Resilience relates to "bouncing back" from the traumatic event by employing effective coping strategies. Support refers to the availability of interpersonal communication.
Prevalence in Firefighters
The rate of PTSD in the Urban Fire Service is between 13 - 30%. This rate exceeds the CDC rate to wualify qualify as an epidemic, which is 7%.
Signs/Symptoms
Signs and symptoms of PTSD include intrusive thoughts or nightmares; avoiding places, activities or people that bring back the event; negative cognition or mood; and/or hyperarousal.
Depression
Another Common Issue
The rate of depressive disorders ib the firefighter population is more than double that of the general population. When it comes to depressive disorder:
7% of the general population is affected.
17% of the firefighter popukation is affected.
Family Issues
Who is Affected
We know that the firefighter is not the only one in the family that is affected by the job. Spouse/significant other/partner, children, friends, and even parents may be affected.
What Happens at Home is Important
Sometimes, firefighters do not want to discuss work issues or critical incidents at home. Observable signs may be present, however. Often, the first signs of trouble present themselves at home.
Psychological First Aid (PFA)
One of the most important things you can do is learn psychological first aid, particularly how to recognize signs of trouble. Early recognition and intervention are critical.
Sleep Disorders
Prevalence
20% of the general population.
37% of the firefighter population.
Associated Illnesses/Conditions
Risk of the following conditions increases with inadequate sleep.
Cancer
Cardiovascular
Obesity
Diabetes
Talk to your doctor if you think you may have an issue.
Divorce
Divorce Rates
According to a recent study, as much as 25% of those over the age of 18 have experienced divorce. Male firefighters have a similar incidence of divorce as the general public. Females, however are 3x more likely to divorce than their male counterparts.
Pre-Divorce Support
The JFPSG is here for you. If you just need to vent or require structured couples or individual therapy, we can help. Our clinicians are experts in the field of marriage and family counseling. Please give us a call.
Post Divorce Support
Post-divorce, the need for support is heightened. We are here for you in these times as well. Our peer supporters are here to listen and our clinicians are here to treat divorce-related issues. Please give us a call.