More Firefighters Committed Suicide In 2017 Than Died In Line Of Duty – Forbes

Nicole Fisher

Last week, Southern California was stunned by the disappearance of an LA County Fire Department Captain. For almost a week family, friends, firefighters and first responder communities came together to help locate him. Unfortunately, for the loved ones of Wayne Habell, five days after his disappearance he was found, having taken his own life.

Sadly, for those in first responder roles, suicide is nothing new. In fact, the Journal of Emergency Medical Services reports in a 2015 survey of more than 4,000 first responders, that 37% had contemplated suicide and almost 7% had attempted it. That is more than 10 times the rate of the general population. Nevertheless, the Firefighter Behavioral Health Alliance (FFBHA) says that despite that staggering number, they estimate only 40% of firefighter suicides are voluntarily reported.

Another study concluded that at least 103 firefighters had taken their own lives in 2017, while only 93 had died in the line of duty. This same report from the Ruderman Family Foundation also highlighted that firefighters commit suicide at a higher rate than even their police officer peers.  And if the FFBHA is correct, that means more than twice the number died at their own hand than in the line of duty.

Firefighters, like many first responders, spend a career facing death and destruction. Shift after shift trying to save others while putting themselves in harms way. But for firefighters, a challenging schedule can intensify issues. Sleep deprivation, 24-hour work shifts, lots of missed family time and generally low pay. Consequently, there is plenty of opportunity for frustration and stress – professional and personal. And despite being five times more likely to suffer from depression and PTS symptoms than the rest of the population, very few fire stations support mental health care needs (supposedly less than 5%).

With increasing frequency, the mental health of full-time firefighters is compared to those who serve in the military. Populations who self-select into physically demanding, high-risk taking careers, purposefully running into danger with the aim of helping others. And that, especially in these male-dominated fields, the occupation is how they define themselves. Thus, once they pass the peak of their physicality or face retirement, they often report feeling a loss of identity. Add in a Superman complex of feeling like it’s their job to save others, frequent reports of decreasing testosterone levels with age, and the effects of hiding their emotions following years of traumatic situations, and it’s no wonder the stigmas, symptoms and outcomes often look similar between firefighters and service members.

Strategic Successes

Although suicide in the U.S. has reached epidemic levels, the media is selective in highlighting celebrities. Media also covers the deaths of first responders lost in the line of duty extensively. But the ones who are lost to their own demons are left to cope in silence, feeling isolated. First responders in particular are afraid to speak up, for fear of career limitations or being seen as less brave by those around them. But, as more individuals and families begin to speak up, the less alone and stigmatized others feel. And with that, come added resources and strategies.

Training sessions and online resources highlight using the mentality that makes a good firefighter as a starting place. For example, In Public Safety suggests to think of the buddy system used during a fire for one’s personal life as well: Two In, Two Out.[/tweet_quote] Meaning, a colleague should never feel alone during a time of need, no matter the battle they are facing. They also suggest firefighters think of mental health and physical health like they would their equipment before a fire, or “life-safety,” and “property conservation.” Ensuring every piece of equipment is checked regularly and properly maintained, so it’s in working order and is long-lasting. And making sure that everything that can be salvaged is – such as finding joy in family and hobbies.

When those who care for the public’s safety and health are taking their own lives at a rate more than 10 times the U.S. population, our nation is facing a crisis. It’s our responsibility to care for those who care for us. But with added attention and increased awareness, the loss of life can be minimized. For example, sites such as FireRescue1 and FFBHA have resources that are firefighter specific. And medical facilities are beginning to train others to know the signs and symptoms of PTS and depression. But that is not enough. We need fire stations and unions to begin taking proactive steps to put mental health at the top of the priority list. The men and women who risk their lives to save ours, are far too important to our communities to let their needs fall through the cracks.

I welcome and encourage you to share other resources for our first responders in the comments.

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Visit Her Sites: HHR Strategies & Brain Treatment Foundation

Nicole Fisher is the founder and CEO of HHR Strategies, a health care and human rights-focused advising firm.

She is also a senior policy advisor on Capitol Hill and expert on health innovation, economics, technology, and reform – specifically as they impact vulnerable  populations. Fisher contributes to Forbes, highlighting ideas and advising companies and people that are changing the health landscape, and curates a monthly international dinner series, “A Seat at the Table,” bringing together thought leaders for an off-the-record discussion of moving health policy and planning forward.

She also runs the Global Brain Health Coalition, the advocacy and awareness part of the Brain Treatment Foundation, and is pursuing a doctoral degree in public health at the University of North Carolina. Her writing has appeared in numerous journals and publications, and her talks can be found on the United Nations website and various news outlets.

Before pursuing her doctorate, Fisher earned her master’s degree in public policy from the University of Chicago and her undergraduate degree from the University of Missouri. Her health care and policy work at those institutions emphasized underserved populations, women’s and children’s issues, and brain health.

She serves on several boards for domestic and international health organizations and frequently speaks on health reform, innovation, human rights, and the context surrounding health.

 

Source: Forbes

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