Journal of occupational and environmental medicine · 2026
Patterns of Primary Care Use and Clinical Assessment Practices Among Treatment-seeking First Responders.
СтатьяНазвание и аннотация: Перевод в очереди
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Yockey R Andrew, Galusha Jeanine M, Ponder Warren N, Carbajal Jose, Collins Christy R, Schuman Donna L
Аннотация
OBJECTIVE: To identify the predictors of suicide for law enforcement officers (LEOs), firefighters (FFs), and emergency medical technicians (EMTs).
METHODS: We used primary care assessments of posttraumatic stress disorder (Primary Care PTSD Screen for DSM-5), generalized anxiety (Generalized Anxiety Disorder-2), depression (Patient Health Questionnaire-2), substance use (CAGE Adapted to Include Drugs), resilience (Response to Stressful Experiences Scale-4), and suicidality (Patient Health Questionnaire-Suicidal Ideation). We conducted separate logistic regressions predicting suicide for LEOs and FFs/EMTs.
RESULTS: Among LEOs, 8% screened positive for suicide, whereas 24% of FFs/EMTs screened positive, respectively. There were no significant predictors of suicide for LEOs. However, for FFs/EMTs, depression was associated with an increase in suicidality, whereas previous mental health treatment was a buffer against it.
LIMITATIONS: These data are cross-sectional and require analysis throughout the course of treatment.
CONCLUSIONS: We demonstrated the utility of using primary care abbreviated assessments for first responders.
METHODS: We used primary care assessments of posttraumatic stress disorder (Primary Care PTSD Screen for DSM-5), generalized anxiety (Generalized Anxiety Disorder-2), depression (Patient Health Questionnaire-2), substance use (CAGE Adapted to Include Drugs), resilience (Response to Stressful Experiences Scale-4), and suicidality (Patient Health Questionnaire-Suicidal Ideation). We conducted separate logistic regressions predicting suicide for LEOs and FFs/EMTs.
RESULTS: Among LEOs, 8% screened positive for suicide, whereas 24% of FFs/EMTs screened positive, respectively. There were no significant predictors of suicide for LEOs. However, for FFs/EMTs, depression was associated with an increase in suicidality, whereas previous mental health treatment was a buffer against it.
LIMITATIONS: These data are cross-sectional and require analysis throughout the course of treatment.
CONCLUSIONS: We demonstrated the utility of using primary care abbreviated assessments for first responders.