Public health in practice (Oxford, England) · 2025
Prevalence of suicidal ideation, suicide plan, and suicide attempt among firefighters: A systematic review and meta-analysis.
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Tahernejad Azadeh, Ghaffari Sina, Tahernejad Somayeh, Makki Faezeh, Wesemann Ulrich, Sahebi Ali
Аннотация
OBJECTIVES: The profession of firefighting is one of the most dangerous and stressful occupations, and firefighters are at greater risk of suicide due to the experience of unfortunate incidents. This systematic review and meta-analysis study aimed to investigate the overall prevalence of suicide ideation, plan, and attempt among firefighters.
STUDY DESIGN: The present study is a systematic review and Meta-Analysis.
METHODS: The study followed PRISMA guidelines. The protocol of this study was registered in PROSPERO with the code CRD42023469261. Data sources including PubMed, Scopus, Web of Science, and Google Scholar were used to identify and extract related studies. Searches were conducted without a time limit until the end of July 2023. The random effects model was used for meta-analysis, and the I2 index was used to check heterogeneity between studies. Data were analyzed using STATA software (version 14).
RESULTS: In this study, 2003 primary articles were identified from the information sources. After the screening, study selection, and quality assessment, 21 articles entered the meta-analysis stage, and 86,989 firefighters were examined. Based on the results of the meta-analysis, the overall prevalence of suicide plan, attempt, and ideation among firefighters was reported as 17.91 % (95 % CI = 7.72.-28.10, I2 = 99.5 %, p < 0.001), 24.01 % (95 % CI = 14.92-33.09, I2 = 99.9 %, p < 0.001), and 28.29 % (95 % CI = 24.35-32.22, I2 = 99.7 %, p < 0.001), respectively. The I2 index obtained in all three cases showed very high heterogeneity between the investigated studies.
CONCLUSION: The results of this study showed that firefighters are at relatively high risk of suicide plans, attempts, and ideation. Therefore, it is vital to take necessary measures to prevent suicide among them. It is suggested that firefighters be periodically screened for mental disorders and receive essential training in the field of stress management and increasing psychological resilience.
STUDY DESIGN: The present study is a systematic review and Meta-Analysis.
METHODS: The study followed PRISMA guidelines. The protocol of this study was registered in PROSPERO with the code CRD42023469261. Data sources including PubMed, Scopus, Web of Science, and Google Scholar were used to identify and extract related studies. Searches were conducted without a time limit until the end of July 2023. The random effects model was used for meta-analysis, and the I2 index was used to check heterogeneity between studies. Data were analyzed using STATA software (version 14).
RESULTS: In this study, 2003 primary articles were identified from the information sources. After the screening, study selection, and quality assessment, 21 articles entered the meta-analysis stage, and 86,989 firefighters were examined. Based on the results of the meta-analysis, the overall prevalence of suicide plan, attempt, and ideation among firefighters was reported as 17.91 % (95 % CI = 7.72.-28.10, I2 = 99.5 %, p < 0.001), 24.01 % (95 % CI = 14.92-33.09, I2 = 99.9 %, p < 0.001), and 28.29 % (95 % CI = 24.35-32.22, I2 = 99.7 %, p < 0.001), respectively. The I2 index obtained in all three cases showed very high heterogeneity between the investigated studies.
CONCLUSION: The results of this study showed that firefighters are at relatively high risk of suicide plans, attempts, and ideation. Therefore, it is vital to take necessary measures to prevent suicide among them. It is suggested that firefighters be periodically screened for mental disorders and receive essential training in the field of stress management and increasing psychological resilience.