Relations between multidimensional attitude toward death and psychological distress in firefighters.

To investigate firefighters' multidimensional attitude toward death and psychological distress, 60 firefighters completed the Death Attitude Profile-Revised and the General Health Questionnaire-28. As predicted, fear of death and escape acceptance were positively related to severe depression and anxiety/insomnia. However, contrary to predictions, neutral acceptance and death avoidance were not associated with psychological distress. Our results indicate that it would be advisable to examine the effectiveness of preventive and therapeutic interventions for firefighters aimed at reducing the fear of death and escape acceptance.