Guest Commentary: A Preventable Tragedy

F ires. Car accidents. Domestic abuse. Death. There isn’t much a firefighter doesn’t see over the course of his or her career. Then factor in the pressures of the job, changing schedules and interrupted sleep patterns, and it is easy to see that...


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F ires. Car accidents. Domestic abuse. Death. There isn’t much a firefighter doesn’t see over the course of his or her career. Then factor in the pressures of the job, changing schedules and interrupted sleep patterns, and it is easy to see that firefighters face many challenges and stressors in their everyday lives.

For volunteers, there is the added fact that most are juggling the fire service and family commitments with a separate full-time job. Time demands become increasingly challenging, which can be further amplified during certain times such as the holidays. In addition to factors unique to first responders, firefighters and EMTs face the same pressures that all people face, such as concerns about money, relationships and work situations. All of these worries and stressors add up and can have significant consequences on the individual as well as their family members.

 

Address the root problems

Unfortunately, many firefighters try to deal with stress, trauma or emotional pain in unhealthy ways. Some “self-medicate” using drugs, alcohol, gambling or other addictive behaviors to try to dull their emotions. While this may seem to mask the pain temporarily, these behaviors actually create bigger problems. For others, holding in the pain or not dealing with it effectively can lead to serious health problems such as insomnia, depression, anxiety, chronic stress or post-traumatic stress disorder (PTSD). All of these disorders can have physical ramifications, such as exhaustion, high blood pressure or even heart attack.

Not addressing the root problems and engaging in unhealthy behaviors to avoid confronting the issues can cause problems not just for the individual, but also for their fellow department members and their families at home. The affected individual may show poor judgment, unsafe behavior, clouded thinking or ineffective communication. This could have disastrous consequences on an emergency scene. At home, these behaviors can cause strained familial relationships, which can then result in deeper distress for the affected individuals and their families. In extreme cases, un-checked mental health issues brought on by trauma, stress and other causes could result in the worst-case scenario – firefighter suicide. The Firefighter Behavioral Health Alliance (FBHA) has collected information on more than 400 cases of firefighter and EMT/paramedic suicides in the U.S. (For further information, see http://www.ffbha.org/ and http://www.nvfc.org/files/documents/ff_suicide_report.pdf.)

The problem is clear, but so is the solution. Firefighter mental health is just not an individual concern. It is an issue facing the entire fire service community, and it must be addressed as such. You may not be experiencing a behavioral health issue, but chances are someone you know is, whether you are aware of it or not. Everyone in the fire service needs to recognize the seriousness of behavioral health concerns and work together to change the culture in their departments to make mental well-being a priority.

In the past, many departments have largely ignored behavioral health, and this has led to a wide range of negative outcomes. In recent years, it has become clear that behavioral health is just as important as physical health and safety. Ignoring the problem is not the answer and can have severe or even deadly results. The stigma attached to behavioral health must be lifted, and resources need to be available to support a firefighter or EMT who needs help. Leadership must take charge of the efforts to make behavioral health a priority, and all members of the department must support these initiatives.

Initiative 13 of the National Fallen Firefighters Foundation’s (NFFF) 16 Firefighter Life Safety Initiatives states that, “Firefighters and their families must have access to counseling and psychological support.” The initiative recognizes that the job of an emergency responder brings complications into an individual’s life, especially issues regarding emotional and psychological stress. Resources and a support system must be available to individuals and their families to effectively deal with the stresses they face, and assistance must be available if needed.

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