Evidence map›Paper›PMID 33685431›Full record

ArticleBMC psychiatry2021

Mental health screening amongst police officers: factors associated with under-reporting of symptoms.

Ruth E Marshall, Josie Milligan-Saville, Katherine Petrie, Richard A Bryant, Philip B Mitchell, Samuel B Harvey

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Assessment of the Mental Health of Police Officers: A Systematic Review of Specific Instruments.International journal of environmental research and public health · 2024
    Pooled it
  3. Pooled it
  4. Disclosure of Mental Health Problems or Suicidality at Work: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
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  10. Social Determinants of Suicide and Suicidality in Serving Military Personnel: A Global Scoping Review.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ruth E MarshallSchool of Psychiatry, University of New South Wales, Sydney, 2052, Australia.
Josie Milligan-SavilleSchool of Psychiatry, University of New South Wales, Sydney, 2052, Australia.
Katherine PetrieSchool of Psychiatry, University of New South Wales, Sydney, 2052, Australia.
Richard A BryantBlack Dog Institute, University of New South Wales, Hospital Rd, Randwick, 2031, Australia.
Philip B MitchellSchool of Psychiatry, University of New South Wales, Sydney, 2052, Australia.
Samuel B HarveyBlack Dog Institute, University of New South Wales, Hospital Rd, Randwick, 2031, Australia. s.harvey@unsw.edu.au.ORCID 0000-0001-9580-3743
Black Dog Institute · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health screening in the workplace aims to identify employees who are becoming symptomatic, in order to provide timely support and evidence-based interventions to those affected. Given the stigma associated with mental illness, accurate disclosure of mental health symptoms cannot be assumed. The present study sought to investigate factors associated with the accurate reporting of mental health symptoms amongst police officers.

methodsA total of 90 serving police officers completed identical mental health screening surveys, one administered by the employer and the other anonymously by an independent organisation. Responses were then linked to compare differences in the number and severity of mental health symptoms reported on each questionnaire.

resultsComparisons of matched self-report scores indicated that employees under-reported symptoms of mental health disorders when completing screening administered by their employer, with only 76.3% of symptoms declared. Under-reporting occurred regardless of gender and symptom type. Less senior staff (p = 0.05) and those with the most severe post-traumatic stress disorder and common mental disorder symptoms (p = 0.008) were significantly more likely to under-report symptoms.

conclusionsEmployer-administered mental health screening is not able to accurately capture all mental health symptoms amongst first responders. The fact that the severity of symptoms predicted the level of under-reporting means that simple changes to cut-off values cannot correct this problem.

Indexed as

PoliceStress Disorders, Post-TraumaticHumansMass ScreeningMental HealthSurveys and QuestionnairesHealth screeningMental healthMonitoringPost-traumatic stress disorderPsychiatryPsychologyReportingScreeningSelf-report

Identifiers

PMID33685431
PMCPMC7938555
OpenAlexW3134684211

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.