ArticleAmerican journal of industrial medicine2021
The role of organizational supports in mitigating mental ill health in firefighters: A cohort study in Alberta, Canada.
Article in American journal of industrial medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Post-incident psychosocial interventions after a traumatic incident in the workplace: a systematic review of current research evidence and clinical guidance.European journal of psychotraumatology · 2023Pooled it
- Association of Psychological Safety with PTSD Symptoms Among Regional Firefighters in South Korea: Moderating Roles of Occupational Identity and Peer Support.International journal of environmental research and public health · 2026Article
- Mental health after a critical incident: the role of parental status and prior training in firefighters.Frontiers in psychiatry · 2026Article
- Association between adherence to a healthy lifestyle and firefighters' depression and posttraumatic stress disorder in Taiwan: A longitudinal, prospective cohort study.Preventive medicine reports · 2026Article
- Ontario public safety personnel experiences of workplace mental wellness supports.PLOS mental health · 2026Article
- Posttraumatic Growth as a Pathway to Wellness for Individuals and Organizations.Behavioral sciences (Basel, Switzerland) · 2025Review
- Work-related stressful events and burnout experienced by residents and specialists in German neurology: prevalence, causes, and coping strategies derived from a nationwide survey.Neurological research and practice · 2025Article
- Cross-Sectional Analysis of Psychological Mediators Between Occupational Trauma and PTSD in Metropolitan Firefighters.European journal of investigation in health, psychology and education · 2025Article
- A brief descriptive analysis of a pilot study of peer support training and supervision for Texas firefighters.Proceedings (Baylor University. Medical Center) · 2024Article
- Mental health of UK firefighters.Scientific reports · 2023Article
- The Effect of Second-Victim-Related Distress and Support on Work-Related Outcomes in Tertiary Care Hospitals in Kelantan, Malaysia.International journal of environmental research and public health · 2022Article
- Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study.Healthcare (Basel, Switzerland) · 2022Article
- The role of organizational supports in mitigating mental ill health in firefighters: A cohort study in Alberta, Canada.American journal of industrial medicine · 2021Article
- The Health of Firefighters Deployed to the Fort McMurray Fire: Lessons Learnt.Frontiers in public health · 2021Article
Corrections and comments
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Authors and funding
4 authors.
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Abstract
introductionLittle is known about the effectiveness of ongoing mental health support in reducing the mental health impacts of a traumatic deployment.
methodsA cohort of firefighters was established among those deployed to a devastating wildfire in Alberta, Canada in May 2016. Firefighters completed three questionnaires: at recruitment giving details of exposures, a first follow-up reporting mental health supports before, during, and after the fire and a second follow-up, at least 30 months after the fire, with screening questionnaires for anxiety, depression, and posttraumatic stress disorder (PTSD). Fire chiefs were interviewed about mental health provisions. The impact of supports on mental ill health was estimated, adjusting for clustering within fire service and potential confounders.
resultsOf 1234 firefighters in the cohort, 840 completed the questionnaire on mental health supports. In total, 78 of 82 fire chiefs were interviewed. Analysis of the impact of supports on mental ill health included 745 firefighters from 67 fire services. Only 45.8% of reports of peer support were concordant between firefighters and fire chiefs. After adjusting for confounding, the odds ratios (OR) for peer support reported by both fire chief and firefighter were depressive disorder: OR = 0.22, 95% confidence interval (CI), 0.08-0.61; anxiety disorder: OR = 0.45, 95% CI, 0.24-0.82; PTSD: OR = 0.62, 95% CI, 0.37-1.02. Symptoms of anxiety and depression but not PTSD were reduced by resiliency training before the fire and by support offered within 48 h of return from deployment.
conclusionThe results suggest peer support in firefighters is protective but its availability is poorly recognized. PTSD was somewhat less responsive, perhaps reflecting the cumulative effects of previous exposures.
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