ArticleInternational journal of environmental research and public health2022
Mental Disorder Symptoms and the Relationship with Resilience among Paramedics in a Single Canadian Site.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Occupational burnout and depression among emergency medical service providers in Switzerland and Liechtenstein: a cross-sectional nationwide web-based study.BMC public health · 2026Article
- Male role norms and the prevalence of post-traumatic stress disorder symptoms among Polish male paramedics.International journal of occupational medicine and environmental health · 2025Article
- Examining the Relationship Between Resilience, Mental Health and Fitness Outcomes in Firefighters.Journal of functional morphology and kinesiology · 2025Article
- The effects of the paramedics' field work on their mental status in Jeddah.Journal of family medicine and primary care · 2024Article
- Paramedics' experiences and observations: work-related emotions and well-being resources during the initial months of the COVID-19 pandemic-a qualitative study.BMC emergency medicine · 2024Article
- Navigating into the unknown: exploring the experience of exposure to prehospital emergency stressors: a sequential explanatory mixed-methods.BMC emergency medicine · 2023Article
- Prevalence and Characteristics of Violence against Paramedics in a Single Canadian Site.International journal of environmental research and public health · 2023Article
- Influence of Previous Mental State on Psychological Outcomes of Spanish Out-of-Hospital Professionals during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
There is growing recognition in research and policy of a mental health crisis among Canada's paramedics; however, despite this, epidemiological surveillance of the problem is in its infancy. Just weeks before the emergence of the COVID-19 pandemic, we surveyed paramedics from a single, large, urban paramedic service in Ontario, Canada to assess for symptom clusters consistent with post-traumatic stress disorder (PTSD), major depressive disorder, and generalized anxiety disorder and to identify potential risk factors for each. In total, we received 589 completed surveys (97% completion rate) and found that 11% screened positive for PTSD, 15% screened positive for major depressive disorder, and 15% screened positive for generalized anxiety disorder, with one in four active-duty paramedics screening positive for any of the three as recently as February 2020. In adjusted analyses, the risk of a positive screen varied as a function of employment classification, gender, self-reported resilience, and previous experience as a member of the service's peer support team. Our findings support the position that paramedics screen positive for mental disorders at high rates-a problem likely to have worsened since the onset of the COVID-19 pandemic. We echo the calls of researchers and policymakers for urgent action to support paramedic mental health in Canada.
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Registered trials
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