Evidence map›Paper›PMID 39920070›Full record

ArticleBMJ open2025

Mental health in public safety personnel with workplace injuries requiring surgery: a longitudinal population-wide administrative data study in Manitoba, Canada.

Rae Spiwak, Justin Gawaziuk, Lauren Burton, Anthony Wightman, Brenda Comaskey, Jai Sareen, Dan Chateau, James Bolton, Thomas Turgeon, Allen Kraut and 6 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

16 authors.

Rae SpiwakDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada Rae.Spiwak@umanitoba.ca.ORCID http://orcid.org/0000-0003-0316-4775
Justin GawaziukDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0002-0987-5909
Lauren BurtonDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Anthony WightmanDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Brenda ComaskeyDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0003-0723-948X
Jai SareenMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Dan ChateauAustralian Institute of Health and Welfare, Canberra, Australian Capital Territory, Australia.
James BoltonDepartment of Psychiatry, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Thomas TurgeonDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Allen KrautDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Alyson MaharDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Tracie O AfifiDepartment of Psychiatry, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Jitender SareenDepartment of Psychiatry, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Natalie MotaDepartment of Psychiatry, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Jordan NantaisDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Sarvesh LogsettyDepartment of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0003-1389-0527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPublic safety personnel (PSP) are responsible for ensuring the safety and security of communities, often putting their own lives and well-being at risk by performing dangerous and demanding work. As a result, these workers are particularly vulnerable to workplace-related physical and mental traumatic injuries. Research is needed to understand the mental health of PSP following traumatic physical injury to inform effective prevention programmes and interventions. The objective of this study was to investigate whether PSP with traumatic physical workplace injuries requiring surgery with anaesthetic have higher post-injury rates of mental disorders compared with the general population with similar non-workplace injuries.

designRetrospective longitudinal cohort study.

settingPopulation-based study using linked anonymised administrative data for PSP and the general population in Manitoba, Canada.

participantsThis study compared two groups hospitalised for a traumatic physical injury requiring surgery with anaesthetic between 1 January 2002 and 31 December 2018: (1) PSP (n=293) injured in the workplace and matched 1:5 on sex, age, geographical region and surgical procedure code with (2) individuals in the general population (GenPop) injured outside the workplace (no Workers Compensation Board claim) (n=1198). PRIMARY AND SECONDARY OUTCOMES AND MEASURES: As planned in the study protocol, the prevalence of mental disorders including anxiety, depression and substance use was measured in the cohorts 2 years pre- and post-injury.

resultsThis study found an elevated unadjusted risk of depression in PSP compared with the general population in the 2 years post-injury, adjusting for pre-injury mental health (rate ratio, 1.49; 95% CI, 1.02 to 2.17; p<0.0001). After adjusting, there were no significant differences in rates between the two cohorts; however, the significant group × care interaction term for depression suggests a greater risk for PSP compared with GenPop over time.

conclusionsOur findings indicate that, compared with a matched cohort, PSP have an increased risk of depression from the pre-injury to post-injury period following a traumatic physical workplace injury. PSP have a unique mental health trajectory following workplace injury that should be considered when developing rehabilitation strategies for this important population.

Indexed as

Mental DisordersMental HealthOccupational InjuriesAdultFemaleHumansLongitudinal StudiesMaleManitobaMiddle AgedRetrospective StudiesWorkplaceAnxiety disordersDepression & mood disordersEPIDEMIOLOGYHealth ServicesTrauma management

Identifiers

PMID39920070
PMCPMC11808913

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.