scholarly journals Occupational exposure to suicide: A review of research on the experiences of mental health professionals and first responders

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0251038
Author(s):  
Renan Lopes de Lyra ◽  
Sarah K. McKenzie ◽  
Susanna Every-Palmer ◽  
Gabrielle Jenkin

Exposure to suicide is a major factor for suicidality. Mental health professionals and first responders are often exposed to suicide while on-duty. The objective of this scoping review is to describe the state of current research on exposure to suicide among mental health professionals and first responders, focusing on the prevalence and impact of exposure to suicide, and to identify current gaps in the literature. We searched MEDLINE, Scopus, PsychNET, and Web of Science and identified 25 eligible papers. Between 31.5–95.0% of professionals had been exposed to suicide. Exposure to suicide had impacts on personal life, professional life, and mental health; and caused emotional distress. There was little research investigating exposure to suicide among police officers, firefighters, and paramedics. More research existed on mental health professionals, but none assessed exposure to suicide as a risk for suicide amongst this group. The review concludes that exposure to suicide is distressing for mental health professionals, and likely to be for first responder however, more research on these groups, especially paramedics, is required.

2008 ◽  
Vol 30 (4) ◽  
pp. 345-361 ◽  
Author(s):  
Andrew Young ◽  
Jill Fuller ◽  
Briana Riley

The expectation that police officers can address every need in every situation is daunting and unrealistic. Recognizing this, some police departments have instituted special training or used other resources to better serve the needs of citizens. One example is an on-scene crisis counseling unit comprised of volunteer mental health professionals who respond to calls with police officers. These counselors provide mental health services that police officers cannot. This article explains the usefulness of this type of program, and crisis counseling in general, for both officers and victims as they deal with crises like domestic violence, homicide, suicide, and sexual assault. The study examines survey results from victims and police officers about the impact of this intervention. The data support the helpfulness of the program. Implications and recommendations for further research are included.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019312 ◽  
Author(s):  
Adwoa Parker ◽  
Arabella Scantlebury ◽  
Alison Booth ◽  
Jillian Catherine MacBryde ◽  
William J Scott ◽  
...  

ObjectiveTo identify existing evidence on interagency collaboration between law enforcement, emergency services, statutory services and third sector agencies regarding people with mental ill health.DesignSystematic scoping review. Scoping reviews map particular research areas to identify research gaps.Data sources and eligibilityASSIA, CENTRAL, the Cochrane Library databases, Criminal Justice Abstracts, ERIC, Embase, MEDLINE, PsycINFO, PROSPERO and Social Care Online and Social Sciences Citation Index were searched up to 2017, as were grey literature and hand searches. Eligible articles were empirical evaluations or descriptions of models of interagency collaboration between the police and other agencies.Study appraisal and synthesisScreening and data extraction were undertaken independently by two researchers. Arksey’s framework was used to collate and map included studies.ResultsOne hundred and twenty-five studies were included. The majority of articles were of descriptions of models (28%), mixed methods evaluations of models (18%) and single service evaluations (14%). The most frequently reported outcomes (52%) were ‘organisational or service level outcomes’ (eg, arrest rates). Most articles (53%) focused on adults with mental ill health, whereas others focused on adult offenders with mental ill health (17.4%). Thirteen models of interagency collaboration were described, each involving between 2 and 13 agencies. Frequently reported models were ‘prearrest diversion’ of people with mental ill health (34%), ‘coresponse’ involving joint response by police officers paired with mental health professionals (28.6%) and ‘jail diversion’ following arrest (23.8%).ConclusionsWe identified 13 different interagency collaboration models catering for a range of mental health-related interactions. All but one of these models involved the police and mental health services or professionals. Several models have sufficient literature to warrant full systematic reviews of their effectiveness, whereas others need robust evaluation, by randomised controlled trial where appropriate. Future evaluations should focus on health-related outcomes and the impact on key stakeholders.


2020 ◽  
pp. 003022282093301
Author(s):  
Rosalie S. Aldrich ◽  
Julie Cerel

The purpose of the current study was to examine the relationship of suicide exposure with depression, anxiety, and post-traumatic stress disorder across three occupational groups likely to be exposed to suicide (i.e., first responders, crisis workers, mental health professionals). An online survey was completed by 1,048 participants. Results indicated that first responders, mental health professionals, and crisis workers were all exposed to suicide in the routine course of their occupation. Exposure to suicide significantly impacted mental health, specifically on depression, anxiety, and PTSD symptoms. The level of exposure to suicide was associated with higher levels of depression, anxiety, and PTSD.


2019 ◽  
Author(s):  
Jessica Kemp ◽  
Timothy Zhang ◽  
Fiona Inglis ◽  
David Wiljer ◽  
Sanjeev Sockalingam ◽  
...  

BACKGROUND Compassion is a vital component to the achievement of positive health outcomes, particularly in mental health care. The rise of digital technologies may influence the delivery of compassionate care, and thus this relationship between compassion and digital health care needs to be better understood. OBJECTIVE This scoping review aimed to identify existing digital technologies being used by patients and health professionals in the delivery of mental health care, understand how digital technologies are being used in the delivery of compassionate mental health care, and determine the facilitators of and barriers to digital technology use among patients and health professionals in the delivery of compassionate mental health care. METHODS We conducted this scoping review through a search of Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online (MEDLINE), MEDLINE In-Process and EPub Ahead of Print, PsycINFO, and Web of Science for articles published from 1990 to 2019. RESULTS Of the 4472 articles screened, 37 articles were included for data extraction. Telemedicine was the most widely used technology by mental health professionals. Digital technologies were described as facilitating compassionate care and were classified using a conceptual model to identify each digital intersection with compassionate care. Facilitators of and barriers to providing compassionate care through digital technology were identified, including increased safety for providers, health care professional perceptions and abilities, and the use of <i>picture-in-picture</i> feedback to evaluate social cues. CONCLUSIONS Implementing digital technology into mental health care can improve the current delivery of compassionate care and create novel ways to provide compassion. However, as this is a new area of study, mental health professionals and organizations alike should be mindful that compassionate human-centered care is maintained in the delivery of digital health care. Future research could develop tools to facilitate and evaluate the enactment of compassion within digital health care.


BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027989 ◽  
Author(s):  
Gillian Strudwick ◽  
Timothy Zhang ◽  
Fiona Inglis ◽  
Sanjeev Sockalingam ◽  
Mikayla Munnery ◽  
...  

IntroductionAs digital technologies become an integral part of mental health care delivery, concerns have risen regarding how this technology may detract from health professionals’ ability to provide compassionate care. To maintain and improve the quality of care for people with mental illness, there is a need to understand how to effectively incorporate technologies into the delivery of compassionate mental health care. The objectives of this scoping review are to: (1) identify the digital technologies currently being used among patients and health professionals in the delivery of mental health care; (2) determine how these digital technologies are being used in the context of the delivery of compassionate care and (3) uncover the barriers to, and facilitators of, digital technology-driven delivery of compassionate mental health care.Methods and analysisSearches were conducted of five databases, consisting of relevant articles published in English between 1990 and 2019. Identified articles will be independently screened for eligibility by two reviewers, first at a title and abstract stage, and then at a full-text level. Data will be extracted and compiled from eligible articles into a data extraction chart. Information collected will include a basic overview of the publication including the article title, authors, year of publication, country of origin, research design and research question addressed. On completion of data synthesis, the authors will conduct a consultation phase with relevant experts in the field.Ethics and disseminationEthical approval is not required for this scoping review. With regards to the dissemination plan, principles identified from the relevant articles may be presented at conferences and an article will be published in an academic journal with study results. The authors also intend to engage interested mental health professionals, health professional educators and patients in a discussion about the study findings and implications for the future.


Author(s):  
Colby Mills ◽  
Jill Milloy ◽  
Jaysyn Carson

For law enforcement agencies and the mental health professionals who serve them, one question is always foremost: How can we provide the right services to improve officers' wellbeing? These decisions are typically made without any data about what officers want. This chapter details one agency's attempt to solicit such feedback with an anonymous online survey about mental health and overall wellness. A brief background describes the context of the survey, which occurred at the same time as other mental health initiatives in the department. The authors discuss the choices involved in developing and promoting the survey, in hopes that readers will make better informed choices should they survey their own first responders. The survey results are reviewed, many of which (including the high response rate) were surprising, and the changes the department has begun to make in response to this feedback. The responses from 14 other public safety agencies throughout Virginia are also summarized.


10.2196/16263 ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. e16263 ◽  
Author(s):  
Jessica Kemp ◽  
Timothy Zhang ◽  
Fiona Inglis ◽  
David Wiljer ◽  
Sanjeev Sockalingam ◽  
...  

Background Compassion is a vital component to the achievement of positive health outcomes, particularly in mental health care. The rise of digital technologies may influence the delivery of compassionate care, and thus this relationship between compassion and digital health care needs to be better understood. Objective This scoping review aimed to identify existing digital technologies being used by patients and health professionals in the delivery of mental health care, understand how digital technologies are being used in the delivery of compassionate mental health care, and determine the facilitators of and barriers to digital technology use among patients and health professionals in the delivery of compassionate mental health care. Methods We conducted this scoping review through a search of Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online (MEDLINE), MEDLINE In-Process and EPub Ahead of Print, PsycINFO, and Web of Science for articles published from 1990 to 2019. Results Of the 4472 articles screened, 37 articles were included for data extraction. Telemedicine was the most widely used technology by mental health professionals. Digital technologies were described as facilitating compassionate care and were classified using a conceptual model to identify each digital intersection with compassionate care. Facilitators of and barriers to providing compassionate care through digital technology were identified, including increased safety for providers, health care professional perceptions and abilities, and the use of picture-in-picture feedback to evaluate social cues. Conclusions Implementing digital technology into mental health care can improve the current delivery of compassionate care and create novel ways to provide compassion. However, as this is a new area of study, mental health professionals and organizations alike should be mindful that compassionate human-centered care is maintained in the delivery of digital health care. Future research could develop tools to facilitate and evaluate the enactment of compassion within digital health care.


2021 ◽  
pp. appi.ps.2020004
Author(s):  
Rotem Rosenthal Oren ◽  
David Roe ◽  
Ilanit Hasson-Ohayon ◽  
Stephanie Roth ◽  
Elizabeth C. Thomas ◽  
...  

2016 ◽  
Vol 33 (S1) ◽  
pp. S456-S456
Author(s):  
R. Kurz

IntroductionSeven UK police forces are currently investigating the alleged involvement of the late Edward Heath (Prime Minister 1970–1974) in a child abuse ring with Operation Midland investigating specifically the alleged murder of three boys.ObjectiveThe presentation raises international awareness of the investigation, sheds light on the suspected ‘Satanist’ ideology behind the cult and explores the implications for professional practice.AimsThe paper highlights the corrosive impact on society of powerful pedophile rings that are protected by compromised authority representatives and professionals.MethodDetailed accounts circulate on the Internet that name dozens of individuals allegedly active in the cult including high-ranking politicians, psychiatrists, psychologist, police officers as well as journalists and academics. Some of the alleged crimes can be corroborated with news reports or successful court prosecutions while the vast majority appear to be ‘known crimes’ that are successfully covered up.ResultsThe widespread organisational structures parallel the Marc Dutroux case in Belgium. It appears to be the case that compromised mental health professionals and authority representatives shield the cult. It becomes an ethical obligation for the silent majority to speak out against such criminality and demand from their government effective investigation and prosecution.ConclusionWhilst an enquiry into historical allegations of institutional abuse is currently underway in the UK several cases emerged recently where satanic cults seemingly continue to be protected by the vested interests. Mental health professionals must stand up for victims and resist ill-conceived authority attempts to persecute abuse survivors and their supporters.Disclosure of interestThe author has not supplied his declaration of competing interest.


Sign in / Sign up

Export Citation Format

Share Document