A Comparison of Suicides in Public Safety Personnel With Suicides in the General Population in Ontario, 2014 to 2018
Abstract
Abstract:Background: There is conflicting evidence on the suicide rates of different public safety personnel (PSP). There have been few studies that compare suicides in PSP with the general population and none that have used a detailed comparison of coroner records. Aims: The current study estimates suicide rates among different PSP and compares PSP suicides with the general population. Method: We identified coroner records of PSP suicides from January 2014 to December 2018 and compared each one to two matched general population controls. Results: We identified 36 PSP suicides and 72 general population controls. Police had a higher suicide rate than other PSP groups. PSP were more likely to die by firearm, be separated/divorced or married, die in a motor vehicle, have problems at work, and have a PTSD diagnosis. PSP were less likely to die by jumping. Limitations: The study may have not identified all PSP suicides. Apart from the cause of death, data in coroner records are not systematically collected, so information may be incomplete. Conclusion: PSP suicides appear different than the general population. Death records need to have an occupation identifier to enable monitoring of trends in occupational groups, such as PSP.
References
n.d.). Retrieved November 21, 2022, from https://www.ola.org/en/legislative-business/bills/parliament-41/session-1/bill-163
(2018). Suicidal ideation, plans, and attempts among public safety personnel in Canada. Canadian Psychology, 59(3), 220–231. 10.1037/cap0000136
(2023). An analysis of suicides among first responders—Findings from the National Violent Death Reporting System, 2015–2017. Journal of Safety Research, 85, 361–370. 10.1016/J.JSR.2023.04.003
(2011). Association of perceived stress with sleep duration and sleep quality in police officers. International Journal of Emergency Mental Health, 13(4), 229–241.
(2019). Suicides of Male Portuguese Police Officers—10 years of National Data. Crisis, 40(5), 360–364. 10.1027/0227-5910/A000570
(2017). Mental health stigma and barriers to mental health care for first responders: A systematic review and meta-analysis. Journal of Psychiatric Research, 94, 218–229. 10.1016/j.jpsychires.2017.08.001
(2023). Glossary of terms: A shared understanding of the common terms used to describe psychological trauma, version 3.0. Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice, 43(10–11), S1–S999. 10.24095/HPCDP.43.10/11.09
(2021). Assessing Relative stressors and mental disorders among canadian provincial correctional workers. International Journal of Environmental Research and Public Health, 18(19), Article
(10018 . 10.3390/IJERPH1819100182023). Suicides in Brazilian Federal Highway Police: A retrospective study with 20-years’ data (2001–2020). American Journal of Industrial Medicine, 66(9), 775–779. 10.1002/AJIM.23512
(2013). National police suicide estimates: Web surveillance study III. International Journal of Emergency Mental Health, 15(1), 31–38.
(2023). Suicide among emergency service workers: A retrospective mortality study of national coronial data, 2001–2017. Psychological Medicine, 53(12), 5470–5477. 10.1017/S0033291722002653
(2020). “Playing the system”: Structural factors potentiating mental health stigma, challenging awareness, and creating barriers to care for Canadian public safety personnel. Health, 24(3), 259–278. 10.1177/1363459318800167
(2018). First responders: Behavioral health concerns, emergency response, and trauma. https://www.samhsa.gov/sites/default/files/dtac/supplementalresearchbulletin-firstresponders-may2018.pdf
(2012). Investigating official records of suicides for research purposes. Crisis, 33(3), 123–126. 10.1027/0227-5910/A000167
(2018). Occupational stress and suicidality among firefighters: Examining the buffering role of distress tolerance. Psychiatry Research, 266, 90–96. 10.1016/j.psychres.2018.05.058
(2016). A systematic review of suicidal thoughts and behaviors among police officers, firefighters, EMTs, and paramedics. Clinical Psychology Review, 44, 25–44. 10.1016/j.cpr.2015.12.002
(Statistics Canada. (2022). Table 13‐10‐0801‐01 Leading causes of death, total population (age standardization using 2011 population). 10.25318/1310080101‐eng
2019). Death by suicide—the EMS profession compared to the general public. Prehospital Emergency Care, 23(3), 340–345. 10.1080/10903127.2018.1514090
(2021). Law enforcement worker suicide: An updated national assessment. Policing (Bradford, England), 44(1), 18–31. 10.1108/PIJPSM-09-2019-0157
(2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. British Medical Journal, 335, Article
(806 . 10.1136/bmj.39335.541782.AD2010). Frequency and severity approaches to indexing exposure to trauma: The Critical Incident History Questionnaire for police officers. Journal of Traumatic Stress, 23(6), 734–743. 10.1002/jts.20576
(