An Assessment of Mental Health Challenges and Occupational Stressors Among Public Safety Personnel Senior Leadership
Public safety personnel (PSP; e.g., correctional workers, firefighters, paramedics, police, public safety communicators) are inevitably exposed to potentially psychologically traumatic events (PPTEs; e.g., actual or threatened death, serious injury or sexual violence). Frequent PPTE exposures and other occupational stressors are associated with posttraumatic stress injuries (PTSI) including posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD), and other physical and psychological comorbidities. PSP senior leadership (i.e., Chiefs, Directors, Deputy Chiefs) are expected to provide effective solutions for frontline personnel mental health. Most efforts have focused on frontline PSP, with minimal mental health support efforts targeted towards senior PSP leadership, despite PSP senior leadership being generally presumed to have experienced PPTEs and other occupational stressors in their previous roles as frontline PSP which may have similarly impacted their mental health. To date, no studies have assessed for differences in occupational stressors, mental health disorder symptoms, and suicidal behaviours (i.e., ideation, planning, attempts) among a diverse sample of Canadian PSP leadership relative to frontline PSP. The current study was designed to assess for differences in screening prevalence proportions for occupational stressors, mental health disorders, and suicidal behaviours among different organizational roles (i.e., PSP senior leadership [Chiefs, Directors, Deputy Chiefs] and PSP in other serving roles) within the paramedicine and policing PSP sectors, with the intent to broadly support the Canadian National Action Plan on Post-Traumatic Stress Injuries. Results indicated that PSP senior leadership were not less likely to screen positive for any mental health disorder, one or more mental health disorders, or suicidal behaviours than frontline PSP within the same PSP sector, underscoring that PSP senior leadership also need tailored mental health supports, particularly given the administrative stressors that will necessarily compound the impact of their frontline service.