Describing the Mental Health Profile of First Responders: A Systematic Review

Sara L. Jones

174 citations0/0 files storedJournal of the American Psychiatric Nurses Association

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Posttraumatic Stress Disorder Research Occupational Health and Burnout Occupational Health and Performance

Abstract

BACKGROUND: First responders (FRs) are responsible for providing multiple services during various critical events. Considering the frequency, nature, and intensity of duty-related traumatic exposures, the cumulative impact on FRs' mental health is of paramount importance. OBJECTIVES: The purpose of this systematic review was to describe how duty-related trauma exposure can affect the comprehensive mental health profile of FRs, including firefighters, emergency medical technicians, and paramedics. DESIGN: Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was conducted using keywords related to FRs and mental health. RESULTS: Twenty-seven data-based articles met eligibility criteria and were included in this systematic review. Studies explored various mental health concerns, including posttraumatic stress disorder, depression, suicidality, anxiety, alcohol use, and sleep disturbances. CONCLUSIONS: Findings pose significant implications for psychiatric nurses in practice and research, including the need for tailored strategies to meet the mental health needs of this at-risk population.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2005Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication 2002Psychological debriefing for preventing post traumatic stress disorder (PTSD)2006The Psychological Risks of Vietnam for U.S. Veterans: A Revisit with New Data and Methods 2002Single session debriefing after psychological trauma: a meta-analysis 1999PTSD symptoms, response to intrusive memories and coping in ambulance service workers 2007Perceived Barriers to Mental Health Service Utilization in the United States, Ontario, and the Netherlands 2007First Responders: Mental Health Consequences of Natural and Human-Made Disasters for Public Health and Public Safety Workers

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2018“Playing the system”: Structural factors potentiating mental health stigma, challenging awareness, and creating barriers to care for Canadian public safety personnel 2019Barriers and Facilitators to Seeking Mental Health Care Among First Responders: “Removing the Darkness”2022A Scoping Review on the Prevalence and Determinants of Post-Traumatic Stress Disorder among Military Personnel and Firefighters: Implications for Public Policy and Practice

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