دانلود رایگان مقاله انگلیسی استرس شغلی و خودکشی در میان آتش نشانان: بررسی نقش بافر از تحمل سختی - الزویر 2018

Abstract

Past research indicates that firefighters are at increased risk for suicide. Firefighter-specific occupational stress may contribute to elevated suicidality. Among a large sample of firefighters, this study examined if occupational stress is associated with multiple indicators of suicide risk, and whether distress tolerance, the perceived and/or actual ability to endure negative emotional or physical states, attenuates these associations. A total of 831 firefighters participated (mean [SD] age=38.37y[8.53y]; 94.5% male; 75.2% White). The Sources of Occupational Stress-14 (SOOS-14), Distress Tolerance Scale (DTS), and Suicidal Behaviors Questionnaire—Revised (SBQ-R) were utilized to examine firefighter-specific occupational stress, distress tolerance, and suicidality, respectively. Consistent with predictions, occupational stress interacted with distress tolerance, such that the effects of occupational stress on suicide risk, broadly, as well as lifetime suicide threats and current suicidal intent, specifically, were attenuated at high levels of distress tolerance. Distress tolerance may buffer the effects of occupational stress on suicidality among firefighters. Pending replication, findings suggest that distress tolerance may be a viable target for suicide prevention initiatives within the fire service.

4.2. Conclusions

Among a large sample of firefighters, the present study found that greater occupational stress is associated with elevated levels of global suicide risk as well as lifetime suicide threats and current suicidal intent—and, moreover, that these associations were attenuated at higher levels of self-reported distress tolerance. Given that distress tolerance is amenable to therapeutic intervention, should these results be replicated among other firefighter samples, suicide prevention efforts within the fire service might benefit from the inclusion of distress tolerance skills building (see Linehan, 2015; Zvolensky et al., 2011).