Patterns of Primary Care Use and Clinical Assessment Practices Among Treatment-Seeking First Responders.
cross_sectional · Level IV
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- Record sourced from PubMed, PMID 42349948.
- Also identified by DOI 10.1097/JOM.0000000000003699.
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Abstract
To identify the predictors of suicide for law enforcement officers (LEOs), firefighters (FFs), and emergency medical technicians (EMTs). We used primary care assessments of posttraumatic stress disorder (PC-PTSD-5), generalized anxiety (GAD-2), depression (PHQ-2), substance use (CAGE-AID), resilience (RSES-4), and suicidality (PHQ-SI). We conducted separate logistic regressions predicting suicide for LEOs and FFs/EMTs. Among LEOs, 8% screened positive for suicide, whereas 24% of FFs/EMTs screened positive, respectively. There were no significant predictors of suicide for LEOs. However, for FFs/EMTs, depression was associated with an increase in suicidality, whereas previous mental health treatment was a buffer against it. These data are cross-sectional and require analysis throughout the course of treatment. We demonstrated the utility of using primary care abbreviated assessments for first responders.