Overdose and overwork: First responder burnout and mental health help-seeking in Missouri's overdose crisis

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-02-27 DOI:10.1016/j.drugalcdep.2025.112590

Anna La Manna , Saad Siddiqui , Garland Gerber , Zach Budesa , Kyle Vance , Jeremiah Goulka , Leo Beletsky , Phil Marotta , Rachel Winograd

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引用次数: 0

Abstract

As the overdose crisis continues to spiral, high volume and intensity of drug poisoning calls are impacting first responders’ mental health. This study examined burnout and attitudes towards mental health help-seeking among first responders in Missouri. The study included 3059 participants, of which 76.4 % were law enforcement officers (LEO) and 23.6 % were emergency medical services personnel/firefighters (EMS/FF). Participants mainly comprised of men (80 %), and a majority had witnessed an overdose fatality (53 %). A descriptive analysis and Structured Equation Model (SEM) of field experience, mental health help-seeking, and burnout indicate that [1] emotional exhaustion and depersonalization levels were higher among LEO than EMS/FF (β= 0.25 and β = 0.28, respectively, p < .001), [2] EMS/FF had higher personal accomplishment scores than LEO (β = −0.10, p = .046), [3] higher levels of depersonalization and emotional exhaustion were associated with lower levels of mental health help-seeking (β = 0.27 and β = 0.50, respectively, p < .001), [4] higher levels of personal accomplishment was associated with higher levels of mental health help-seeking (β = −0.37, p < .001), and 5) there was lower burnout among EMS/FF than LEO. This study highlights important differences in burnout within and across first responder professions. Additionally, this study sets the foundation for targeted research to focus on how burnout manifests itself within these individuals, how it affects their work, and how work environments are impacted. Moving forward, research and practice should prioritize exploring how mental-health help seeking influences burnout.

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过量和过度工作：密苏里州过量危机中的急救人员倦怠和心理健康求助

随着药物过量危机继续恶化，大量和高强度的药物中毒电话正在影响急救人员的心理健康。本研究调查了密苏里州急救人员的倦怠和心理健康求助态度。该研究包括3059名参与者，其中76.4%是执法人员（LEO）， 23.6%是紧急医疗服务人员/消防员（EMS/FF）。参与者主要由男性组成（80%），大多数人目睹了过量死亡（53%）。野外经验、心理健康求助和倦怠的描述性分析和结构方程模型（SEM）表明，低狮子座的[1]情绪衰竭和去人格化水平高于EMS/FF (β= 0.25和β= 0.28, p < 001)， [2] EMS/FF的个人成就得分高于LEO （β= - 0.10, p = 0.046）。[3]较高的人格解体和情绪耗竭水平与较低的心理健康求助水平相关（β = 0.27和β = 0.50, p < .001），[4]较高的个人成就感水平与较高的心理健康求助水平相关（β = - 0.37, p < 001）， 5) EMS/FF的倦怠程度低于LEO。这项研究强调了急救人员职业内部和不同职业之间职业倦怠的重要差异。此外，本研究还为有针对性的研究奠定了基础，这些研究将重点关注这些人的职业倦怠是如何表现出来的，它是如何影响他们的工作的，以及工作环境是如何受到影响的。展望未来，研究和实践应该优先探索寻求心理健康帮助如何影响倦怠。

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.