Suicide prevention: What to know

Contributed by MnFIRE Mental Health Director Melinda Coscarelli, PhD, LPCC, LADC

According to the Minnesota Department of Health, recent data shows more than 800 Minnesotans die by suicide every year. In Minnesota’s fire service, research by the National Alliance on Mental Illness tells us that nearly 50% of firefighters are currently experiencing or have experienced suicidal thoughts. Sadly, approximately four to six Minnesota firefighters will choose to die by suicide each year.

The causes of suicide are complex, but we do know the repeat exposure to traumatic events that firefighters face can pose significant risk to their mental health, and leave them at a higher risk for suicide. Suicide is preventable, but there is a stigma around the topic that stops people from admitting they are struggling and getting the help they need. By raising awareness and learning how to support each other, we can make a positive change and save lives.

Know the risk factors

Being aware of risk factors is one of the first ways you can help prevent suicide. Two of the most common risk factors for suicide are depression and post-traumatic stress injury (PTSI). Studies show that firefighters are five times more likely to experience depression. It usually presents as continuous sadness, hopelessness and a lack of interest for the activities previously enjoyed. Additionally, PTSI can also be a warning sign. In fact, because of the daily high-stress and sometimes tragic calls that firefighters respond to, one in five firefighters meet the criteria for PTSI.

Know the warning signs

Something to look out for when concerned that a person may be suicidal is behavior changes. Warning signs could include isolation or withdrawing from family and friends, a substance abuse disorder, poor sleep habits, mood swings, or lack of hygiene and weight loss. Listen for language that refers to not being included anymore, or the world being better after not being around any longer. It’s important that if you fear someone is in immediate danger of harming themselves, do not leave them alone – call a crisis line or health care provider.

There is help

It’s important for all first responders to have a healthy outlet for releasing their mental and emotional struggles. Counseling can offer professional support by giving you tools to manage and relieve mental and emotional symptoms. Peer support is another great option for having a trusted person you can talk to and relate to with your story. Exploring faith and spirituality can also sometimes help you find more direction, connection and clarity in life.

Life is full of ups and downs and twists and turns. We all experience hard times. But it’s always temporary. Suicide is never the answer. Know that it’s OK to ask for help, and it’s a gift to allow someone to help you.

MnFIRE is here

As a Minnesota firefighter or family member, you have a whole support team behind you thanks to the MnFIRE Assistance Program! The MnFIRE helpline is staffed by masters-level clinicians all day, every day. From one-on-one calls to department debriefs, during the middle of a crisis or after a tough call, we are here for you. Don’t hesitate to use this free, confidential resource available 24/7 to all full-time, part-time, on-call and volunteer firefighters and their families in Minnesota. Just call 888-784-6634.

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