The Minnesota fire service community recently gathered at Grand Casino Mille Lacs in Onamia for a full day of inspiring and hands-on health and wellness training at our 2025 Firefighter Health Forum.

The goal of the event was to share expertise, informative tips and resources to help protect and empower firefighters – and their families – in their professional and personal lives. Firefighters, their partners and spouses, and MnFIRE peer supporters were all immersed in the forum sessions together.

The year’s keynote speaker Ali Rothrock, a first responder mental health advocate, crisis counselor and author, helped set the tone for the day by talking about fostering resilience on and off the job. She reflected on some traumatic experiences early in her career and how they’ve impacted where she is today.

In a post-event survey, one attendee shared, “I found Ali incredibly helpful, insightful and relatable. The way she was able to talk about trauma in a way that everyone could understand was fantastic.”

In other breakout sessions, attendees learned about fitness and nutrition, first responder safety and self-defense, cardiovascular health, optimizing sleep habits, and suicide prevention – all based on the demands of the fire service, and the occupational health risks facing firefighters every day.

The movement sessions were a hit, particularly an interactive mobility session led by Blake Christenson of Iron Maltese Athletics with him modeling proper hip and shoulder movements to help firefighters reduce their risk of injury on the job. A few attendees walked away excited to bring this simple warm-up routine back to their departments.

At lunch during the forum, Monte Fronk, Head of Tribal Emergency Management for the Mille Lacs Band of Ojibwe, presented Garrison Fire and Rescue Captain and MnFIRE peer supporter Jen Elleraas with a special gift. Garrison Fire and Rescue is a volunteer fire department and the Mille Lacs Band of Ojibwe – one of 11 federally recognized tribes in Minnesota – is one of the largest communities they serve.

Under Jen’s leadership, the department has worked to improve its communications and outreach, including participating in the annual Mille Lacs Band fire prevention/safety day at the tribal schools on the reservation and assisting Monte with already established NFPA 1300 community risk reduction efforts. Jen was recently recognized as the 2024 MSFCA Fire Officer of the Year for populations under 10,000. But to personally thank Jen and show his appreciation, Monte gave her a traditional gift of a blanket that recognizes her passion and efforts to improve safety for the Mille Lacs Band.

Nearly 90% of attendees who took our post-event survey, said they’d recommend future MnFIRE Firefighter Health Forums to others.

Thank you to all the incredible presenters and attendees who made this such an impactful and memorable event! We are so grateful for our fire service community.

Interested in bringing this kind of training to your department? MnFIRE’s no-cost trainings through the state’s Hometown Heroes Assistance Program provide crucial information about health and wellness topics impacting those in the fire service, such as cardiovascular health, emotional wellness, cancer, sleep, fitness and nutrition. Learn more and register your department for a training here.

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.

Firefighting is no easy task. The mental struggles that come with the job run as deep as the physical ones. Firefighters experience traumatic stress at high rates, which can weigh on someone day after day in this vital yet demanding job.

Those in the fire service experience much higher rates of mental health challenges than the general population, particularly in the areas of sleep disorders, depression, substance abuse, post-traumatic stress disorder, and what we’re bringing more awareness to today, suicidal ideation and action.

The International Association of Fire Fighters (IAFF) estimates that approximately half of all firefighters think about ending their life. In Minnesota, four to six active firefighters die from suicide each year.

In honor of World Suicide Prevention Day Sept. 10, we want to provide reminders about the heightened risks for firefighters, warning signs and how to help yourself or someone you know who may be at risk.

Individual experiences vary, but people who are considering suicide usually report feeling hopeless, worthless, agitated and/or overwhelmed, among other strong emotions. While the feelings the person is going through are intense, they usually are temporary – and treatable with professional help.

Who’s at risk for suicide?

Suicide is a global phenomenon that affects people in all regions of the world. In fact, it is one of the leading causes of death worldwide, according to the World Health Organization. Each year, more than 700,000 people die by suicide – that’s about one in every 100 deaths. And, for each suicide, there are more than 20 suicide attempts.

Situational or chronic mental health disorders are often linked to a person’s suicidal thoughts or attempts. Globally, WHO estimates more than 264 million people of all ages have depression, which also is the leading cause of disability worldwide and a disorder that can lead to suicide. However, not all people with mental illness contemplate suicide. People who do not have a history of mental illness also might consider and attempt suicide.

Risk factors and warning signs

Factors that could put a person at risk for suicide include:

• Previous suicide attempt(s)
• Mental illness, particularly depression
• Alcohol or substance use disorder
• Stress and crises, such as financial or legal problems
• Chronic pain or physical illness
• Severe emotional distress, such as from war, conflict, disaster, physical or sexual violence, abuse, loss of a loved one
• Social isolation
• Discrimination, bullying, especially due to gender identity or sexual orientation
• Family history

Most people who die by suicide exhibit verbal and behavioral warning signs before doing so. These may include: talking about wanting to die or threatening to kill oneself, feeling trapped or hopeless or having no reason to live; looking for ways to kill oneself; increasing use of alcohol or drugs; showing rage or talking about seeking revenge; giving away valued possessions, or writing a will; withdrawing from loved ones; sleeping too much or too little; and experiencing extreme mood swings.

Helping someone who’s at risk

Important: If you fear a person is in immediate danger of harming themselves, do not leave them alone. Reach out for professional help – contact emergency services, a crisis line, or a health care provider.

If you are concerned a loved one is considering suicide, discreetly let them know of your concern and start a conversation to encourage them to seek professional help from a clinician or a local prevention resource or support group. Listen to what they say, and offer to help them find a resource and/or to go with them as support. From there, keep in touch with them and ask how they’re doing. If need be, reiterate your concern and again encourage them to seek professional help.

Helping yourself cope

Losing someone you care about to suicide can be – in a word – devastating. It’s common to feel overwhelmed, shocked and grief-stricken. It’s also common to feel a host of other emotions, including anger, confusion, guilt, shame and relief. The reality is, there is no right or wrong way to feel because everyone – whoever or wherever they are – experiences loss differently. As hard as it is, in time and with support, you can begin to heal and feel better.

Try to remember you are not alone, and you do not have to go through this alone. Ask for support and accept help from trusted friends and family. Peer supporters who have experienced similar tragedy and stress are also available to listen and provide confidential support.

Especially if you have been unable to complete day-to-day activities, are struggling with difficult emotions, or have felt emotionally numb for several weeks, seek professional help.

We’re here for you.

Confidential help is available over the phone or online, anytime for any firefighter and/or their family through the free and confidential MnFIRE Assistance Program (MAP). No call or inquiry is too small. If something happened on the job or in your life, or if you’re just feeling stressed, we’re here to help.

For more details or for help, call 888-784-6634 or visit https://mnfireinitiative.com/hhap/.

Repurposed from MnFIRE Assistance Program partner, Optum