TY  - JOUR
PY  - 2022//
TI  - Predictors of suicide and differences in attachment styles and resilience among treatment-seeking first responder subtype
JO  - Journal of Occupational and Environmental Medicine
A1  - Ponder, Warren N.
A1  - Carbajal, Jose
A1  - Whitworth, James
A1  - Schuman, Donna L.
A1  - Galusha, Jeanine M.
A1  - Yockey, Robert
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: Identify the predictors of suicide for firefighters (FFs), emergency medical technicians (EMTs), and law enforcement officers (LEOs). <br><br>METHOD: We used baseline data from FFs/EMTs (n = 69), and LEOs (n = 81) to investigate the unique predictors for both first responder subtypes. We conducted Confirmatory Factor Analysis (CFA) on validated assessments of posttraumatic stress disorder (PTSD) and depression. Measures of attachment, resilience, PTSD, depression, generalized anxiety, trauma history, and substance use were the independent variables in two backwards stepwise regressions predicting suicide. <br><br>RESULTS: Substance use and somatic depression were significant predictors for LEOs whereas affective depression, anhedonia, externalizing behaviors, trauma history, and generalized anxiety were significant predictors for FF/EMTs. LIMITATIONS: These data are cross-sectional and should be modeled longitudinally over the course of treatment. <br><br>CONCLUSION: Separate constructs influence suicide for LEOs and FF/EMTs.<p />  <p>Language: en</p>
LA  - en
SN  - 1076-2752
UR  - http://dx.doi.org/10.1097/JOM.0000000000002750
ID  - ref1
ER  -