Alcohol use and suicidality in firefighters: Associations with depressive symptoms and posttraumatic stress
Abstract
Both suicidality and alcohol use disorders are significant public health concerns among firefighters, and alcohol use is associated with increased suicide risk. In addition, firefighters endorse high rates of symptoms of depression and posttraumatic stress disorder (PTSD). Thus, the current investigation examined associations between alcohol dependence and suicide risk among a large sample of firefighters. Specifically, this study examined the indirect effects of alcohol dependence on suicidality outcomes via both depression and posttraumatic stress, using structural equation modeling. A total of 2883 male firefighters completed a self-report survey, containing measures of alcohol use, suicidality, PTSD, and depressive symptoms. Results indicated good model fit. The latent alcohol dependence variable was directly related to the latent suicide risk variable. However, when depression and posttraumatic stress latent variables were added into the model, alcohol dependence was no longer associated with suicide risk. Furthermore, alcohol dependence was indirectly related to suicide risk via latent depression and posttraumatic stress variables. Indirect effects were established after controlling for relevant covariates. Clinical implications are discussed.
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In 2883 male firefighters, there is a significant association between alcohol dependence and suicide risk.
“Martin et al. [97] examined the impact of alcohol dependence on suicide risk in 2883 male firefighters. Their results indicated a significant association between alcohol dependance and suicide risk in firefighters.”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [97]
Alcohol dependence is linked to increases in depression, which further predicted suicide risk factors.
“Additionally, they found evidence linking alcohol dependance to increases in depression, which further predicted suicide risk factors [97].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [97]
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- Authors
- Martin, C. E., Vujanovic, A. A., Paulus, D. J., Bartlett, B., Gallagher, M. W., & Tran, J. K.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- University of Houston (US)
- Corresponding author
- Vujanovic, Anka A.
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 74
- Pages
- 44-52
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2569722009
- Cited by
- 49
- References
- 86
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 3 · 2021: 12 · 2020: 7 · 2019: 7 · 2018: 2 · 2017: 1
- FWCI
- 5.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- firefighters, alcoholism, suicidality, suicide risk, depression, post-traumatic stress disorder, occupational stress, indirect effects
- MeSH terms
- Adult, Alcohol Drinking, Alcoholism, Depression, Humans, Male, Models, Psychological, Stress Disorders, Post-Traumatic, Suicide, Young Adult, Self Report, Suicidal Ideation, Firefighters
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