Cited by 49Suicide and Self-Harm StudiesPosttraumatic Stress Disorder ResearchSubstance Abuse Treatment and Outcomes

Alcohol use and suicidality in firefighters: Associations with depressive symptoms and posttraumatic stress

Martin, Colleen E., Vujanovic, Anka A., Paulus, Daniel J., Bartlett, Brooke, Gallagher, Matthew W., Tran, Jana K.·2017·Comprehensive Psychiatry

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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Crossref · 10.1016/j.comppsych.2017.01.002

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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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