Cited by 72Workplace Health and Well-beingOccupational Health and BurnoutStress and Burnout Research

The importance of manager support for the mental health and well-being of ambulance personnel

Open access
Petrie, Katherine, Gayed, Aimée, Bryan, Bridget T., Deady, Mark, Madan, Ira, Savic, Anita, Wooldridge, Zoe, Counson, Isabelle +3 more·2018·PLOS ONE

Abstract

Interventions to enhance mental health and well-being within high risk industries such as the emergency services have typically focused on individual-level factors, though there is increasing interest in the role of organisational-level interventions. The aim of this study was to examine the importance of different aspects of manager support in determining the mental health of ambulance personnel. A cross-sectional survey was completed by ambulance personnel across two Australian states (N = 1,622). Demographics, manager support and mental health measures were assessed. Hierarchical multiple linear regressions were conducted to determine the explanatory influence of the employee's perception of the priority management places upon mental health issues (manager psychosocial safety climate) and managers' observed behaviours (manager behaviour) on employee common mental disorder and well-being within ambulance personnel. Of the 1,622 participants, 123 (7.6%) were found to be suffering from a likely mental disorder. Manager psychosocial safety climate accounted for a significant amount of the variance in levels of employee common mental health disorder symptoms (13%, p<0.01) and well-being (13%, p<0.01). Manager behaviour had a lesser, but still statistically significant influence upon symptoms of common mental disorder (7% of variance, p<0.01) and well-being (10% of variance, p<0.05). The perceived importance management places on mental health and managers' actual behaviour are related but distinct concepts, and each appears to impact employee mental health. While the overall variance explained by each factor was limited, the fact that each is potentially modifiable makes this finding important and highlights the significance of organisational and team-level interventions to promote employee well-being within emergency services and other high-risk occupations.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1371/journal.pone.0197802

Cites

12 of 12 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Manager psychosocial safety climate accounted for a significant amount of variance in levels of mental health disorders in the workforce, but only 7.6% of 1622 participants were identified as having a mental health disorder.

    “Petrie et al. identified that the manager psychosocial safety climate accounted for a significant amount of variance in levels of mental health disorders in the workforce but only identified 7.6% of their 1622 participants as having a mental health disorder”

    From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Petrie et al., 2018

    The Results (page not specified) report that manager psychosocial safety climate accounted for 13% of the variance in common mental disorder symptom scores, and that 123 of 1,622 ambulance personnel (7.6%) screened positive. The claim omits an important qualification: the study identified participants with symptoms of a likely disorder, not confirmed diagnoses of a mental health disorder. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Among ambulance personnel, manager psychosocial safety climate accounted for a significant amount of variance in levels of employee common mental health disorder symptoms and well-being.

    “Manager psychosocial safety climate accounted for a significant amount of variance in the levels of employee common mental health disorder symptoms and well- being.”

    From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Petrie, K., Gayed, A., Bryan, B., Deady, M., Madan, I., Savic, A, Wooldridge, Z., Counson, I., Calvo, R., Glozi- er, N. & Harvey, S. 2018

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 34

  1. [1]Harvey SB, Deady M, Wang MJ, Mykletun A, Butterworth P, Christensen H, et al Is the prevalence of mental illness increasing in Australia? Evidence from national health surveys and administrative data, 2001–2014. Med J Aust. 2017; 206(11): 490– 3. 28918719
  2. [2]Harvey SB, Henderson M. Occupational psychiatry. Psychiatry. 2009; 8(5): 174– 8.
  3. [3]Harvey SB, Henderson M, Lelliott P, Hotopf M. Mental health and employment: much work still to be done. Br J Psychiatry. 2009; 194(3): 201– 3. doi: 10.1192/bjp.bp.108.055111 19252144 · DOI
  4. [4]McFarlane AC, Bryant RA. Post-traumatic stress disorder in occupational settings: anticipating and managing the risk. Occupational Medicine. 2007; 57(6): 404– 10. doi: 10.1093/occmed/kqm070 17728313 · DOI
  5. [6]Mitchell JT. Crisis intervention & CISM: A research summary. Retrieved August. 2003;12:2004.
  6. [8]Petrie K, Joyce S, Tan L, Henderson M, Johnson A, Nguyen H, et al A framework to create more mentally healthy workplaces: A viewpoint. Aust N Z J Psychiatry. 2017: 4867417726174. 28835112
  7. [11]Dollard MF, Bakker AB. Psychosocial safety climate as a precursor to conducive work environments, psychological health problems, and employee engagement. Journal of Occupational and Organizational Psychology. 2010; 83(3): 579– 99.
  8. [12]Hall GB, Dollard MF, Coward J. Psychosocial safety climate: Development of the PSC-12. International Journal of Stress Management. 2010; 17(4): 353.
  9. [13]Idris MA, Dollard MF, Coward J, Dormann C. Psychosocial safety climate: Conceptual distinctiveness and effect on job demands and worker psychological health. Safety Science. 2012; 50(1): 19– 28.
  10. [14]LaMontagne AD, Keegel T, Shann C, D'Souza R. An integrated approach to workplace mental health: an Australian feasibility study. International Journal of Mental Health Promotion. 2014; 16(4): 205– 15.
  11. [15]Harvey SB, Milligan-Saville JS, Paterson HM, Harkness EL, Marsh AM, Dobson M, et al The mental health of fire-fighters: An examination of the impact of repeated trauma exposure. Aust N Z J Psychiatry. 2015. 26607303
  12. [16]Du Preez J, Sundin J, Wessely S, Fear N. Unit cohesion and mental health in the UK armed forces. Occupational medicine. 2011; 62(1): 47– 53. doi: 10.1093/occmed/kqr151 22003060 · DOI
  13. [17]Jones N, Seddon R, Fear NT, McAllister P, Wessely S, Greenberg N. Leadership, cohesion, morale, and the mental health of UK Armed Forces in Afghanistan. Psychiatry: Interpersonal & Biological Processes. 2012; 75(1): 49– 59. 22397541
  14. [18]Jones N, Campion B, Keeling M, Greenberg N. Cohesion, leadership, mental health stigmatisation and perceived barriers to care in UK military personnel. Journal of Mental Health. 2016: 1– 9. 27319607
  15. [19]Armistead-Jehle P, Buican B. Evaluation context and Symptom Validity Test performances in a US Military sample. Archives of Clinical Neuropsychology. 2012; 27(8): 828– 39. doi: 10.1093/arclin/acs086 23047953 · DOI
  16. [23]Harvey SB, Milligan-Saville JS, Paterson HM, Harkness EL, Marsh AM, Dobson M, et al The mental health of fire-fighters: An examination of the impact of repeated trauma exposure. Australian & New Zealand Journal of Psychiatry. 2016; 50(7): 649– 58. 26607303
  17. [24]Milligan‐Saville JS, Paterson HM, Harkness EL, Marsh AM, Dobson M, Kemp RI, et al The Amplification of Common Somatic Symptoms by Posttraumatic Stress Disorder in Firefighters. Journal of Traumatic Stress. 2017; 30(2): 142– 8. doi: 10.1002/jts.22166 28273379 · DOI
  18. [25]Bennett P, Williams Y, Page N, Hood K, Woollard M. Levels of mental health problems among UK emergency ambulance workers. Emerg Med J. 2004; 21(2): 235– 6. doi: 10.1136/emj.2003.005645 14988360 PMC1726283 · DOI
  19. [27]Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-L, et al Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological medicine. 2002; 32(6): 959– 76. 12214795
  20. [28]Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, et al The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. International journal of methods in psychiatric research. 2008; 17(3): 152– 8. doi: 10.1002/mpr.257 18763695 PMC6878390 · DOI · Paper page
  21. [30]Veldhuizen S, Cairney J, Kurdyak P, Streiner DL. The sensitivity of the K6 as a screen for any disorder in community mental health surveys: a cautionary note. The Canadian Journal of Psychiatry. 2007; 52(4): 256– 9. doi: 10.1177/070674370705200408 17500307 · DOI
  22. [32]Stewart-Brown S, Tennant A, Tennant R, Platt S, Parkinson J, Weich S. Internal construct validity of the Warwick-Edinburgh mental well-being scale (WEMWBS): a Rasch analysis using data from the Scottish health education population survey. Health and quality of life outcomes. 2009; 7(1): 15. 19228398 PMC2669062
  23. [34]Hall GB, Dollard MF, Winefield AH, Dormann C, Bakker AB. Psychosocial safety climate buffers effects of job demands on depression and positive organizational behaviors. Anxiety, Stress & Coping. 2013; 26(4): 355– 77. 22793792
  24. [35]Sterud T, Hem E, Ekeberg O, Lau B. Health problems and help-seeking in a nationwide sample of operational Norwegian ambulance personnel. BMC Public Health. 2008; 8 (no pagination)(3). PMC2254402 18177497
  25. [36]Sterud T, Hem E, Lau B, Ekeberg O. A comparison of general and ambulance specific stressors: Predictors of job satisfaction and health problems in a nationwide one-year follow-up study of Norwegian ambulance personnel. Journal of Occupational Medicine and Toxicology. 2011; 6 (1) (no pagination)(10). doi: 10.1186/1745-6673-6-10 21450112 PMC3074526 · DOI
  26. [37]Neal A, Griffin MA. A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of applied psychology. 2006; 91(4): 946 doi: 10.1037/0021-9010.91.4.946 16834517 · DOI
  27. [38]Carr JZ, Schmidt AM, Ford JK, DeShon RP. Climate perceptions matter: a meta-analytic path analysis relating molar climate, cognitive and affective states, and individual level work outcomes. The Journal of applied psychology. 2003; 88(4): 605– 19. 12940402
  28. [39]Kendler KS, Gatz M, Gardner CO, Pedersen NL. A Swedish national twin study of lifetime major depression. American Journal of Psychiatry. 2006; 163(1): 109– 14. doi: 10.1176/appi.ajp.163.1.109 16390897 · DOI · Paper page
  29. [40]Sullivan PF, Neale MC, Kendler KS. Genetic epidemiology of major depression: review and meta-analysis. American Journal of Psychiatry. 2000; 157(10): 1552– 62. doi: 10.1176/appi.ajp.157.10.1552 11007705 · DOI · Paper page
  30. [41]Fanous AH, Neale MC, Aggen SH, Kendler KS. A longitudinal study of personality and major depression in a population-based sample of male twins. Psychological medicine. 2007; 37(8): 1163– 72. doi: 10.1017/S0033291707000244 17407614 · DOI
  31. [44]Moffitt J, Bostock J, Cave A. Promoting well-being and reducing stigma about mental health in the fire service. Journal of Public Mental Health. 2014; 13(2): 103– 13.
  32. [45]Nishiuchi K, Tsutsumi A, Takao S, Mineyama S, Kawakami N. Effects of an education program for stress reduction on supervisor knowledge, attitudes, and behavior in the workplace: a randomized controlled trial. Journal of occupational health. 2007; 49(3): 190– 8. 17575399
  33. [46]Dimoff JK, Kelloway EK, Burnstein MD. Mental health awareness training (MHAT): The development and evaluation of an intervention for workplace leaders. International Journal of Stress Management. 2016; 23(2): 167.
  34. [47]Milligan-Saville JS, Tan L, Gayed A, Barnes C, Madan I, Dobson Mea. Workplace mental health training for managers: Results of a cluster randomized controlled trial. Lancet Psychiatry. In press(In press). 29031935

Cited by

Sorted by citations

Authors
Petrie, K., Gayed, A., Bryan, B. T., Deady, M., Madan, I., Savic, A., Wooldridge, Z., Counson, I., Calvo, R. A., Glozier, N., & Harvey, S. B.
Affiliations
  • Black Dog Institute (AU)
  • UNSW Sydney (AU)
  • St Thomas' Hospital (GB)
  • Ambulance Victoria (AU)
  • NSW Ambulance (AU)
  • The University of Sydney (AU)
Corresponding author
Harvey, Samuel B.
Venue
PLOS ONE
Published
2018-05-23
Volume
13
Issue
5
Pages
e0197802
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2803816305
Cited by
72
References
12
Citations by year
2026: 10 · 2025: 11 · 2024: 13 · 2023: 10 · 2022: 14 · 2021: 7 · 2020: 5 · 2019: 2
FWCI
5.35
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Research Portal (King's College London) (submittedVersion, cc-by)
  • Spiral (Imperial College London) (submittedVersion, other-oa)
  • UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by)
Funders
  • beyondblue
  • Movember Foundation
Topics
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Keywords
manager support, ambulance personnel, mental health, well-being, common mental disorders, psychosocial safety climate, organizational interventions, emergency services, high-risk occupations, workplace mental health
MeSH terms
Adult, Ambulances, Mental Disorders, Cross-Sectional Studies, Female, Health Personnel, Humans, Male, Mental Health, Middle Aged, Occupational Health Services, Linear Models, Occupational Health, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review