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How is the Mental Health of UK Firefighters

Summary

Exposure to trauma, high stress situations and sleep problems are well-known factors affecting the mental health of firefighters. Little is known about the link between firefighters’ exposure to fire and mental health problems. The UK’s Fire Pollution Study examined the health of firefighters and their potential exposure to pollution. Participants were asked to answer 64 questions online anonymously. Logistic regression analyzes assessed associations between self-reported mental health problems and proxy indicators of pollution exposure.

The results showed that firefighters who detect soot in their nose/throat more than one day after going to a fire (OR) = 1.8, 1.4-2.4) and those who remain in personal protective equipment (PPE) for more than 4 hours after the fire (OR = 1.9, 1.2–3.1), almost twice as likely to report a mental health disorder. Significant discomfort rates were also observed for the three outcomes of interest (anxiety, depression, and/or any mental health problem) among firefighters who take PPE home to use clean up. 61% of firefighters reported sleep problems. These firefighters were 4.2 times more likely to report mental health problems (OR = 4.2, 3.7–4.9), 2.9 times more likely to report anxiety (OR = 2.9, 2.4–3.5) and 2.3 times more likely to report depression. depression (OR = 2.3, 1.9–2.8) compared to firefighters who did not report sleep problems. Effective pollution control within the UK fire and rescue service, and the well-being of firefighters, can play an important role in protecting the mental health of firefighters.

Introduction

Mental health problems can be caused by a combination of psychological, environmental, biological and chemical factors. Currently, research on the mental health of firefighters focuses on psychological factors such as direct exposure to trauma1 or work stress2, revealing that firefighters experience more risk for suicide3, depression1,2 and post-traumatic stress disorder (PTSD)4. This research read the results of other professionals, e.g. Suddenly the 카지노사이트 주소 fire of a crop, sleeping sleeping: and physical and / or emotional and health care workers. However, a little is known about the relationship between fire-on-fire shows and health services and health.

Smoke is a mixture of different chemicals with different toxicity and behavior 6. A growing body of research has identified a number of different types of fire that contaminate firehouses and fire extinguishers ‘PPE’. High levels of polybrominated diphenyl ethers (PBDEs) 7,8, polychlorinated and polybrominated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs and PBDD/Fs) 9 or gas-phase halogenated flame retardants7 have also been reported in the blood and firefighters’ urine10 – suggesting multiple routes of chronic exposure11,12,13,14,15,16.

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Many aspects of secondhand smoke have been linked to mental health problems. For example, the United States Environmental Protection Agency and the Agency for Toxic Substances and Disease Registry have found that exposure to neurotoxic chemicals such as mercury and lead, or endocrine disruptors such as polychlorinated biphenyls compounds, PBDEs or poly- and perfluoroalkyl English (PFAS) , can lead to hormonal disruption and / or neuroendocrine disruption, leading to conditions such as depression and anxiety17.

In addition, suffering from life-changing, painful and/or chronic physical health conditions (eg. The UK Fire Pollution Inquiry revealed a number of practices that would increase firefighter exposure to pollution and/or encourage the return of pollution to the workplace/home18.

This article examines one of the many possible health consequences of such an expansion, linking indicators of pollution to self-reported mental health problems among UK firefighters (see also Wolffe et al. 18). By examining the mental health risks for a range of pollution control measures, the research provides an interim approach to quickly identify areas where the UK’s fire and rescue services can find the best. Resources to improve the occupational health of firefighters.

Research Design

The methods used for the analysis and analysis of the results are detailed in Wolffe et al.18 and are further summarized in S2 Supplementary File. The University of Central Lancashire Ethics Committee provided ethical approval for this research and all research was conducted in accordance with relevant ethics and standards. Briefly, all currently working UK firefighters (ie excluding retirees) were eligible to take part in the survey and were recruited to participate via email from the Fire Brigades Union (including members make up 75% of total UK electricity use18,19). ). Firefighters were asked to respond anonymously to the online survey. Consent was obtained from all participants.

The survey, which lasted about 20 minutes, consisted of 64 questions covering six main topics (Tables S1, S2, S3, S4, S5 and S6): demographics, PPE, workplace pollution, personal pollution, attitude/awareness and training, and health. (Supplementary file S1). Branch rings were used to guide participants in this survey based on answers to previous questions.

Mental Health Problems

Firefighters can select a number of positions specified in the list, as shown in fig. 1 in another file S1. The analyzes conducted in this article specifically examine any mental health conditions (ie those reporting at least one of the listed mental health conditions), anxiety, or depression. Analysis
Comprehensive case studies were completed for all firefighters who responded to questions about mental health and exposure to hazardous materials.

Multiple regression analysis was used to determine the relationship between mental health problems and the potential for exposure to fire, adjusting for non-hazardous and confounding factors considered in the analysis. of work, sleep. stress20, excessive alcohol consumption21,22, smoking23, infrequent exercise24, having a sedentary job (such as work-related stress25), exposure to heat (constant exposure to trauma26), poor physical health another physical condition (i.e. diabetes27,28, high blood pressure29,30, cancer31,32 or reproductive problems33,34,35) and having another mental health condition36 (for the diagnosis of depression and anxiety).

Analyzes were performed using the statsmodels module for Python 337 and the Statistical Package for the Social Sciences (SPSS) version 28.0.1.1. Note that firefighters reporting only attention deficit hyperactivity disorder (ADHD) or only autism spectrum disorder (ASD) were excluded from the logistic regression analysis, because these conditions represent developmental disabilities, appears for the first time in childhood and is often investigated in the beginning. exposure to pollution. , more than the exposure that firefighters receive as adults during their careers.

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Odds ratios (ORs) with 95% confidence intervals are presented as a way to evaluate statistical differences in the prevalence of mental health problems between different demographic groups, or between (with strength) groups with a high risk rather than a low risk of exposure. pollution.

Results and Analysis

A total of 10,649 firefighters responded to the questionnaire, representing approximately 24% of the total UK firefighter workforce (Wolffe et al.18). Participant numbers were analyzed in Wolffe et al. 18, but it is different in English firefighters38 about gender (p> 0.05), but it means that young people, firefighters and small ethnic firefighters (p < 0.05) 18.

About 19% (n=2019) of firefighters reported having at least one mental health problem. Figure 1 shows the range and frequency of mental health conditions selected by firefighters, which is compared to conditions common to the general English population (where possible3). Note that firefighters may choose more than one mental health problem. Self-reported anxiety was the most common among firefighters (about 12%), followed by depression (about 10%) and post-traumatic stress disorder. (PTSD) (about 5%), as shown in fig. 1. The rate of self-anxiety and depression in those who are burning is also higher than the English (Figure 1, the difference in the test size p < 0.05).

Study Shows Canadians’ Mental Health Declines While on Vacation

Research from digital health platform Felix reveals the mental health challenges Canadians face while on vacation.

The report, released last month, found that one in four people say their mental health is getting worse these days as many people experience a mix of emotions. Felix’s chief medical officer, Dr Kelly Anderson, said the holidays were “a time to turn everything around”.

“We’re traveling, we’re not eating what we usually eat, it’s darker than usual.”

Anderson adds that some may feel lonely and isolated.

READ: What Convictions Mean for Mentality

The survey also found that depression and anxiety are the most common mental health problems, affecting 39% of Canadians. In addition, almost 60 percent of respondents said they would seek treatment or go more often if it were cheaper.

Olabiyi Dipeolu understood the need and inequality in access to work, that’s why he created Maqoba.com. This is a website that sells merchandise to raise money for mental health initiatives and charities. The platform also offers free mental health resources to its users. Dipeolu said: “Because of the history of Canada, some groups are isolated and they don’t have opportunities, either from the workplace or from different organizations.

Anderson says when it comes to dealing with your mental health issues these days, it’s best to stick to the basics. Some of his top tips include:

Take care of your physical health by getting enough sleep, exercising regularly and eating a healthy diet.
Pay attention to your social media consumption.

Consider contacting a friend or family member.
He says to try to meet people “face to face”.

“This type of connection, even if it’s short, can be really useful.”

If you or someone you know is in trouble and needs help, resources are available. In an emergency, please call 911 for immediate assistance.

Crisis Canada’s toll-free helpline offers 24/7 support at 1-833-456-4566. The toll-free Kids Helpline at 1-800-668-6868 has 24/7 support for youth and a crisis text line, which can be reached by texting HOME to 686868.

The non-profit HOPE for Medical Assistance provides 24/7 support for citizens at 1-855-242-3310. Online chat service is also available.

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Trans Lifeline operates a toll-free helpline for trans and people with questions at 1-877-330-6366.

Demand for mental health services has increased, pushing some providers to their limits

Psychiatrists say demand for their services has increased because of the epidemic, with long waiting lists, fewer affordable options and increasingly limited therapists.

According to a recent survey by the Canadian Mental Health Association (CMHA) Ontario, a quarter of all people in Ontario needed mental health support in February, a significant increase from 9% of respondents. said that they have sought help in a similar election. from the meeting two years ago. Almost half of respondents to the February poll said their mental health had deteriorated since the start of the pandemic and almost a quarter said they had consumed too much alcohol, wine and tobacco than before the disease 온라인카지노.

What it does not capture, however, is the number of people who are turned away by a provider, either because the patient list is full or because the provider is full that day. . Several counseling centers and clinics in London, Ont., called by CBC News, have pre-recorded messages warning new clients of long wait times and late responses to their inquiries.

Increasing demand

Jordan Thomas, a social worker and clinical director of the London Center for Trauma Therapy, opened in October 2020 as the epidemic continues. Soon, it was flooded with customers looking for support they couldn’t find anywhere else.

“Infectious diseases and forced isolation and lack of access to fulfilling activities have worsened their already dire situation,” he said. “What we’ve seen is a lot of depression, a lot of frustration, powerlessness, lack of optimism about the future.”

“There has been a real increase in the number of people seeking mental health support.”

This increase is also seen in the number of people calling the CHMA Thames Valley Addiction and Mental Health Services Crisis and Support Line. The service saw a 26% increase in call volume in the first year of the disease, from 39,229 c.

He said, “You can only provide a good service if you take care of yourself, so as an employer, we really try to help people relax, help them and their schedule, if they are sick, let them stay at home,” he said. Mitchell said the pandemic is encouraging at first as it is forcing providers to find new ways to help clients, whether through virtual therapy or delivery to clients. hot food by the window.

“If it doesn’t stop, no matter who you are, what you do, or how strong you are, it’s going to take a toll on yourself,” she said. Now that the epidemic has largely subsided, Mitchell said inflation and rising living standards are starting to add to the growing list of factors that make people’s mental health worse.

“For some people it’s hitting them harder than COVID,” he said, adding that while he’s optimistic about the future, things could get worse before they get better. about the state of mental health in the country. “The real impact may take us a little while to see because people don’t spend days now,” Mitchell said.

“We’re being cautious in our predictions, but we believe that [the impact of the epidemic] will last on the mental health side for more than three years.

Portland’s Mayor’s Mental Health Advocacy

Portland Mayor Ted Wheeler wants to make it easier to commit people who live on the streets to hospitals, even if they haven’t committed any crimes.

Wheeler said, “When I see people walking through the air without proper clothing, naked, they’re freezing to death, they’re exposed… house full of business owners recently, “They need help and they need compassion.”

Wheeler’s comments came during a meeting to discuss crime in East Central Portland. The mayor organized the meeting after the owner of Portland’s famous Salt & Straw ice cream parlor threatened to leave the city in his own efforts to support public parks. He was asked directly at the meeting whether he would support involuntary hospitalization of many people. Wheeler prepared the audience, saying they would be “very angry” about his speech.

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But, yes, he continued, he thinks it’s time to consider lowering the threshold for civilian commitments and forcing the most vulnerable people in the country to seek mental health help against their will. Currently, a person can only do so by order of a judge if he represents an immediate danger to himself or others and cannot meet his needs.

The public applauded the mayor’s appeal, a remarkable response in a city that has always prided itself on its compassionate and compassionate approach to helping the homeless and those struggling with mental health issues. “We’re in the middle of a transition where many people who used to be sympathetic to homelessness are now angry,” said Jason Renaud of the Portland Mental Health Association. “People are angry at the homeless and blaming them. It is a change that comes from the region, the city and the state did not do anything about this problem, to the point where people are going crazy.

Wheeler’s plan to tackle the growing street problem includes a ’90-day reset’ in the city’s industrial zones, which will increase law enforcement in the area and likely lead to homeless camps residence. It’s a similar move to Portland’s Old Town earlier this year and the plan has been criticized by some as making the problem worse. Kaia Sand, CEO of Street Roots, wrote: “It’s hard not to feel myopia is often infuriating and cruel at its worst.

Wheeler and his colleagues on the Portland City Council are also working to ban unauthorized camping and forcing homeless people into large, undeveloped city parks.

“We all have to understand that our mental health and addiction treatment in Oregon is not perfect,” a spokeswoman for the mayor said in an email to OPB following her comments on the Central Eastside. “The mayor feels that nothing should be removed to find a solution.”

High level

The citizenship process for people is not easy in Oregon; this is partly by design and partly due to systemic failures faced by the state.

Changing the system and lowering the standards of people’s engagement will be a Herculean task both logically and politically. This would require changing state laws and addressing both staffing shortages among medical and law enforcement personnel and the lack of capacity in state mental hospitals.

More broadly, changing admissions laws will also require a philosophical reassessment: deciding whether this is how Oregon wants to address mental health and homelessness. Terry Schroeder, community engagement coordinator at the Oregon Health Authority, has worked in this field for more than four decades.

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He said that it was never intended to intervene in the community to solve the problems facing society. “It gives the false impression that things will change by saying that…” he said, adding that the promises were never meant “to solve homelessness and addiction and all kinds of problems others. our relationship”.

The idea of ​​forcing people into the workplace has received more attention recently, both the increase in the number of people living on the streets and the recent decision by the mayor of New York City Eric Adams to order the police went to the hospital that they thought was mental. sick, even if they don’t have a problem. other songs.

This idea is not new: in the 19th century, institutions were created to accommodate the growing number of mentally ill people. People are often locked up to live in bad and horrible conditions.

In the early 1960s, President John Kennedy declared in his State of the Union that “abandonment of the mentally ill … at the mercy of penal institutions often brings them and their families cruelty. is useless”.

Finally, as the country moved to close down large capital industries in the 1960s, laws were created to protect people’s civil rights. Local approval is now to be the option of last resort. A person can be placed in a house without their consent if the judge decides that they represent a danger to themselves or others, that the danger is imminent, and they cannot meet their basic needs – and that other aid options have been exhausted.

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Dave Boyer, executive attorney of the Mental Health Rights Project with Disability Rights Oregon, said he thinks the real issue is still financial services to help people, rather than forcibly remove them from the streets. He would like to see more resources to help people before they reach a crisis point. “The money they spend on mental illness or increasing hospitalizations could be better spent on community health care, affordable housing, transportation services, things that benefit people with disabilities.” though and prevent them from getting expensive companies.” he said.

Washington County District Attorney Kevin Barton said many people who don’t meet the city’s parole standards end up in prison — and are forced into mental health treatment afterward so 안전한카지노사이트 they can participate in their own defense. “The quality in Oregon is unattainable in many situations,” he said.

Lowering the standard, he suggested, would make it easier for people to get treatment — and keep some people out of the criminal justice system. Few people who work in the city go to public hospitals, where there is a constant problem of lack of beds. In 2021, only four people were admitted to state hospitals, according to data from the Oregon Health Authority. Most people are in normal hospitals.

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“They fulfill their commitment to the hospital at the full private hospital rate that is paid for by the state,” said Renaud, of the Portland Mental Health Association. – state that the price is higher than many other methods. Oregon’s largest hospital system is now suing the state for failing to provide adequate care for mental patients, saying the state has put pressure on hospitals and forced them to stay in people’s homes for months. in a space that is not for people with mental health problems.

In 2020 and 2021, 571 and 517 people were placed in Oregon, according to the state. These numbers represent about 7% of civil liability cases closed during those years. Most of these people were sent to community hospitals. Multnomah County Circuit Judge Nan Waller, the chief judge of mental health and criminal justice, said the state needs to strengthen the entire system of care.

Waller told the state legislature that finding the right place to send people is nearly impossible. “I can’t get anybody into a mental health facility,” Waller told state lawmakers recently. “Nobody.”

represents Rob Nosse, a Democrat from Portland, said the issue of lowering the pledge threshold comes up almost every legislative session. He said he wasn’t opposed to looking into the issue, but echoed Waller’s view that finding ways to build capacity and provide more care that wouldn’t interfere with people should be a priority.

On a recent winter afternoon in downtown Portland, Joshua Rasmussen, a 42-year-old man, talked about the prospect of being friends with the city. Rasmussen, who admits to occasional use of crystal meth, said a person has to be ready for a recovery program for it to work. He said: “It’s not a real solution, it’s just a relief. They think they’re going to fix it, but it’s going to come back and they’re going to go back to where they were. Because you can’t force people into anything, at least in my opinion.

Pandemic Still Affecting Uk Students’ Mental Health, Says Helpline

According to student-run Nightline, more people are seeking treatment for depression, suicide thoughts, and anxiety.

The scourge continues to damage the mental health of UK university students, experts warn, as figures show a growing number of people are seeking help from and peer support services for anxiety, depression and suicidal thoughts.

Nightline, which is made up of anonymous volunteers, said it saw a 51.4 per cent rise in calls in 2020-21, and that has risen since, with early data suggesting the number for 2021-22 is 30 per cent. higher, and more. 23% since the beginning of the academic year.

The helpline, which has been operating for more than 50 years, said there has been a significant increase in callers discussing anxiety and stress, reaching 10.9%. That number is up 17% since September, including an increase in calls from students worried about their finances. Advertising

Despite a slight decrease in calls from students attempting to kill themselves, Nightline saw an increase in the number expressing suicidal thoughts, which rose again this year, reaching 7.4% of calls.

Warning of Mental Health Problems Among ‘covid Generation’ Students

Jennifer Smith, policy officer for the charity Student Minds, said the “vast majority” of students had experienced “significant hardship in their lives”, losing key social, academic and personal relationships, which had led them to feel a sense of “sadness, loss”. , uncertainty and distrust”. “Students today have experienced changes in higher education that are different from their predecessors and may feel that they are not ready for university life,” he said, adding that the disease remains “very serious.” current challenges. for rare students, caregivers and health care professionals. class. .

Matt Jones, a PhD student at Loughborough University with depression, anxiety and autism, called Nightline six months ago because he felt “overwhelmed” by the flood of stressful world events and he is adjusting to social interaction after two years of reduced contact and isolation. “I sat down with my friends and we all said ‘the disease has destroyed us’. Suddenly we don’t know how to handle [normal life] again,” he said.

“Locking everyone up for a year has a huge impact on people’s ability to come together. If you look at new people, they lost 15 to 17 years, which is when you make a lot of progress – you will lose all those experiences. Andrew Garfield is Releasing Pressure to Have Kids Before 40: ‘it’s More About Accepting a Different Path’

Jones, who runs his university’s Nightline, believes that we live in a time that disturbs young people because social media makes them more connected to world events – for example , watching TikTok videos that transmit photos of soldiers who killed Ukrainians and videos of friends. . She said there is also pressure to be positive about everything, or put shame on social media. “There’s this feeling of ‘we’re sick of living through history’. We’re sick of living through big events, whether it’s Covid or the January riots or the war in Ukraine . If you talk to students, more than anything else, it’s ‘can we have a year where nothing happens? Can we have an age of purity and serenity? »

He added that many students calling Nightline is also a good sign. “Sometimes [my generation] may seem more important, but I don’t think that’s true, we understand very well what we need to do to help each other and to communicate our needs.”

Dominique Thompson, an NHS doctor and author of a book on student well-being, said many studies of students’ psychological well-being after the illness showed anxiety and loneliness. He said that anxiety and suicidal thoughts reflect the feeling of not having control over your life and your future – caused by bad disease, recession and the cost of living.

“There is still anxiety from uncertainty about the world they live in, whether it’s future opportunities, environmental concerns or political concerns, as well as everyday concerns about the cost of living , academic stress and friendships. We cannot underestimate the importance of all these issues for young people and their helplessness in the face of these great problems,” he said. 안전한카지노사이트

Rachel Sandby-Thomas of the Association of Heads of University Administration said universities are aware of the impact of the epidemic on students and are developing and promoting mental health support, including staff training and early detection of warning signs and collaboration with the NHS and specialist treatment. .