Skip to main content
Top
Gepubliceerd in:

27-08-2020 | ORIGINAL PAPER

Association Between Sleep Disturbances and Suicide Risk Among Firefighters: the Moderating Role of Mindfulness

Auteurs: Danya M. Serrano, Katrina A. Rufino, Jana K. Tran, Anka A. Vujanovic

Gepubliceerd in: Mindfulness | Uitgave 12/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Firefighters are at increased risk for suicide. The evaluation of correlates of suicide risk among firefighters is necessary to inform evidence-based prevention efforts. Firefighters are chronically exposed to traumatic events and sleep disturbances (e.g., shift work) given the nature of the occupation. Thus, the aims of this study were to examine (a) the association of sleep disturbances with suicide risk among firefighters after controlling for occupational stress, trauma load, anxiety symptoms, and depressive symptoms and (b) whether mindfulness moderates the association of sleep disturbances with suicide risk.

Methods

Participants were 865 firefighters working for a fire department located in a large city in the southern USA. Hierarchical linear regression analyses were conducted.

Results

Findings indicated that firefighters who reported greater sleep disturbances reported increased risk of suicide (β = .19, p < .001), after controlling for covariates. Moderation analyses indicated that higher levels of the mindfulness facets of acting with awareness (β = − .15, p < .001) and nonjudging of inner experiences (β = − .23, p < .001) as well as overall mindfulness (β = − .10, p < .01) significantly reduced the magnitude of the association of sleep disturbances with suicide risk. Conversely, the observing facet of mindfulness (β = .17, p < .001) strengthened the association between sleep disturbances and suicide risk.

Conclusions

Preventive interventions for suicide among firefighters might incorporate evidence-based sleep interventions and mindfulness-based practices with an emphasis on improving skills in acting with awareness and accepting without judgment.
Literatuur
go back to reference Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., Fairweather-Schmidt, A. K., & Christensen, H. (2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. https://doi.org/10.1037/pas0000053.CrossRefPubMed Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., Fairweather-Schmidt, A. K., & Christensen, H. (2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. https://​doi.​org/​10.​1037/​pas0000053.CrossRefPubMed
go back to reference Kimbrel, N. A., Steffen, L. E., Meyer, E. C., Kruse, M. I., Knight, J. A., Zimering, R. T., & Gulliver, S. B. (2011). A revised measure of occupational stress for firefighters: Psychometric properties and relationship to posttraumatic stress disorder, depression, and substance abuse. Psychological Services, 8(4), 294–306. https://doi.org/10.1037/a0025845.CrossRef Kimbrel, N. A., Steffen, L. E., Meyer, E. C., Kruse, M. I., Knight, J. A., Zimering, R. T., & Gulliver, S. B. (2011). A revised measure of occupational stress for firefighters: Psychometric properties and relationship to posttraumatic stress disorder, depression, and substance abuse. Psychological Services, 8(4), 294–306. https://​doi.​org/​10.​1037/​a0025845.CrossRef
go back to reference Ribeiro, J. D., Pease, J. L., Gutierrez, P. M., Silva, C., Bernert, R. A., Rudd, M. D., & Joiner, T. E. (2012). Sleep problems outperform depression and hopelessness as cross-sectional and longitudinal predictors of suicidal ideation and behavior in young adults in the military. Journal of Affective Disorders, 136, 743–750. https://doi.org/10.1016/j.jad.2011.09.049.CrossRefPubMed Ribeiro, J. D., Pease, J. L., Gutierrez, P. M., Silva, C., Bernert, R. A., Rudd, M. D., & Joiner, T. E. (2012). Sleep problems outperform depression and hopelessness as cross-sectional and longitudinal predictors of suicidal ideation and behavior in young adults in the military. Journal of Affective Disorders, 136, 743–750. https://​doi.​org/​10.​1016/​j.​jad.​2011.​09.​049.CrossRefPubMed
go back to reference Smith, B. W., Ortiz, J. A., Steffen, L. E., Tooley, E. M., Wiggins, K. T., Yeater, E. A., Montoya, J. D., & Bernard, M. L. (2011). Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. Journal of Consulting and Clinical Psychology, 79(5), 613–617. https://doi.org/10.1037/a0025189.CrossRefPubMed Smith, B. W., Ortiz, J. A., Steffen, L. E., Tooley, E. M., Wiggins, K. T., Yeater, E. A., Montoya, J. D., & Bernard, M. L. (2011). Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. Journal of Consulting and Clinical Psychology, 79(5), 613–617. https://​doi.​org/​10.​1037/​a0025189.CrossRefPubMed
go back to reference Smith, L. J., Bartlett, B. A., Gallagher, M. W., Tran, J. K., Alfano, C. A., & Vujanovic, A. A. (2019). Sleep disturbance among firefighters: Understanding associations with alcohol use and distress tolerance. Cognitive Therapy and Research, 43, 66–77.CrossRef Smith, L. J., Bartlett, B. A., Gallagher, M. W., Tran, J. K., Alfano, C. A., & Vujanovic, A. A. (2019). Sleep disturbance among firefighters: Understanding associations with alcohol use and distress tolerance. Cognitive Therapy and Research, 43, 66–77.CrossRef
go back to reference Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The life events checklist for DSM-5 (LEC-5). Retrieved from www.ptsd.va.gov. Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The life events checklist for DSM-5 (LEC-5). Retrieved from www.​ptsd.​va.​gov.
go back to reference Wolkow, A., Ferguson, S., Aisbett, B., & Main, L. (2015). Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel. International Journal of Occupational Medicine and Environmental Health, 28, 183–208. https://doi.org/10.13075/ijomeh.1896.00227.CrossRefPubMed Wolkow, A., Ferguson, S., Aisbett, B., & Main, L. (2015). Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel. International Journal of Occupational Medicine and Environmental Health, 28, 183–208. https://​doi.​org/​10.​13075/​ijomeh.​1896.​00227.CrossRefPubMed
Metagegevens
Titel
Association Between Sleep Disturbances and Suicide Risk Among Firefighters: the Moderating Role of Mindfulness
Auteurs
Danya M. Serrano
Katrina A. Rufino
Jana K. Tran
Anka A. Vujanovic
Publicatiedatum
27-08-2020
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 12/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-020-01491-7