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The journal of behavioral health services & research
Mar 04, 2025;

Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire.

Ozgur Saglam, Erdinc Ozturk, Gorkem Derin
Author Information
  1. Ozgur Saglam: Hatay Training and Research Hospital, Child Monitoring Center, Hatay, Turkey. ORCID
  2. Erdinc Ozturk: Institute of Forensic Sciences and Legal Medicine, Department of Social Sciences, Psychotraumatology and Psychohistory Research Unit, Istanbul University-Cerrahpa��a, Istanbul, Turkey. erdincerdinc@hotmail.com. ORCID
  3. Gorkem Derin: Institute of Forensic Sciences and Legal Medicine, Department of Social Sciences, Psychotraumatology and Psychohistory Research Unit, Istanbul University-Cerrahpa��a, Istanbul, Turkey. ORCID
PMID: 40038208 DOI: 10.1007/s11414-025-09936-4

Abstract

Firefighters are public safety personnel who act as first responders to protect people and property from fire dangers. Although firefighters frequently face severe incidents in their profession, there has been limited attention given to the childhood traumas they may have experienced and the long-term psychological impact of these early traumatic experiences within this professional group. This study aims to examine the correlation between childhood traumas and Dissociative experiences, as well as Suicidal ideas, among firefighters. The study was conducted on firefighters employed by the Hatay Metropolitan Municipality Fire Department. Between January and June 2024, the study recruited 210 firefighters from the Fire Department. childhood traumas, Dissociative experiences, and Suicidal ideas were evaluated with validated psychometric instruments. The 4th model of the Hayes was utilized to examine the mediating role of Suicidal ideas on the relationship between childhood traumas and Dissociative experiences. Additionally, independent samples t-test and coefficient of determination were utilized. The firefighters who scored higher on the CTQ cut-off score showed greater levels of Dissociative experiences and Suicidal ideas compared to the lower-scoring group. The r values emphasized significant correlations between childhood traumas, Dissociative experiences, and Suicidal ideas. Dissociative experiences partially mediate the relationship between childhood traumas and Suicidal desire. The establishment of specific mental health services is essential to mitigate the psychological effects of both occupational and previous traumas that firefighters have encountered. The long-term consequences of traumatic experiences should be the primary focus when developing mental health interventions for firefighters.

References

  1. Mueller AK, Singh A, Webber MP, et al. PTSD symptoms, depressive symptoms, and subjective cognitive concerns in WTC-exposed and non-WTC-exposed firefighters. American Journal of Industrial Medicine, 2021; 64(10):803���814. Available at https://doi.org/10.1002/ajim.23285 . Accessed 30 September, 2024.
  2. Langtry J, Owczarek M, McAteer D, et al. Predictors of PTSD and CPTSD in UK firefighters. European Journal of Psychotraumatoly, 2021; 12(1). Available at https://doi.org/10.1080/20008198.2020.1849524 . Accessed 30 September, 2024.
  3. Harvey SB, Milligan-Saville JS, Paterson HM, 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���658. Available at https://doi.org/10.1177/0004867415615217 . Accessed 30 September, 2024.
  4. Obuobi-Donkor G, Oluwasina F, Nkire N, et al. A scoping review on the prevalence and determinants of post-traumatic stress disorder among military personnel and firefighters: Implications for public policy and practice. International Journal of Environmental Research and Public Health, 2022; 19(3). Available at https://doi.org/10.3390/ijerph19031565 . Accessed 30 September, 2024.
  5. Cherry N, Galarneau JM, Melnyk A, et al. Childhood care and abuse in firefighters assessed for mental ill-health following the Fort McMurray fire of May 2016. Journal of Affective Disorders Reports, 2021;4. Available at https://doi.org/10.1016/j.jadr.2021.100090 . Accessed 30 September, 2024.
  6. ��ahan C. ��tfaiyelerin afet ve acil durum y��netimi a����s��ndan yerinin ve ��neminin de��erlendirilmesi: Samsun ��rne��i. Resilience. 2021; 5(2):93���117. Available at https://doi.org/10.32569/resilience.793490 . Accessed 30 September, 2024.
  7. Ozturk E, Akis A, Derin G, et al. B. Social trauma and disaster psychology: The impact of earthquakes on children���s mental health from the perspective of dissoanalysis theory and modern psychotraumatology. Novel Forensic Research, 2023; 2(3):57. Available at https://doi.org/10.5455/nofor.2023.07.010 . Accessed 30 September, 2024.
  8. Alpay EH, Ayd��n A. Effects of peritraumatic reactions on post-traumatic stress among Kahramanmaras earthquake survivors. Nordic Journal of Psychiatry, 2024; 78(2):153���161. Available at https://doi.org/10.1080/08039488.2023.2291548 . Accessed 30 September, 2024.
  9. Bakirci E, Sar V, Cetin A. Assessment of the psychological effects on firefighters in the aftermath of the Pazarcik and Elbistan earthquakes in 2023. Journal of Behavioral Health Services and Research, 2024; 51,529���544. Available at https://doi.org/10.1007/s11414-024-09896-1 . Accessed 30 September, 2024.
  10. Siwinski L, Blankenship PA. Dissociating first responder trauma: Examining patterns of self-reported trauma exposures in single-role firefighters and paramedics. Psychology, 2024;15(06):984���998. Available at https://doi.org/10.4236/psych.2024.156059 . Accessed 30 September, 2024.
  11. Bertule M, Sebre SB, Kolesovs A. Childhood abuse experiences, depression and dissociation symptoms in relation to suicide attempts and suicidal ideation. Journal of Trauma & Dissociation, 2021; 22(5);598���614. Available at https://doi.org/10.1080/15299732.2020.1869652 . Accessed 30 September, 2024.
  12. Johann St��ver H, Wallinius M, Di Nicola M, et al. Improving care for SUD patients with complex trauma���relationships between childhood trauma, dissociation, and suicidal behavior in female patients with PTSD and SUD. Frontiers in Psychiatry, 2023;13:1���9. Available at https://doi.org/10.3389/fpsyt.2022.1047274 . Accessed 30 September, 2024.
  13. Bernstein DP, Fink L, Handelsman L, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 1994; 151(8):1132���1136. Available at https://doi.org/10.1176/ajp.151.8.1132 . Accessed 30 September, 2024.
  14. Sar V, Ozturk E, Ikikardes E. Validity and reliability of the Turkish version of Childhood Trauma Questionnaire. Turkiye Klinikleri Journal of Medical Sciences, 2012; 32(4):1054���1063. Available at https://doi.org/10.5336/medsci.2011-26947 . Accessed 30 September, 2024.
  15. Bernstein E, Putnam F. Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 1986; 174(12):727���735. Available at https://doi.org/10.1097/00005053-198612000-00004 . Accessed 30 September, 2024.
  16. Foote B, Smolin Y, Kaplan M, et al. Prevalence of dissociative disorders in psychiatric outpatients. American Journal of Psychiatry. 2006; 163(4):623���629. Available at https://doi.org/10.1176/ajp.2006.163.4.623 Accessed 30 September, 2024.
  17. Yargic LI, Tutkun H, Sar V. Reliability and validity of the Turkish version of the Dissociative Experiences Scale. Dissociation: Progress in the Dissociative Disorders, 1995; 8(1):10���13. Accessed 30 September, 2024.
  18. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 1979; 47(2):343���352. Available at https://doi.org/10.1037/0022-006X.47.2.343 . Accessed 30 September, 2024.
  19. Ozcelik HS, Ozdel K, Bulut SD, et al. Measuring suicidal ideation: Validity and reliability of the turkish version of the Beck scale for suicide ideation among patients who presented at a psychiatry clinic with suicidal ideations. Klinik Psikofarmakoloji Bulteni, 2015; 25(2):142���150. Available at https://doi.org/10.5455/bcp.20141214105009 . Accessed 30 September, 2024.
  20. Hayes AF (Ed.). Introduction to Mediation, Moderation, and Conditional Process: Analysis A Regression-Based Approach. Second edition. New York, NY: Guilford Publications; 2018. pp.7���8. Accessed 30 September, 2024.
  21. Baker LD, Smith AJ. Adapting the primary care PTSD screener for firefighters. Occupational Medicine, 2023; 73(3):142���147. Available at https://doi.org/10.1093/occmed/kqad019 . Accessed 30 September, 2024.
  22. Gulliver SB, Zimering RT, Knight J, et al. A prospective study of firefighters��� PTSD and depression symptoms: The first 3 years of service. Psychological Trauma: Theory, Research, Practice, and Policy, 2021; 13(1):44���55. Available at https://doi.org/10.1037/tra0000980 . Accessed 30 September, 2024.
  23. Nakajima M, Hori H, Itoh M, et al. Validation of childhood trauma questionnaire-short form in Japanese clinical and nonclinical adults. Psychiatry Research Communications, 2022; 2(3). Available at https://doi.org/10.1016/j.psycom.2022.100065 . Accessed 30 September, 2024.
  24. Ozturk E, Erdogan B, Derin G. Psychotraumatology and dissociation: A theoretical and clinical approach. Medicine Science | International Medical Journal, 2021; 10(1):246���254. Available at https://doi.org/10.5455/medscience.2021.02.041 . Accessed 30 September, 2024.
  25. Ozturk E. Dissoanalysis as a modern psychotraumatology theory: Denial trauma and mass dissociation versus dissociative revolution and psychocommunal therapy. Medicine Science | International Medical Journal, 2022; 11(3):1359. Available at https://doi.org/10.5455/medscience.2022.08.176 . Accessed 30 September, 2024.
  26. Ozturk E. Modern psikotravmatoloji ve dissosiyasyon teorileri. In: Ozturk E, (Ed). Psikotravmatoloji. First Edition. Ankara: Turkiye Klinikleri; 2022:41���69. Accessed 30 September, 2024.
  27. Ozturk E (Ed.). Travma ve Dissosiyasyon: Psikotravmatoloji Temel Kitab��. Second Edition. ��stanbul: Nobel T��p Kitabevi; 2020. Accessed 30 September, 2024.
  28. Shin Y, Nam K, Lee A, et al. Latent profile analysis of post-traumatic stress and post-traumatic growth among firefighters. European Journal of Psychotraumatology, 2159; 14(1). Available at https://doi.org/10.1080/20008066.2022.2159048 . Accessed 30 September, 2024.
  29. Baetzner AS, Wespi R, Hill Y, et al. Preparing medical first responders for crises: A systematic literature review of disaster training programs and their effectiveness. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2020; 30:76. Available at https://doi.org/10.1186/s13049-022-01056-8 . Accessed 30 September, 2024.
  30. Boyd JE, Protopopescu A, O���Connor C, et al. Dissociative symptoms mediate the relation between PTSD symptoms and functional impairment in a sample of military members, veterans, and first responders with PTSD. European Journal of Psychotraumatology, 2018; 9(1). Available at https://doi.org/10.1080/20008198.2018.1463794 . Accessed 30 September, 2024.
  31. Bond AE, Anestis MD. Understanding capability and suicidal ideation among first responders. Archives of Suicide Research, 2023; 27(2):295���306. Available at https://doi.org/10.1080/13811118.2021.1993397 . Accessed 30 September, 2024.
  32. Stanley IH, Hom MA, Joiner TE. A systematic review of suicidal thoughts and behaviors among police officers, firefighters, EMTs, and paramedics. Clinical Psychology Review, 2016; 44:25���44. Available at https://doi.org/10.1016/J.CPR.2015.12.002 . Accessed 30 September, 2024.
  33. Vigil NH, Grant AR, Perez O, et al. Prehospital emergency care death by suicide-the ems profession compared to the general public. Prehospital Emergency Care, 2019; 23(3):340���345. Available at https://doi.org/10.1080/10903127.2018.1514090 . Accessed 30 September, 2024.
  34. Bae SM, Lee YJ, Cho IH, et al. Risk factors for suicidal ideation of the general population. Journal of Korean Medical Science, 2013; 28(4):602���607. Available at https://doi.org/10.3346/jkms.2013.28.4.602 . Accessed 30 September, 2024.
  35. Kliem S, Lohmann A, M����le T, et al. German Beck Scale for Suicide Ideation (BSS): Psychometric properties from a representative population survey. BMC Psychiatry, 2017; 17:1���8. Available at https://doi.org/10.1186/s12888-017-1559-9 . Accessed 30 September, 2024.
  36. Ozturk E. Dissoanaliz ve psikotoplumsal bilin�� alyans�� kuram�� i��nkar travmas�� ve dissosiyatif yans��t��ml�� kimlik ge��isi. In: Ozturk E, ed. Psikotravmatoloji. First Edition. Ankara: Turkiye Klinikleri; 2022:1���40. Accessed 30 September, 2024.
Journal Article

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