Firefighter suicides in Phoenix bring national changes

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Photographer: KNXV
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Posted: 01/20/2011

PHOENIX - UNITED STATES FIRE ADMINISTRATION REACTS TO ABC15 STORY

National fire officials are taking action to address suicide among the ranks after a November story by the ABC15 Investigators revealed four firefighter suicides at the Phoenix Fire Department in a span of seven months.

“I was taken back,” said Acting Fire Administrator , Chief Glenn Gaines, in response to the ABC15 Investigators’ story, which aired in November.

“The Phoenix Fire Department is probably one of the most sophisticated fire departments in the world,” he said. “I think for that very reason, I was taken back," explaining how the Phoenix Fire Department had employee assistance programs in place to address firefighter stress management before the deaths.

“I read the story,” Gaines said, explaining that he has reached out to some national fire service organizations regarding the issue and hopes to collaborate with the International Association of Fire Chiefs, the International Association of Fire Fighters , and the National Volunteer Fire Council in developing a plan to address the situation.

He said approximately 70 percent of the American fire service is made up of volunteer firefighters.

ACTING FIRE ADMINISTRATOR PLANS STUDY

Gaines said he is now working on strategies for developing and conducting a study or a survey that will evaluate how fire crews are handling and are affected by the issue of suicide and mental health within their department.

“We have studied other issues related to firefighters, but not suicide,” Gaines said.

“We’re taking baby steps now,” he said. “We have a lot of work to do before we take the next step."

The United States Fire Administration currently tracks on-duty firefighter fatalities and injuries. According to Gaines, approximately 28,000 fire departments nationwide report incidents to the National Fire Incident Reporting system to help with the injury and death tracking system. However, the USFA does not currently track firefighter suicides.

“I think this whole issue that has occurred as a result of the Phoenix experience calls us to be more aware and to take the steps with our fire service partners and EMS leadership in this country to take a hard look at this.”

Gaines discussed a variety of ideas for addressing the issue, including the possibility of creating a new training video to help teach fire leaders about the causative factors affecting a first responder’s mental and behavioral health. He also talked about conducting an interview with Chief Bob Khan, the Phoenix Fire Department chief, to determine how he is addressing the situation in Phoenix.

“Probably the most important thing we can do…is to take this first step to define the problem. How severe is it? Who is most at risk?” Gaines said.

He said the study would help assess how to best use mental health officials and experts to establish best practices for handling the situation.

“This is not something that we can take on that has a beginning, middle, and an end,” he said.

He said the initiative would have a long term life span – “that we make it part of our training programs there at the National Fire Academy; that we have hand-off programs to the states and down to the departments such as Phoenix, so they can make use of those.”

Gaines said he would also consider using the USFA’s website and listserv to distribute information to other members of the fire service around the country.

OTHER PRIVATE ORGANIZATIONS GETTING INVOLVED

Jeff Dill, a Battalion Chief at the Palatine Rural Fire Protection District in the Chicago area, is trying to offer support to firefighters as well as do his own tracking of suicides through his website, Counseling Services for Fire Fighters (csff.info). Dill also has a master’s degree in counseling, which he obtained after speaking with several first responders who struggled with mental health issues following Hurricane Katrina.

“Those counselors (helping the first responders) didn’t understand our culture,” Dill said, explaining that some firefighters stopped visiting their counselors because of the communication barrier.

Dill encourages fire chiefs to visit his website and report suicide deaths. He said chiefs can fill out an anonymous online form to help him track the age, location, and department involved in the suicide.

“It’s very difficult for even firefighters to talk about suicide and for anyone to keep records,” he explained. “There aren’t any.”

Dill holds workshops and uses videos to help teach other first responders how anger, frustration, depression and other mental health issues can affect them. He said a peer can help a fellow peer by listening and talking about the issues, and making themselves aware of potential warning signs.

“I’m not saying every firefighter has behavioral health issues, but for those that do, we need to address those issues and make sure that they’re happy and have a great career,” he said.

“We’re never going to stop every suicide,” he explained. “But for the people we can (help),

kudos for to them for both asking for help and to the department for supporting behavioral health and mental health issues and being progressive about it."

Dill said fire departments are just starting to become better aware and educated when it comes to issues pertaining to mental health. He pointed out physical health wasn’t a focus at many departments a few decades ago, but now it is a priority.

“Right now, we are just in the beginning period for mental health,” he said. “We know that there are problems…but it’s going to take time.”

Dill commended the actions occurring in the Phoenix Fire Department, including the development of a special, mental health task force and their sixteen recommendations for changes at the department, pertaining to mental and behavioral health.

THE INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS EXPLAINS HOW IT IS HANDLING THE SITUATION

A representative for the International Association of Fire Fighters , the Washington,DC-based union organization representing nearly 300,000 firefighters and paramedics, said the IAFF has been working on addressing the issue of behavioral health for years.

“The real issue is encouraging fire departments to initiate a wellness program that includes a behavioral health component,” said Rich Duffy, assistant to the General President, Occupational Health Safety and Medicine.

“The suicide issue is an outcome of a behavioral health problem, that’s how we attempt to address it,” he said.

Duffy told the ABC15 Investigators IAFF will continue to use its website and its magazine to make firefighters aware of behavioral health-related issues and resources as they become available. He said, prior to ABC15’s story revealing the four suicides at the Phoenix Fire Department, the IAFF was working on an article for its magazine, addressing the issue of suicide in the fire service.

“We want to promote the discussion of the issue,” he said. “If we address it in the front pages of our stuff – whether it’s our magazine or our website….I think we can better assist fire departments or our locals to adopt programs and use better tools and to continue discussing the suicide.”

Duffy said IAFF created a wellness and fitness initiative years ago, which developed standardized fitness evaluations and programs to address a firefighter’s medical issues – including blood and urine tests. He said the program has been successful.

The ABC15 Investigators asked whether the program mentioned suicide.

“The program wasn’t developed on the suicide as an outcome. It was developed as a behavioral health component because we certainly believe that’s what the issue is,” Duffy responded.

Duffy said fire departments that have programs addressing a variety of issues affecting behavioral health including finances, divorce, substance abuse, and job stressors have made a significant difference in the lives of their members.

“Those departments that haven’t addressed it need to,” Duffy said.

Duffy said fire departments who implement wellness and fitness programs, behavioral health programs and employee assistance programs are very successful.

“…Not only do they work, they are very cost effective,” he said. “They do change outcomes….those with little understanding of these programs may say that the program failed when a suicide is complete. I, and many others would say that the implemented programs saved the lives (of) many, many others.”

“Do we need to do more?” Duffy added, “Of course, and that is why we always update all our health and safety activities, as we are on the issue of suicide.”

“We’ve been working on it for decades. I just think we need to do a better job. We need to do a better job in lots of things, and we continue to evaluate what we do and adapt to what we need to do. Clearly, we are going to address this, as well as a whole gamut of other issues that are out there,” he said.

Duffy said many national programs already exist that he believes can help firefighters better than some department-run programs can.

“I don’t think the fire departments can replicate all of the national programs that are out there – for two reasons: one, it’s very, very expensive,” he explained. He said the second reason is that other groups “have done a good amount of suicide awareness with hotlines.”

“I think they do a good job and I don’t think we could even come close to that, but I’m not saying we shouldn’t do anything. I think we need to get out to recognize the signs and if there can be some intervention - not clinical intervention, but peer intervention that’s certainly a way to attempt to address it.”

Duffy also said the IAFF is working to remove the negative stigma that often surrounds suicide.

“I think we’re committed to attempting to decrease any stigma involved with suicide, so people will go out and seek help,” he said.

 

 


 

Copyright 2011 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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