No abstract

Objective: To identify the predictors of suicide for firefighters (FFs), emergency medical technicians (EMTs), and law enforcement officers (LEOs). Methods: We used baseline data from FFs/EMTs (n = 69) and LEOs (n = 81) to investigate the unique predictors for both first-responder subtypes. We conducted confirmatory factor analysis on validated assessments of posttraumatic stress disorder (PTSD) and depression. Measures of attachment, resilience, PTSD, depression, generalized anxiety, trauma history, and substance use were the independent variables in two backward stepwise regressions predicting suicide. Results: Substance use and somatic depression were significant predictors for LEOs, whereas affective depression, anhedonia, externalizing behaviors, trauma history, and generalized anxiety were significant predictors for FFs/EMTs. Limitations: These data are cross-sectional and should be modeled longitudinally over the course of treatment. Conclusion: Separate constructs influence suicide for LEOs and FFs/EMTs.

The objective of this study was to examine the relationship between the Bicycle Drawing Task and a number of neuropsychological variables, including the Repeatable Battery for the Assessment of Neuropsychological Status, in a heterogeneous group of older adults referred for a dementia evaluation. The sample consisted of 91 participants with a mean age of 77.0 yr. (SD = 6.4). The correlations between scores on the Bicycle Drawing Task and the Repeatable Battery for the Assessment of Neuropsychological Status and supplemental cognitive measures were generally in the moderate range. The Bicycle Drawing Task was not significantly related to premorbid IQ or education. As a neuropsychological measure, the task is brief, easily explained, easily scored, and well-tolerated by patients. Results suggest the Bicycle Drawing Task may be a useful screening procedure for cognitive impairment that is not significantly related to education or premorbid ability.

Mental health professionals working with law enforcement officers (LEOs) should prioritize treating the depressive and posttraumatic stress symptoms when this vulnerable population presents for treatment because both variables are significant predictors of suicidality. Clinicians should also assess negative affect and affective depression as those are consistently mentioned in the literature.