The Scoping Review of Depression and Suicidal Ideation among Police and Front-liners

Noor Azeiah Che Sat, Nor Ba'yah Abdul Kadir, Rusyda Helma Mohd, Hilwa Abdullah@Mohd Nor

Abstract


Abstract: Police and other front-liners (e.g., firefighters, paramedics, first responders, law enforcers) constitute unique jobs that require sacrifices in many situations when undertaking their duties and often lead to mental health issues including depression. Suicidal ideation is among the worrying risk factors that can result from depression. Thus, it is crucial to understand the relationship between depression and suicidal ideation and the risk factors involved, and their implications for police and front-liners. This scoping review was designed to identify studies examining depression and suicidal ideation among police and front-liners as well as the risk factors. A scoping review search was conducted using Google Scholar, PubMed, SAGE Journal, SCOPUS, Elsevier, APA, and JSTOR databases. The initial database search returned 2,240 articles. Following the review and scoping only 33 studies were selected based on the inclusion criteria before being manually extracted and independently screened by two reviewers. Participants in the articles were primarily police officers or law enforcers, with few articles involving firefighters, paramedics, and other first responders. Most studies were quantitative and the systematic literature reviews focused on depression, suicide, mental health, work, and traumatic stress. Recognizing the risk factors of depression and suicidal ideation and their dynamic association helps provide police officers and other front-liners with a perspective of the psychological challenges in their job. Further research is needed to better understand the risk factors and suggest protective adaptive strategies and programmes to promote mental health among police and front-liners.

 

References

Acquadro Maran, D., Magnavita, N., & Garbarino, S. (2022).  Identifying organisational stressors that could be a source of discomfort in police officers: A thematic review. International Journal of Environmental Research and Public Health, 19, 3720. https://doi.org/10.3390/ ijerph19063720.

Alayon, N.D. (2021). Predictors of depression and suicidal ideation of Filipino college freshmen in a Philippine state college. Philippine Social Science Journal, 4(1), 9-19. https://doi.org/10. 52006/main.v4i1.296.

Allison, P., Mnatsakanova, A., McCanlies, E., Fekedulegn, D., Hartley, T. X., Andrew, M.E., & Violanti, J.M. (2019). Police stress and depressive symptoms role of coping and hardiness. Policing: An International Journal, 43 (2), 247-261. https://doi.org/10.1108/pijpsm-04-2019-0055.

Anders, R., Willemin-Petignat, L., Rolli Salathé, C., Samson, A.C., & Putois, B. (2022). Profiling police forces against stress: Risk and protective factors for post-traumatic stress disorder and burnout in police officers. International Journal of Environmental  Research and Public Health, 19(15), 9218. https://doi.org/10.3390/ijerph19159218.

Andrew, M. Fekedulegn, D., McCanlies, E., Owen, S.L., & Violanti, J.M. (2018). Law enforcement suicide: A review. Policing: An International Journal, 42(2),141-164. https://doi.org/ 10. 1108 /pijpsm-05-2017-0061.

Andrews, K.L., Jamshidi, L., Nisbet, J., Teckchandani, T.A., Price, J.A.B., Ricciardelli, R. Anderson, G.S., & Carleton, R.N. (2022). Exposures to potentially psychologically traumatic events among Canadian Coast Guard and conservation and protection officers. International Journal of Environmental  Research and Public Health, 19, 15116. https://doi.org/10.3390/ijerph 192215116.

Andrews, K.L., Jamshidi, L., Nisbet, J., Brunet, A., Afifi, T.O., Asmuindson, G.J.G., Fletcher, A.J., Maguire, K.Q., Teckchandani, T.A., Lix, L., Sauer-Zarala, S., Saveen, J., Keane, T.M., Neary, J.P., & Carleton, R.N. (2023). Potentially psychologically traumatic event exposure histories of new Royal Canadian Mounted Police Cadets. Canadian Journal of Psychiatry, 1-19. https://doi.org/10.1177/0706437221149467.

Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework.  International Journal of Social Research Methodology, 8, 1, 19-32. https://doi.org/10.1080/ 1364557032000119616.

Bernier, R.J. (2018). Suicide in law enforcement: Protecting those who serve [Master’s thesis,  Naval Postgraduate School]. California. http://hdl.handle.net/10945/60345.

Burke, K.C. (2020). Democratic policing and officer well-being. Frontiers in Psychology, 11 (874). https://doi.org/10.3389/fpsyg.2020.00874.

Butner, B. (2022). The effect of post-traumatic stress disorder on first responders following a

disaster: A literature review. Capstone Experience. 191. https://digitalcommons. unmc. edu/coph_slce/191.

Carleton, R.N., Afifi, T.O., Taillieu, T., Turner, S., Mason, J.E., Ricciardelli, R., McCreary, D.R., Vaughan, A.D., Anderson, G.S. Krakauer, R., Donnelly, E., Camp II, R.D., Groll, D., Cram, H.A., MacPhee, R.S., & Griffiths, C.T. (2020). Assessing the relative impact of diverse stressors among public safety personnel. International Journal of Environmental Research and Public Health, 17(4), 1234. https://doi.org.10.3390/ijerph17041234.

Carpenter, M.J. (2021). Risk factors and precursors to police suicide. [Applied Doctoral  Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education, School of Criminal Justice]. NSUWorks, Abraham S. Fischler College of Education-Portal. https://nsuworks. nova. edu /fse_etd/316.

Civilotti, C., Acquadro Maran, D.,  Garbarino, S., & Magnavita, N.(2022).  Hopelessness in police officers and its association with depression and burnout: A pilot study. International  Journal for Environmental Research and Public Health, 19 (9), 5169. https://doi.org/10.3390/ ijerph 19095169.

Civilotti, C., Di Fini, G., & Maran, D.A. (2021). Trauma and coping strategies in police officers: A quantitative-qualitative pilot study. International Journal of Environmental  Research and Public Health, 18(3), 982. https://doi.org/10.3390/ ijerph18030982.

Dahlan, A., Shahid, M., & Masuri, M.G. (2021). Suicidal ideation among people with depression in mental hospital. Environment Behaviour Proceeding Journal (E-BPJ), 6 (16), 145-151 https: //doi.org/10.21834/ebpj.v6i16.2619.

Demou, E., Hale, H., & Hunt, K. (2020).  Understanding the mental health and wellbeing needs of police officers and staff in Scotland. Police Practice and Research, 21(6), 702–716. https: //doi.org/10.1080/15614263.2020.1772782.

Dixon, S.S. (2021). Law enforcement suicide: The depth of the problem and best practices for suicide prevention strategies. Aggression and Violent Behaviour, 61. https://doi.org/10.1016/j.avb. 2021.101649.

Efendi, F., McKenna, L., Reisenhofer, S., Kurniati, A., & Has, E.M.M. (2021). Experiences of healthcare worker returnees in their home countries: A scoping review. Journal of Multidisciplinary Healthcare. 14, 2217-2227. https://doi.org/10.2147/jmdh.S321963.

Foley, J., Jones, F., Hassett, A., & Williams, E. (2023). ‘Holding onto trauma?’ The prevalence

and predictors of PTSD, anxiety, and depression in police officers working with child abuse, rape, and sexual exploitation victims. The Police Journal: Theory, Practice and Principles. 1-24. https://doi.org/ 10.1177/0032258X231183638.

Gatens, A., & Otto, H. D. (2020). Understanding police officer stress: A review of the literature. Chicago, IL: Illinois Criminal Justice Information Authority.

Grover, S., Sahoo, S., Dua, D. Mehra, A., & Nehra, R. (2022). Psychological impact of COVID-19 duties during lockdown on police personnel and their perception about the behaviour of the people: An exploratory study from India. International of Mental Health Addiction, 20, 831–842. https://doi.org/10.1007/s11469-020-00408-8.

Huang, G., Chu, H., Chen, R., Liu, D., Banda, K.J., O’Brien A.P., Jen, H.-J., Chiang, K.-J., Chiou, J.-F., & Chou, K.-R. (2022). Prevalence of depression, anxiety, and stress among first responders for medical emergencies during COVID-19 pandemic: A meta-analysis. J Glob Health, 12 (05028). https://doi.org/10.7189/jogh.12.05028.

Irizar, P., Gage, S.H., Fallon, V., & Goodwin, L. (2022). A latent class analysis of health risk behaviours in the UK Police Service and their associations with mental health and job strain. BMC Psychiatry, 22(1), 426. https://doi.org/10.1186/s12888-022-04054-3.

Isabirye, R.A., Namuli, J.D., & Kinyanda, E. (2022). Prevalence and factors associated with post-traumatic stress disorder among field police patrol officers serving in Kampala metropolitan region.  BMC Psychiatry, 22, 706. https://doi.org/ 10. 1186/s12888-022-04317-z.

James, L., James, S., & Atherley, L. (2023).The effects of shift-work schedules on the sleep, health, safety, and quality of life of police employees during the COVID-19 pandemic. Frontier in Psychology, 14, 1128629. https://doi.org/ 10.3389/fpsyg.2023.1128629.

Jang, J., Jung, H.S., Wang, J., & Kim, S. (2021).Effects of health-related quality of life on suicidal ideation and depression among older Korean adults: A cross-sectional study. Psychiatry Investigation, 18(1):31-38. https://doi.org/10.30773/pi.2020.0159.

Lee, E. & Kim, K.Y. (2021). The association between secondhand smoke and stress, depression, and suicidal ideation in adolescents. Healthcare, 9(39). https://doi.org/10.3390/healthcare 9010 039.

Lentz L.M., Smith-MacDonald, L., Malloy, D., Carleton, R.N., & Brémault-Phillips, S. (2021). Compromised conscience: A scoping review of moral injury among firefighters, paramedics, and police officers. Frontier in Psychology. 12, 639781. https://doi.org/10.3389/fpsyg. 2021. 639781.

Levac, D., Colquhoun, H., & O'Brien, K.K. (2010). Scoping studies: Advancing the methodology. Implement Sciences, 5(1), 1-9. https:// doi.org/ 10.1186/1748-5908-5-69.

Li, Y., Wen, Z., He, Y., & Huang, J. (2022). Mental health status among prison officers in the process of enforcing the law during COVID-19 epidemic: A cross-sectional survey from China. BMC Psychiatry, 22,33. https://doi.org/10.1186/s12888-021-03679-0.

Mars, B., Hird, K., Bell, F., James, C. & Gunnell, D. 2020. Suicide among ambulance service staff: A review of coroner and employment records. British Paramedic Journal, 4(4), 10–15. https://doi.org/ 10.29045/14784726.2020.12.4.4.10.

Mohd Zaimi Zainuri & Rusyda Helma Mohd (2023). The determining factors and propensity of accidents at work among the personnel of Royal Malaysia Police Narcotics Unit. E-Bangi Journal of Social Sciences & Humanities, 20 (1), 364-377. https://doi.org/10.17576/ ebangi. 2023.2001.30.

Nair, R., & Bulgiba, A. (2022). Prevalence and associated factors of depression and anxiety among healthcare workers during the Covid-19 pandemic. Asia Pacific Journal of Public Health, 34(5), 561–564. https://doi.org/10.1177/10105395221098037.

Krishnan, N., Steene, L.M.B., Lewis, M. Marshall, D., & Ireland, J.L. (2022). A systematic review of risk factors implicated in the suicide of police officers. Journal of Police and Criminal Psychology, 37, 939–951. https://doi.org/10.1007/s11896-022-09539.

Peters, M.D., Godfrey, C.M., Khalil, H., McInerney, P., Parker, D., & Soares, C.B. (2015). Guidance for conducting systematic scoping reviews. International Journal Evidence-Based Healthcare 13 (3), 141-146. https://doi.org/ 10.1097/xeb.0000000000000050.

Prihadi. K.D., C. Wong, Y.S., E. Chong, Y.B., K & Chong. Y.X. (2020). Suicidal thoughts among university students: The role of mattering, state self-esteem, and depression level. International Journal of Evaluation and Research in Education (IJERE), 9(3), 494. https: //doi.org/10.11591/ijere.v9i3.20587.

Purba, A & Demou, E. (2019). The relationship between organisational stressors and mental wellbeing within police officers: A systematic review. BMC Public Health, 19, 128. https: //doi.org/10.1186/s12889-019-7609-0.

Reid, B.O., Næss‑Pleym, L.E., Bakkelund, K.E., Dale, J., Uleberg, O., & Nordstrand, A.E. (2022). A cross-sectional study of mental health, posttraumatic stress symptoms and post-exposure changes in Norwegian ambulance personnel. Scandinavian Journal of Trauma, Resuscitation, and  Emergency Medicine, 30, 3. https://doi.org/10.1186/s13049-021-00991-2.

Stevelink, S.A.M., Opie, E., Pernet, D., Gao, H., Elliott, P., Wessely, S., Fear, N.T., Hotopf, M., & Greenberg, N. (2020). Probable PTSD, depression, and anxiety in 40,299 UK police officers and staff: Prevalence, risk factors and associations with blood pressure. PLoS One, 12(15), 11.https://doi.org/ 10.1371 /journal.pone.0240902.

Syed, S., Ashwick, R., Schlosser, M., Jones, R., Rowe, S. & Billings, J. (2020). Global prevalence and risk factors for mental health problems in police personnel: A systematic review and meta-analysis. Occupational and Environmental Medicine, 77, 737-747.

Tricco, A.C., Lillie, E., Zarin, W., O'Brien, K.K., Colquhoun, H., Levac, D., Moher, D., Peters, M.D.J., Horsley, T., Weeks, L., Hempel, S., Akl, E.A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M.G., Garritty, C., Lewin, S., Godfrey, C.M., Macdonald, M.T., Langlois, E.V., Soares-Weiser, K., Moriarty, J., Clifford, T., Tunçalp, Ö., Straus, S.E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of  Internal Medicine, 169(7), 467-473. https://doi.org/10.7326/M18-0850.

Tsehay, M., Necho, M., Gelaye, H., Beyene, A., & Birkie, M. (2021). Generalized anxiety disorder, depressive symptoms, and sleep problem during Covid-19 outbreak in Ethiopia among police officers: a cross-sectional survey. Frontiers in Psychology,  12, 713954. https://doi.org/10.33 89/fpsyg. 2021. 713954.

Violanti, J. M. (2004). Predictors of police suicide ideation. Suicide and Life‐Threatening Behaviour, 34(3), 277-283.

World Health Organization. (2021, June 17). Suicide. https://www.who.int/news-room/fact-sheets/ detail/suicide. Accessed August 16, 2023.

Wijayanti, R.Y., & Fauzi, H.B. (2020). Factors affecting the work stress of police officers: A systematic review. Psycho Idea, 18(2), 112-123. https://doi.org/10.30595/psychoidea.v18 i2.6861

Yadav, B., Kc, A., Bhusal, S., & Pradhan, P.M.S. (2022). Prevalence and factors associated with symptoms of depression, anxiety, and stress among traffic police officers in Kathmandu, Nepal: A cross-sectional survey. BMJ Open, 12(6). https://doi.org/10.1136/bmjopen-2022-06 1534.

 Yuan, L., Zhu, L., Chen, F., Cheng, Q., Yang, Q., Zhou, Z.Z. Zhu, Y., Wu, Y., Zhou, Y., & Zha, X. (2020). Survey of psychological responses during the coronavirus disease 2019 (COVID-19) epidemic among Chinese police officers in Wuhu. Risk Management and Healthcare Policy, 13, 2689-2697.https://doi.org/10.2147/rmhp.S269886.

Zhang, H., Li, W., Li, H., Luo, J., Zhu, Y. Wu, H., Zhu, Z., Xu, Y., Wang, J., & Li, C. (2021).  Prevalence and dynamic features of psychological issues among Chinese healthcare workers during the COVID-19 pandemic: A systematic review and cumulative meta-analysis. General Psychiatry, 34(3), e100344. https:// doi.org/10.1136/ gpsych-2020-100344.

Zhao, M., Nor Ba'yah Abdul Kadir, & Muhammad Ajib Abd Razak. (2024). A systematic review on

the prevalence and risk factors of depression among Chinese undergraduate students. E-Bangi Journal of Social Sciences and Humanities, 21(3), 286-307. https://doi.org/10.17576/ebangi. 2024.2103.23.



Keywords


Police officers; front-liners; law enforcers; depression; suicidal ideation

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DOI: http://dx.doi.org/10.17576/ebangi.2025.2201.03

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