Work outcomes in public safety personnel after potentially traumatic events: A systematic review.

Journal: American journal of industrial medicine

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Affiliated Institutions:  Office of the Vice President Research, Thompson Rivers University, Kamloops, British Columbia, Canada. Department of Health Sciences, School of Health Sciences, University of Northern British Columbia, Prince George, British Columbia, Canada. Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada. Northern Medical Program, University of Northern British Columbia, Prince George, British Columbia, Canada. Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia. School of Health Sciences & Social Work, Menzies Health Institute of Queensland, Griffith University, Southport, Queensland, Australia. Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada. Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada. School of Nursing, University of Rochester, Rochester, New York, USA. Interdisciplinary School of Health Sciences & Telfer School of Management, University of Ottawa, Ottawa, Ontario, Canada. Aligned Counselling, Kamloops, British Columbia, Canada.

Abstract summary 

It is well documented that public safety personnel are exposed to potentially traumatic events (PTEs) at elevated frequency and demonstrate higher prevalence of trauma-related symptoms compared to the general population. Lesser studied to date are the organizational consequences of workplace PTE exposure and associated mental health outcomes such as acute/posttraumatic stress disorder (ASD/PTSD), depression, and anxiety.The present review synthesizes international literature on work outcomes in public safety personnel (PSP) to explore whether and how PTE and trauma-related symptoms relate to workplace outcomes. A total of N = 55 eligible articles examining PTE or trauma-related symptoms in relation to work outcomes were systematically reviewed using best-evidence narrative synthesis.Three primary work outcomes emerged across the literature: absenteeism, productivity/performance, and costs to organization. Across n = 21 studies of absenteeism, there was strong evidence that PTE or trauma-related symptoms are associated with increased sickness absence. N = 27 studies on productivity/performance demonstrated overall strong evidence of negative impacts in the workplace. N = 7 studies on cost to organizations demonstrated weak evidence that PTE exposure or trauma-related mental health outcomes are associated with increased cost to organization.Based on available evidence, the experience of workplace PTE or trauma-related symptoms is associated with negative impact on PSP occupational functioning, though important potential confounds (e.g., organizational strain and individual risk factors) remain to be more extensively investigated.

Authors & Co-authors:  Wagner White White Fyfe Matthews Randall Regehr Alden Buys Carey Corneil Krutop Fraess-Phillips

Study Outcome 

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Statistics
Citations :  Oliphant R. Healthy minds, safe communities: supporting our public safety officers through a national strategy for operational stress injuries. Canada: Standing Committee on Public Safety and National Security. 2016. Accessed September 2023. https://www.ourcommons.ca/Content/Committee/421/SECU/Reports/RP8457704/securp05/securp05-e.pdf
Authors :  13
Identifiers
Doi : 10.1002/ajim.23577
SSN : 1097-0274
Study Population
Male,Female
Mesh Terms
Other Terms
mental health;occupational health;potentially traumatic exposure;public safety personnel
Study Design
Study Approach
Country of Study
Publication Country
United States