“Real heroes don’t wear capes. Real superheroes wear uniforms and badges and stethoscopes! Real superheroes are members of our military, law enforcement, and first responders. Pretend superheroes wear capes.”

-Dean Cain

Light the charcoal. Sprinkle the sage. Negativity energy, go away. Today, I want to talk about first responder suicide. This is another group that seems to be looked over when discussing this topic. Having worked in the EMS field, I can tell you that sometimes I saw things that continue to haunt me to this day.

Individuals, who have also worked in the field, have told me, “they just left work at work.” And it was simple. In that case, “Congrats! You are the winner! And you were much stronger mentally, I guess.” But in my situation, I was trapped in a domestic violence situation where emotional abuse was normal. So, working myself to death while experiencing trauma in both my private and professional life, my mind was so overloaded that I developed PTSD from both situations.

Maybe it was the 7-year-old who was hit by a drunk driver and left for dead. Maybe it was the car wreck where sister and boyfriend we both killed. And older sister’s face was ripped off in the wreck. Maybe it was the murder that left a body with half a head from a shotgun blast. Maybe it was the screaming mother, who I had to tell that her child was dead. Maybe it was the mother on Mother’s Day that was told that her law enforcement son was killed in a drunk driving accident. Maybe it was the woman who was ejected from a vehicle after falling asleep behind the wheel, whose legs were pinned behind her head. Maybe it was the suicide scenes. Maybe it was putting a child in a body bag in front of a mother. Maybe it was the person hit by a train where chunks of meat were the only thing that remained. Maybe it was the disabled individual in a wheelchair who was raped by her cousin. Maybe it was the woman who was cut from ear to ear, because she was cheating on her boyfriend with a white man. Maybe it was working hard on a grandmother, in front of the family, begging for us to save her when we couldn’t. Maybe it was the male body that was found in a house that had been dead for several days. And the only way the neighbors knew something was wrong was because they smelled him through the walls. Maybe it was the little girl who innocently climbed up in her daddy’s pickup truck only to find a loaded gun and accidentally pulled the trigger leaving one of the bullets lodged in her brain. Maybe it was the little boy who was handed to a good Samaritan from inside his father’s eighteen-wheeler, only for the truck to explode because the jaws of life were not available. Maybe it was the car wreck where I had to sit in the dead passenger’s lap to work on the dying driver. Maybe it was the mother who died from a seizure and her little girl was left in the home alone for over 8 hours before the body was found. Maybe it’s the smells of decaying bodies that I continue to smell almost 30 years later. Maybe it was telling my boss that I was having flashbacks from a gruesome scene only to be told, “If you can’t handle it, pick a different profession. Maybe it’s the incessant scenes that I continue to replay beyond my control with questions about if we did enough. Maybe, Maybe, Maybe.

In the time that I worked, I saw enough trauma to last me a lifetime. There was no one to talk to about anything. Like I was told that there would be. Getting shifts covered was more important than the safety and well-being of employees. And somehow, sexual harassment and a near rape by a co-worker was viewed as though I brought it on myself. And eventually, trying to survive by living in my car and attempting to distance myself  from the domestic violence situation led me to a level of depression and despair that was somehow new to me. I was forced to keep unethical secrets which was “normalized behavior.”

A lot of people that I worked with were dealing with problems through narcotic diversion, sex with random partners, alcohol and drugs were seen as “off-day or working” coping skills. And the level of compassion for another human being “hitting the skids” to a level that was disturbing. There was not just one reason that I was having suicidal thoughts. But I had nowhere to turn for help that was “safe.” And the work environment was just as toxic.

Life said, “Here are the pieces. Figure it out.” And I tried to bury them so far down that I never wanted to revisit those fears and feelings again. For a long while, I was able to do just that. But when you have unresolved trauma there’s only one thing that you can be sure of, it will surface again. And almost 20 years later it would come forth vigorously. And it almost killed me.

First responders include police officers, firefighters, paramedics, EMTs, and telecommunicators. Due to the unique occupational stressors, the risk for mental health issues and suicide are at a much higher rates of depression, PTSD, suicidal ideations, and behaviors  (www.cdc.gov, 2021). And due to consistent exposure to traumatic events can impact the brain’s ability to process the experiences.

The Impact on Mental Health:

·        PTSD, depression, and anxiety: first responders are at a significantly higher risk of developing these.

·        Cognitive Issues: Trauma can lead to difficulties with memory, attention, planning, problem solving, which can affect daily functioning and relationships.

·        Secondary Traumatic Stress (STS) and Vicarious Trauma (VT): first responders can experience emotional and/or psychological distress from observing or hearing  about the trauma of others. And can lead to the symptoms of emotional numbness, irritability, sleep disturbances, and physical complaints.

·        Burnout and Compassion Fatigue: Demanding nature of the job and frequent exposure to suffering can lead to emotional exhaustion and reduce capacity for empathy (https//extension.usu.edu, 2025).

It has been said too many times, “Well you chose the profession.” And to that I respond, “Yes, I did. Who else would’ve done it? You?!” And then, of course, the sound of crickets followed. To this day I can say that I loved working in the field of EMS. But my brain took a beating. The trauma of the event doesn’t happen at that exact moment. It creeps. And if you are running back-to-back traumatic calls, then the brain never has a chance to recover. Also, when therapeutic help is seen as shameful or weak, this further ostracizes the employee to thinking that there is no way out. There are those “trauma junkies” as they are called that seem to enjoy the trauma. However, from working with those types of individuals, I have found that there is also a higher rate of alcohol and drug use.

Reducing the stigma will only happen when senior management are supportive of mental health efforts to keep all employees safe. And in the environment where I worked, the stigma couldn’t have been any stronger. People were allowed to work an extreme amount hours without sleep, which was very dangerous. In fact, an EMT who was in paramedic school, was allowed to work without adequate sleep and he wrecked an ambulance with a patient on board, because he fell asleep at the wheel striking a telephone pole. And sadly, there are currently no federal laws that regulate this. This problem is still left up to the digression of private companies. 

A national organization known as  the National Association of Emergency Medical Technicians have issued guidelines for managing fatigue in EMS personnel. This sets guidelines such as limiting shifts to less than 24 hours in duration and providing access to caffeine to help counteract fatigue. And offering naps. However, I can tell you that the only “nap” I was offered was during the time it took for a red light to change to green. And there is a recognized concern about EMS worker fatigue for both workers and the public. Research also shows that more than half of EMS workers report severe mental and physical fatigue, poor sleep quality, and inadequate recovery between shifts (www.ems.gov, 2019).

I can only hope that those entities that have an ambulance or some other type of EMS service abides by this. However, I can almost guarantee that senior administrators are more concerned with the dollar amount that is acquired at the end of the month. Because the low pay rate of EMS workers makes the individual “a dime a dozen.” And they will just be replaced if they can’t handle the stress. And this attitude combined with the difficult nature of the job is why I would still consider this working environment dangerous for the worker, as well as patients.

If you are or know someone in this profession, it is imperative that you and they both know the importance of “healthy” self-care. Asking for help is not a weakness. It’s the personal responsibility of the employee and the companies that employ them. Please make use of services that are provided. Thanks for reading! Stay safe.

Affirmation: I am allowed to ask for what I need.

***Don’t forget to watch the video!***

#Thispuzzledlife