First responders are repeatedly placed in harm’s way.
As implied by the name, first responders include police officers, firefighters, paramedics, emergency medical technicians, and search and rescue personnel. In addition to exposure to critical events that threaten their own safety and security, first responders often have demanding work schedules and roles that are physically challenging. For many, shift work can create struggles related to recovery, meaningful social engagements with others, and work-life harmony.
The continuous and cumulative exposure to critical incidents among first responders can contribute to the development, or worsening, of mental health issues. This is particularly true in two instances. First, when critical events are experienced that are deeply disturbing such as the death of a baby or child, suicide, burns, or those involving someone who is a friend/family member. And, second, when there is a perceived, or real, lack of control related to work or the environment.

Mental health concerns can include:

Many first responders with mental health concerns do not pursue, or delay, treatment.
A number of barriers impact help-seeking among first responders. Some common barriers include difficulties scheduling an appointment, not knowing where to seek help, concerns about confidentiality, and fears that counseling services will have a negative career impact. It is important to note that when these barriers are not overcome, distress and impairment associated with mental health issues can contribute to a number of consequences.
Consequences of untreated mental health issues include: