Mental Disorders and Mental Health Promotion in Police Officers
The number of police officers suffering from mental illnesses is becoming a significant public health concern. Police officers are more likely to experience mental health problems than the general population. The use of effective mental health promotion programs can assist in reducing police officers’ psychological problems. In this paper author reviews existing literature on mental disorders and mental health promotion among police officers. This review emphasizes the importance of mental health promotion and programs in improving police officers’ well-being and decreasing mental disorders. The prevalence of mental disorders, risk factors, and negative consequences are explained. Furthermore, examples of programs or interventions to promote mental health, and recommendations for further study are presented. Therefore, this review could be useful in developing intervention program to support police officers’ health.
1. Wainberg ML, Scorza P, Shultz JM, et al. Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective. Curr Psychiatry Rep. 2017;19(5):28. doi:10.1007/s11920-017-0780-z
2. Charlson F, Ommeren M, Flaxman A, Cornett J, Whiteford H, Saxena S. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. Lancet. 2019;394(10194):240-248. doi:10.1016/s0140-6736(19)30934-1
3. Emsing M, Padyab M, Ghazinour M, Hurtig AK. Trajectories of Mental Health Status Among Police Recruits in Sweden. Front Psychiatry. 2021;12:753800. doi:10.3389/fpsyt.2021.753800
4. Velden PG, Rademaker AR, Vermetten E, Portengen MA, Yzermans JC, Grievink L. Police officers: a high-risk group for the development of mental health disturbances? A cohort study. BMJ Open. 2013;3(1):e001720. doi:10.1136/bmjopen-2012-001720
5. Demou E, Hale H, Hunt K. Understanding the mental health and wellbeing needs of police officers and staff in Scotland. Police Practice and Research. 2020;21(6):702-716. doi:10.1080/15614263.2020.1772782
6. Jetelina KK, Molsberry RJ, Gonzalez JR, Beauchamp AM, Hall T. Prevalence of Mental Illness and Mental Health Care Use Among Police Officers. JAMA Netw Open. 2020;3(10):658-670. doi:10.1001/jamanetworkopen.2020.19658
7. Ricciardelli R, Carleton RN, Mooney T, Cramm H. “Playing the system”: Structural factors potentiating mental health stigma, challenging awareness, and creating barriers to care for Canadian public safety personnel. Health (London). 2020;24(3):259-278. doi:10.1177/1363459318800167
8. Syed S, Ashwick R, Schlosser M, Jones R, Rowe S, Billings J. Global prevalence and risk factors for mental health problems in police personnel: a systematic review and meta-analysis. Occup Environ Med. 2020;77(11):737-747. doi:10.1136/oemed-2020-106498
9. Carleton RN, Afifi TO, Turner S, et al. Mental Disorder Symptoms among Public Safety Personnel in Canada. Can J Psychiatry. 2018;63(1):54-64. doi:10.1177/0706743717723825
10. Ménard KS, Arter ML. Stress, Coping, Alcohol Use, and Posttraumatic Stress Disorder Among an International Sample of Police Officers: Does Gender Matter? Police Quarterly. 2014;17(4):307-327. doi:10.1177/1098611114548097
11. Di Nota PM, Anderson GS, Ricciardelli R, Carleton RN, Groll D. Mental disorders, suicidal ideation, plans and attempts among Canadian police. Occupational Medicine. 2020;70(3):183-190. doi:10.1093/occmed/kqaa026
12. Tsehay M, Necho M, Gelaye H, Beyene A, Birkie M. Generalized Anxiety Disorder, Depressive Symptoms, and Sleep Problem During COVID-19 Outbreak in Ethiopia Among Police Officers: A Cross-Sectional Survey. Front Psychol. 2021;12:713954. doi:10.3389/fpsyg.2021.713954
13. Masilamani R, Bulgiba A, Chinna K, et al. Prevalence and associated factors of stress in the Malaysian Police Force. Preventive Medicine. 2013;57:S57-S59. doi:10.1016/j.ypmed.2013.01.008
14. Lee JH, Kim I, Won JU, Roh J. Post-traumatic stress disorder and occupational characteristics of police officers in Republic of Korea: a cross-sectional study. BMJ Open. 2016;6(3):e009937. doi:10.1136/bmjopen-2015-009937
15. Abdullah A, Muhammad H, Abdurrahman F, Idris J, Marthoenis M. Physiological Predictors of Mental Disorders Among Police Officers in Indonesia. Asia Pac J Public Health. 2021;33(8):888-898. doi:10.1177/10105395211027752
16. Deschênes AA, Desjardins C, Dussault M. Psychosocial factors linked to the occupational psychological health of police officers: Preliminary study. Cogent Psychology. 2018;5(1):1426271. doi:10.1080/23311908.2018.1426271
17. Page KS, Jacobs SC. Surviving the shift: Rural police stress and counseling services. Psychological Services. 2011;8(1):12-22. doi:10.1037/a0021796
18. Duxbury L, Higgins C, Halinski M. Identifying the antecedents of work-role overload in police organizations. Criminal Justice and Behavior. 2015;42(4):361-381. doi:10.1177/0093854814551017
19. Talavera B, Luceño L, Martín J, García Y. Psychosocial Risk Factors, Burnout and Hardy Personality as Variables Associated With Mental Health in Police Officers. Front Psychol. 2018;9:1478. doi:10.3389/fpsyg.2018.01478
20. Loriol M. Collective forms of coping and the social construction of work stress among industrial workers and police officers in France. Theory & Psychology. 2016;26(1):112-129. doi:10.1177/0959354315616877
21. Garbarino S, Cuomo G, Chiorri C, Magnavita N. Association of work-related stress with mental health problems in a special police force unit. BMJ Open. 2013;3(7):e002791. doi:10.1136/bmjopen-2013-002791
22. Hoven H, Wahrendorf M, Siegrist J. Occupational position, work stress and depressive symptoms: a pathway analysis of longitudinal SHARE data. J Epidemiol Community Health. 2015;69(5):447-452. doi:10.1136/jech-2014-205206
23. Purba A, Demou E. The relationship between organisational stressors and mental wellbeing within police officers: a systematic review. BMC Public Health. 2019;19(1):1-21. doi:10.1186/s12889-019-7609-0
24. Habersaat SA, Geiger AM, Abdellaoui S, Wolf JM. Health in police officers: Role of risk factor clusters and police divisions. Social Science & Medicine. 2015;143:213-222. doi:10.1016/j.socscimed.2015.08.043
25. Njiro BJ, Ndumwa HP, Msenga CJ, et al. Depression, suicidality and associated risk factors among police officers in urban Tanzania: a cross-sectional study. Gen Psych. 2021;34(3):e100448. doi:10.1136/gpsych-2020-100448
26. Jetelina KK, Beauchamp AM, Reingle JM, Molsberry RJ, Bishopp SA, Lee SC. Cumulative, high-stress calls impacting adverse events among law enforcement and the public. BMC Public Health. 2020;20(1):1137. doi:10.1186/s12889-020-09219-x
27. Newell CJ, Ricciardelli R, Czarnuch SM, Martin K. Police staff and mental health: barriers and recommendations for improving help-seeking. Police Practice and Research. 2022;23(1):111-124. doi:10.1080/15614263.2021.1979398
28. Price M. Psychiatric Disability in Law Enforcement Officers. Behavioral Sciences & the Law. 2017;35(2):113-123. doi:10.1002/bsl.2278
29. Craddock TB, Telesco G. Police Stress and Deleterious Outcomes: Efforts Towards Improving Police Mental Health. J Police Crim Psych. 2022;37(1):173-182. doi:10.1007/s11896-021-09488-1
30. Karaffa KM, Koch JM. Stigma, Pluralistic Ignorance, and Attitudes Toward Seeking Mental Health Services Among Police Officers. Criminal Justice and Behavior. 2015;43(6):759-777. doi:10.1177/0093854815613103
31. Soomro S, Yanos PT. Predictors of Mental Health Stigma among Police Officers: the Role of Trauma and PTSD. J Police Crim Psych. 2019;34(2):175-183. doi:10.1007/s11896-018-9285-x
32. Tomar N, Ghezzi MA, Brinkley-Rubinstein L, et al. Statewide mental health training for probation officers: improving knowledge and decreasing stigma. Health Justice. 2017;5(1):11. doi:10.1186/s40352-017-0057-y
33. Liakopoulou D, Tigani X, Varvogli L, Chrousos GP, Darviri C. Stress management and health promotion intervention program for police forces. International Journal of Police Science & Management. 2020;22(2):148-158. doi:10.1177/1461355719898202
34. Acquadro D, Zedda M, Varetto A. Physical practice and wellness courses reduce distress and improve wellbeing in police officers. International journal of environmental research and public health. 2018;15(4):578. doi:10.3390/ijerph15040578
35. Chan EYL, Lui JTT, Mak ALP, Lau EKL. “Decoding MH”—A de-stigmatization campaign in the Hong Kong Police Force. Behavioral Sciences & the Law. 2022;41(1):30-40. doi:10.1002/bsl.2594
36. Marshall RE, Milligan J, Petrie K, Bryant RA, Mitchell PB, Harvey SB. Mental health screening amongst police officers: factors associated with under-reporting of symptoms. BMC Psychiatry. 2021;21(1):135. doi:10.1186/s12888-021-03125-1
37. Milliard B. Utilization and Impact of Peer-Support Programs on Police Officers’ Mental Health. Front Psychol. 2020;11:1686. doi:10.3389/fpsyg.2020.01686
38. Trombka M, Demarzo M, Campos D, et al. Mindfulness Training Improves Quality of Life and Reduces Depression and Anxiety Symptoms Among Police Officers: Results From the POLICE Study—A Multicenter Randomized Controlled Trial. Front Psychiatry. 2021;12:624876. doi:10.3389/fpsyt.2021.624876
39. Trombka M, Demarzo M, Bacas DC, et al. Study protocol of a multicenter randomized controlled trial of mindfulness training to reduce burnout and promote quality of life in police officers: the POLICE study. BMC Psychiatry. 2018;18(1):151. doi:10.1186/s12888-018-1726-7
40. Grupe DW, Stoller JL, Alonso C, et al. The Impact of Mindfulness Training on Police Officer Stress, Mental Health, and Salivary Cortisol Levels. Front Psychol. 2021;12(53):1-13. doi:10.3389/fpsyg.2021.720753