{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:36:31Z","timestamp":1789587391502,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T00:00:00Z","timestamp":1539043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp;amp; Life Threat Behav"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine occupational and personal suicide exposure among Law Enforcement Officers (<jats:styled-content style=\"fixed-case\">LEO<\/jats:styled-content>s) and related mental health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Law Enforcement Officers (N\u00a0=\u00a0813) completed an online survey about their suicide exposure, whether scenes stayed with them, and current symptoms of depression, anxiety, <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>, and suicidal ideation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Almost all participants (95%) had responded to at least one suicide scene with an average of 30.90 (<jats:italic><jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content><\/jats:italic>\u00a0=\u00a057.28) career suicide scenes and 2.17 in the last year (<jats:italic><jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content><\/jats:italic>\u00a0=\u00a04.11). One in five (22%) reported a scene that they cannot shake or have nightmares about, and 42.5% reported one scene that stayed with them. Almost three fourths (73.4%) knew someone personally who had died by suicide. There was a significant association between high levels of occupational exposure to suicide and behavioral health consequences including <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>, persistent thoughts of a suicide scene, and the inability to shake a scene. The inability to shake a scene and having a scene stick with them was associated with increased symptoms of depression, anxiety, <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>, and suicidal ideation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">LEO<\/jats:styled-content>s experience a tremendous amount of exposure to suicide scenes and also have personal exposure. There is a need for training to mitigate the effect of these multiple traumas on their mental health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.12516","type":"journal-article","created":{"date-parts":[[2018,10,9]],"date-time":"2018-10-09T10:10:18Z","timestamp":1539079818000},"page":"1281-1289","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Suicide Exposure in Law Enforcement Officers"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4534-5526","authenticated-orcid":false,"given":"Julie","family":"Cerel","sequence":"first","affiliation":[{"name":"College of Social Work University of Kentucky Lexington KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blake","family":"Jones","sequence":"additional","affiliation":[{"name":"College of Social Work University of Kentucky Lexington KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Brown","sequence":"additional","affiliation":[{"name":"College of Social Work University of Kentucky Lexington KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Weisenhorn","sequence":"additional","affiliation":[{"name":"Family and Consumer Sciences University of Kentucky Lexington KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyra","family":"Patel","sequence":"additional","affiliation":[{"name":"College of Public Health University of Kentucky Lexington KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,9]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"IBM SPSS Statistics for Windows, Version 24.0","author":"BM Corp","year":"2013"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.156.6.908"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2017.05.006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491613100116"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.03.017"},{"key":"e_1_2_6_7_1","volume-title":"USA Suicide 2016: Official Final Data","author":"Drapeau C. 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