President signs legislation to recognize suicide as a line-of-duty death for first responders

Firefighter on the Cerro Paledo Fire
Firefighter on the Cerro Paledo Fire in New Mexico, May, 2022 by Blake McHugh.

Last week President Biden signed H.R. 6943, the Public Safety Officer Support Act, into law. The legislation expands death and disability benefits under the Public Safety Officers’ Benefits (PSOB) program to include first responders who die by suicide or are disabled by traumatic experiences.

The new law will:

  • Allow public safety officers to seek disability benefits for PTSD linked to severe trauma by directing the PSOB to designate work-related PTSD and acute stress disorders as a line of duty injury for eligible officers as well as those who are permanently disabled as a result of attempted suicide; and
  • Allow families of public safety officers who die by trauma-linked suicide to apply for death benefits by directing the PSOB to presume that suicides are a result of job duties in certain traumatic circumstances where there is evidence that PTSD or acute stress disorder would be the cause of the injury.

The bill states that first responders or their survivors may qualify for benefits if their suicide or post-traumatic stress disorder was related to being exposed to “a harrowing circumstance posing an extraordinary and significant danger or threat to the life of or of serious bodily harm to any individual.” There are other requirements and details which are in the copy of the five-page bill below:

[pdf-embedder url=”https://wildfiretoday.com/wp-content/uploads/2022/08/H.R.6943.pdf” title=”H.R. 6943″]

This time of the year can be a challenge for wildland firefighters

Six hotshot crews
Six hotshot crews: Los Padres, Horseshoe, Fulton, Springville, Breckenridge & Kern Valley

The holidays at the end of the year can be tough for many people, including wildland firefighters. With that in mind we are re-running this article from a few months ago.


Wildland firefighters on crews that are often deployed on endless 14-day assignments far from home may become acclimated to the high energy adrenaline-fueled environment. They are part of a team working toward the same clear objective, constructing fireline, installing hose lays, or mopping up. The goal is usually very obvious, and when done they can look back and see what they accomplished while part of a group that over months together could complete each other’s sentences. They know what each would do when faced with a pulse-elevating situation, or how they deal with boredom while waiting for a ride back to fire camp.

When the fire season is over, their environment goes through a metamorphose. Almost overnight they may find themselves with their spouse, significant other, children, parents, non-fire friends, or, alone — a completely different situation from the previous six months. Some firefighters adapt more easily than others. Those that don’t, may experience mental health issues and mild or severe depression. Spouses or children of the often-absent firefighter may also show symptoms.

In the last five years we have learned that the suicide rates of wildland firefighters is “astronomical”, according to information developed by Nelda St. Clair of the Bureau of Land Management in 2017. It is high even when compared with structural firefighters, which is also higher than the general population.

As we approach the slower part of the fire year, especially for those who are employed less than full time, if you know someone who seems very depressed, it is OK to ask them if they are thinking about suicide. Some people think this will spur suicide attempts but that is not accurate. Encouraging them to talk could be the first step leading them to safety.

This video encourages that communication. (I’m told that some of the people in the video are YouTubers. It features Hannah Hart, Liza Koshy, Markiplier, Meredith Foster, Orion Carloto, Remi Cruz, Shannon Beveridge, Tyler Oakley, and Tyler Posey.)

Members of the military returning from deployment can also have difficulties readjusting to life back at home. A Department of Defense webpage has information on the subject that appears to be directed toward the spouse. Here is an excerpt.

Depression and Suicide Prevention
Depression can happen to anyone – resulting in long-term feelings that affect an individual’s mood and daily activities. Service members may be facing challenges during reintegration that seem completely overwhelming, but understanding the warning signs for depression and suicide can help you intervene and get the them the help that they need. Signs to be aware of include:

–A range of emotions and changes in personality, including repeated and intense feelings of sadness, anxiety, hopelessness or pessimism
–A loss of interest in life or hobbies and prolonged periods of crying or sleeping
–Substance abuse or withdrawal from friends and family
–Displays of emotional distress in online activity
–Excessive feelings of guilt, shame or a sense of failure
–Physical symptoms like weight loss or weight gain, decreased energy, headaches, digestive issues or back pain
–Talking about dying or seeking information about death.


 

Help is available for those feeling really depressed or suicidal.

The awkward silence when the season ends

Lone Peak Hotshots
Lone Peak Hotshots. Screenshot from their 2020 video.

Wildland firefighters on crews that are often deployed on endless 14-day assignments far from home may become acclimated to the high energy adrenaline-fueled environment. They are part of a team working toward the same clear objective, constructing fireline, installing hose lays, or mopping up. The goal is usually very obvious, and when done they can look back and see what they accomplished while part of a group that over months together could complete each other’s sentences, know what each would do when faced with a pulse-elevating situation, or deal with boredom while waiting for a ride back to fire camp.

When the fire season is over, their environment goes through a metamorphose. Almost overnight they may find themselves with their spouse, significant other, children, parents, non-fire friends, or, alone — a completely different situation from the previous six months. Some firefighters adapt more easily than others. Those that don’t, may experience mental health issues and mild or severe depression. Spouses or children of the often-absent firefighter may also show symptoms.

In the last five years we have learned that the suicide rates of wildland firefighters is “astronomical”, according to information developed by Nelda St. Clair of the Bureau of Land Management in 2017. It is high even when compared with structural firefighters, which is also higher than the general population.

As we approach the off season for wildland firefighters who are employed less than full time, if you know someone who seems very depressed, it is OK to ask them if they are thinking about suicide. Some people think this will spur suicide attempts but that is not accurate. Encouraging them to talk could be the first step leading them to safety.

This video encourages that communication. (I’m told that some of the people in the video are YouTubers. It features Hannah Hart, Liza Koshy, Markiplier, Meredith Foster, Orion Carloto, Remi Cruz, Shannon Beveridge, Tyler Oakley, and Tyler Posey.)

Members of the military returning from deployment can also have difficulties readjusting to life back at home. A Department of Defense webpage has information on the subject that appears to be directed toward the spouse. Here is an excerpt.

“Depression and Suicide Prevention

“Depression can happen to anyone – resulting in long-term feelings that affect an individual’s mood and daily activities. Service members may be facing challenges during reintegration that seem completely overwhelming, but understanding the warning signs for depression and suicide can help you intervene and get the them the help that they need. Signs to be aware of include:

      • “A range of emotions and changes in personality, including repeated and intense feelings of sadness, anxiety, hopelessness or pessimism
      • A loss of interest in life or hobbies and prolonged periods of crying or sleeping
      • Substance abuse or withdrawal from friends and family
      • Displays of emotional distress in online activity
      • Excessive feelings of guilt, shame or a sense of failure
      • Physical symptoms like weight loss or weight gain, decreased energy, headaches, digestive issues or back pain
      • Talking about dying or seeking information about death.”

 

Help is available for those feeling really depressed or suicidal.

Wildland firefighters’ silent crisis

Bighorn Fire, night ops in Summerhaven
Bighorn Fire, night ops in Summerhaven. Coronado NF, Arizona. Photo by David Melendez, June 23, 2020.

Today The Guardian published a well-researched article written by Daliah Singer about stresses the 20,000 wildland firefighters face on the job, including mental health issues. Here is an excerpt from “Burning out: the silent crisis spreading among wildland firefighters.”


“ ‘The exposure to human suffering in the last three years is not something you’d see at a typical day of work at firefighting – entire communities destroyed, loss of human life, loss of wildlife, loss of the landscape that we treasure. That’s not what wildland firefighters signed up to do, but it’s what they’re exposed to,” says Nelda St Clair, who worked in wildland fire for 40 years and is now the national critical incident stress management program manager for the Bureau of Indian Affairs (BIA).

“Mental struggles can become more acute in the offseason, when firefighters lose their connections to their crews and transition from rigorous schedules to quieter lives.

“ ‘[Wildland firefighters] have more risk than the average firefighter because of social disconnection,” says Thomas Joiner, a psychology professor at Florida State University and one of the country’s foremost experts on suicide. A recent study by his team included a sample of wildland firefighters – just 20 individuals – and found that 55% of them reported clinically significant suicidal symptoms compared with 32% of non-wildland firefighters.

“Dr Patricia O’Brien, a clinical psychologist and former hotshot – an intensely trained firefighter working directly on fire lines – expanded those results with a survey of more than 2,500 current and former wildland firefighters. Her early data, which is not yet peer-reviewed or published, shows that rates of self-reported probable depression, generalized anxiety disorder and PTSD, as well as past-year suicidal ideation, past-month binge drinking, heavy alcohol use and smokeless tobacco use were all two to 10 times more prevalent among wildland firefighters than the general public.”

(end of excerpt)


The article refers to research conducted by former hotshot Dr. Patricia o’Brien.  Here is an excerpt from the abstract of her work.

“Wildland firefighters in the sample reported relatively high rates of probable depression (17.3%), probable generalized anxiety disorder (12.8%), probable PTSD (13.7%), past year suicidal ideation (20.1%), past-month binge drinking (57%), heavy alcohol use (22%) and smokeless tobacco use (36.9%). These rates were 2-10 times higher than rates typically seen among the general public. Further, data showed a disparity between the prevalence of depression and PTSD identified by the study screening measures and the rates at which participants reported having been diagnosed by a healthcare provider. Finally, wildland firefighters in the study reported exposures to a variety of stressful events. Results of the study provide preliminary research data suggesting that wildland firefighters may be at greater risk of developing mental health conditions than the general public, and that a significant proportion of those conditions are under-detected and under-treated. Findings highlight the need for health surveillance and evidence-based health promotion and illness/injury prevention program development for wildland firefighters, particularly in psychological and behavioral health domains.”


 

Help is available for those feeling really depressed or suicidal.

A fire supervisor asks, “Why didn’t I see this coming?”

Fire personnel and mental health issues

Eclipse Complex firefighters
Firefighters on the Eclipse Complex of fires, Klamath NF, 2017. Photo by B. Patton. InciWeb.

From Bill: I have been communicating for a few weeks with a U.S. Forest Service Forestry Technician about an article they wanted to submit about helping employees who are struggling with mental health issues. The text arrived by email yesterday:

Sorry for the delay. I’ve actually been really busy at work, and then I had an employee resign for mental health reasons today.  For that reason I don’t want to put this off anymore.

Here is the article. The author wished to remain anonymous.


It has now been over a year since the start of the 2020 fire season.  It has also been just over a year since the COVID-19 pandemic truly began affecting my life, and the lives of the people I work with.  A year ago I was onboarding my crew in full COVID PPE, issuing gear and sending them home to telework while we figured out how to fight fire during a pandemic.  I was legitimately thrilled to start the 2021 season, thinking the pandemic and the stress was behind us and that finally we could get back to ‘normal’.

But today I had a talk with one of my employees about their incredibly difficult off-season and the mental health struggles they’ve been dealing with.  The details of their struggle aren’t critical here.  It could be about money, family, a relationship, personal health, or simply happiness and life satisfaction.  What is important is that since the end of the 2020 fire season, almost half of the employees I supervise have approached me with mental health concerns just like these.  Yes, you read that right.  Nearly half of my employees are struggling to cope to the extent that they approached me needing help and advice.  And while I was aware, as I’m sure you are, that the pandemic has caused trauma, stress, depression, and self harm at unprecedented levels potentially not seen before, it hadn’t personally affected me until now.  And now it’s here, and not in a small way.  This is not an anomaly. This is a trend.

At first I had a serious bout of self reflection and introspection.  “What have I done to these people that they’re hurting so badly?”  “What happened last season to push them in this direction?”  “Did I drive them too hard?”  “Why didn’t I see this coming?”  I consulted with some of my mentors and realized that no, it isn’t necessarily me.  It’s us.  It’s our culture.  We think we can handle just about anything.  We regularly and voluntarily place ourselves into environments that define the word stress, and we do so with big dirty grins on our faces.  And as the season grinds on we find a few ways to cope, and they’re usually extremely unhealthy.  It should not surprise us that this approach is bound to break down.  But one thing we don’t do is talk about how we’re feeling.  We grind it out because we know winter is coming.  And we think that will help.  But what if it doesn’t?  I’m writing today to say that it doesn’t.  Winter unemployment wasn’t a holiday.  Fire season was a holiday from reality.  And when work ends, the harsh reality of “real life” is waiting there staring you in the face.  And now we are returning to work not refreshed and fit and ready to go, but drained from a stressful winter.  And if this problem exists where I work, I truly believe it must be happening where you work, whether it’s being talked about or not.

So here’s my advice.  I’m not a mental health professional so take it for what it’s worth.  I’m just a guy who’s done this for a little while.

Firefighters – know that you are not alone.  Literally everyone experiences the same anxiety and struggles just like you do, in different ways and at different times.  The past 12 months have been brutal.  Everyone on my crew broke their career overtime records in 2020, and did so while it felt like the world was imploding around us, and while we were isolated from friends and family.  Stress on top of stress for 6-8 months followed by being set adrift and alone into the world once the snow flies is mentally taxing in a normal year.  Doing all of that during a pandemic was bound to push people over the edge.  I only ask that you realize that we are here for you.  Your supervisors.  Your coworkers.  Even the random people you meet for one shift on a fire and never see again.  We’re here for you because we are you.  We experience it too.  And while we may not have all the answers, we’re all better off seeking them together.  Speak up.  Your voice will empower the voices of others.  And there are free and anonymous resources to connect you with professionals regardless of which agency you work for. Talking about it will help.

Supervisors – Make yourself available and approachable.  I am as guilty as the rest of you.  In our line of work, I am a stereotypical fireline supervisor.  I am loud and outspoken, and I portray a confidence that I’m sure tells my subordinates that I am more or less bulletproof and immune from these issues personally.  That is not helpful.  That does not give your people the confidence to speak up.  Show humility.  Lose the ego.  Let them see your weaknesses.  Empower your employees with the knowledge they need to get help.  Give them contact information for the Employee Assistance Program (EAP).  While I am at times a major skeptic when it comes to believing “the agency” has our back, I can say for certain that my agency’s EAP has done incredible work for the people I’ve put in touch with it.  And even if no one has approached you for help, you can still foster an environment that encourages open communication and the ability to come to you with issues.  The egomaniacal “shut up and dig” approach may work in some cases, but this is not one of them.

Thanks for indulging me in my brief but passionate soapbox rant.  I don’t claim to have the answers.  I have no formal training in mental health or therapy.  But I’ve done this job for a long time, and I’m seeing looks on faces I’ve never seen before.  We’ve been getting better recently about talking.  Opening up.  Discussing as opposed to directing.  But I believe we still have work to do if we’re going to create a culture and a family that feels comfortable speaking up and opening up about mental health.  Life is stressful enough these days.  Doing what we do on top of all of that is bound to be just a little too much sometimes.  Drop the ego and be a human.  A little empathy goes a long way.  Have a safe season.


 

Note from Bill:

Suicide rates among wildland firefighters have been described as “astronomical.

Help is available for those feeling really depressed or suicidal.

Federal firefighter asks for six specific reforms

Firefighters holding Romero SaddleThomas Fire
Firefighters holding Romero Saddle on the Thomas Fire in southern California, December 13, 2017. Photo: Kari Greer for the USFS.

A federal firefighter has drafted a letter to U.S. Senators and Representatives in which they ask for six specific reforms. However, the person, who feels the need to remain anonymous, insists that they not be called firefighter, since the job description applies the label “forestry technician.”

Update August 12, 2020. For some of the statistics mentioned in the letter below, reference "A Quiet Rise in Wildland-Firefighter Suicides", The Atlantic, 2017; and, "Suicide rate among wildland firefighters is 'astronomical' ”, Wildfire Today, 2017.

Here is the letter. At the bottom is a link to sign a petition at Change.org.


To our US Senators and Representatives:

I am a Wildland firefighter with 14 years of experience fighting wildfires across the United States and Alaska with the US Forest Service. I’m writing this letter to open your eyes and to start a dialogue about the mental health crisis that is taking place amongst our firefighting ranks in the US Forest Service.

Wildland firefighters have a 0.3% suicide rate according to Nelda St. Clair of the Bureau of Land Management. This figure is shockingly high compared to the national suicide rate of 0.01%. In 2015 and 2016 a total of 52 Wildland Firefighters took their own lives. Why do wildland firefighters suffer from a 30x rate of suicides compared to the general US population? I detail my personal thoughts that are based on hundreds of conversations with wildland firefighters and my own experience below.

Any US Government official should find it unacceptable to have such high suicide and mental health issues amongst their employees. Unfortunately, little action has been taken by leadership in government to support wildland firefighters, resulting in this predictable and avoidable epidemic.

Wildland firefighters are some of the most driven, motivated and selfless workers. We miss our kids birthdays, friends’ barbecues, aren’t around to help put the kids to bed or make dinner, and this takes a toll on us. This causes us to lose social connections and friendships, to feel distant from our loved ones, and increases our divorce rates because we aren’t present to support our partners.

Throughout my time as a Hotshot and a Smokejumper I have seen people working through multiple injuries such as hiking chainsaws up the hill with a torn ACL, unable to have surgery due to a lack of health insurance, or a financial inability to miss a few fire assignments. The majority of wildland firefighters rely too heavily on overtime and hazard pay making time off financially unfeasible. When an on-the-job injury occurs, our workmans comp insurance is slow to approve claims, often does not authorize payment for doctor recommended care, and then only pays 40% of base pay to recover while away from work. This needs to change.

We often hear from local citizenry, news stations, a governor or senator that we are “Heroes.” I’ve had innumerable conversations with fellow firefighters how disingenuous this feels when many wildland firefighters are temporary employees who do not receive benefits and have an employer that refuses to call them what everybody knows to be true, that we are “WILDLAND FIREFIGHTERS,” not forestry technicians.

Our wages lag far behind standard Firefighter wages. We do not receive pay for our increasing workload within an increasingly longer fire season. It is common for us to be running a Division of a fire (typically a job for a GS-11)  while paid as a GS-6, have dozens of resources (personnel and equipment) under our command and be the lowest paid of all of them.

The job is so hazardous and physically difficult that we are supposed to receive the same retirement that the FBI, Law Enforcement, and other Federal Firefighters receive, able to retire after 20-25 years. The difference is that their career starts when they are hired, while our retirement plan doesn’t start until we are hired as a permanent employee, often coming after more than a decade of service as a temporary employee. Hotshot crews are typically staffed with 7 permanent employees and 13 temporary employees, doing some of the most hazardous and strenuous work.

Our overtime is not considered mandatory and therefore not part of our retirement annuity calculation, while other federal employees’ overtime is considered mandatory. This is a laughable premise amongst any wildland firefighter as we often have no say in length of work and are not able to go home after 8 hours of work when we are in the middle of an assignment. We typically work 14-day assignments, sleep on the ground, eat MREs and don’t complain. We are often out of contact with loved ones and thousands of miles from home, but have to fight with office workers tracking our pay to get paid for 16-hour workdays where we work from 6AM until 10PM. Other contracting resources, CAL FIRE, municipal firefighters, and other Federal Firefighters all are paid Portal-to-Portal, 24 -hour days, without the federal government blinking an eye.

As a 14-Year Veteran, I am qualified at the Crew Boss Level with many other advanced qualifications, but I have only accrued a total of 3 years towards retirement and make under $20/hour in an area where the median home price is over $400,000. When I go on an assignment, the babysitter makes more per hour than I do on a fire.

The current wage structure also limits diversity and keeps women and minorities out of firefighting positions. If women have plans to have children, then it is nearly impossible to pursue a career in firefighting because the option to miss a single fire assignment would result in a large percentage of yearly income being lost. People from lower-income demographics are kept out of this field due to the low wages as well. Increasingly I am seeing only privileged, white males able to work in this career with the most stable and supportive family situations. This is a shame as we all suffer when diversity is discouraged.

Why are we hailed as “Heroes” by the media and politicians but paid like second-rate cannon fodder that can be replaced easily?

I’m asking for real reforms from our elected officials:

  1. A psychologist with an office located in the forest headquarters of each national forest who is available to all Forest Service employees for mental health.
  2. A Critical Incident Stress Management (CISM) paid leave category is created with 1.5 hours per pay period (roughly 1.25 weeks per year) to take time for mental health.
  3. Cut the crap, We are WILDLAND FIREFIGHTERS, not forestry technicians. Compel Land Management agencies to convert all wildland firefighters from GS pay scale to a new pay scale such as WLF. A WLF-6 (currently GS-6) should be paid at $30/hour or $60,000 per year. It took me until my 9th year of fighting wildfires to attain the level of GS-6, so this is not a starting wage.
  4. Eliminate any hiring of GS-3 in Wildland Fire. This wage is insultingly low and not acceptable for the type of risk taken.
  5. After we are called firefighters in our official Position Description, end Hazard Pay. Our jobs are inherently hazardous, and our lives should not be valued based on our pay rate as is the current practice.
  6. Eliminate Temporary Positions for any firefighter returning for their second year. If they are worth bringing back for a second season then they are worth paying benefits and allowing to contribute to their retirement plan.

This is a simple list of requests that can be done now. This job is already so stressful as evidenced and explained above. Firefighters and their families need some relief from the biggest stress currently, which is financial stress. Increasing wages will save firefighter lives, I have no doubt. It will also preserve a middle class job from sinking into the poverty level.

My final request goes out to the countless US citizens who have relied on us to save their communities, homes, favorite forested areas and to the media organizations that have used us to write compelling stories and report on some incredibly dramatic events:

Please stop referring to us as wildland firefighters. We are currently “forestry technicians” as described by the federal government position description and your reporting should reflect that reality. Don’t call us “Heroes” either because when divorces, mental health problems and declining wages are the reality, we don’t feel like heroes at all.

Thank you for your time and understanding.


(The author has also posted this on Change. org. Sign the petition there if you are so inclined.)