Mental health screening amongst police officers: factors associated with under-reporting of symptoms
Open Access
- 8 March 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Psychiatry
- Vol. 21 (1), 1-8
- https://doi.org/10.1186/s12888-021-03125-1
Abstract
Background: Mental health screening in the workplace aims to identify employees who are becoming symptomatic, in order to provide timely support and evidence-based interventions to those affected. Given the stigma associated with mental illness, accurate disclosure of mental health symptoms cannot be assumed. The present study sought to investigate factors associated with the accurate reporting of mental health symptoms amongst police officers. Methods: A total of 90 serving police officers completed identical mental health screening surveys, one administered by the employer and the other anonymously by an independent organisation. Responses were then linked to compare differences in the number and severity of mental health symptoms reported on each questionnaire. Results: Comparisons of matched self-report scores indicated that employees under-reported symptoms of mental health disorders when completing screening administered by their employer, with only 76.3% of symptoms declared. Under-reporting occurred regardless of gender and symptom type. Less senior staff (p = 0.05) and those with the most severe post-traumatic stress disorder and common mental disorder symptoms (p = 0.008) were significantly more likely to under-report symptoms. Conclusions: Employer-administered mental health screening is not able to accurately capture all mental health symptoms amongst first responders. The fact that the severity of symptoms predicted the level of under-reporting means that simple changes to cut-off values cannot correct this problem.Keywords
Funding Information
- icare Foundation
- NSW Ministry of Health
This publication has 29 references indexed in Scilit:
- Association of work-related stress with mental health problems in a special police force unitBMJ Open, 2013
- Does anonymity increase the reporting of mental health symptoms?BMC Public Health, 2012
- Treating posttraumatic stress disorder in first responders: A systematic reviewClinical Psychology Review, 2012
- Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workersSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2011
- On-the-Record Screenings Versus Anonymous Surveys in Reporting PTSDAmerican Journal of Psychiatry, 2008
- The validity of the 21-item version of the Depression Anxiety Stress Scales as a routine clinical outcome measureActa Neuropsychiatrica, 2007
- The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sampleBritish Journal of Clinical Psychology, 2005
- Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to CareThe New England Journal of Medicine, 2004
- Prevalence, comorbidity, disability and service utilisationThe British Journal of Psychiatry, 2001
- Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample.Psychological Assessment, 1998