Editing Firefighter (section)

====Mental stress====
As with other emergency workers, firefighters may witness traumatic scenes during their careers. They are thus more vulnerable than most people to certain mental health issues such as [[post-traumatic stress disorder]]<ref>{{cite news |url= https://www.theguardian.com/public-leaders-network/2017/aug/23/mental-health-fire-service-government-cuts-grenfell-firefighters-charity |title= Fire fighters' battle with PTSD: "Every day is an anxious day" |date= 23 August 2017 |access-date= 22 September 2017 |newspaper= [[The Guardian]]}}</ref><ref>{{Cite journal|last1=Berger|first1=William|last2=Coutinho|first2=Evandro Silva Freire|last3=Figueira|first3=Ivan|last4=Marques-Portella|first4=Carla|last5=Luz|first5=Mariana Pires|last6=Neylan|first6=Thomas C.|last7=Marmar|first7=Charles R.|last8=Mendlowicz|first8=Mauro Vitor|date=2012-06-01|title=Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers|journal=Social Psychiatry and Psychiatric Epidemiology|language=en|volume=47|issue=6|pages=1001–1011|doi=10.1007/s00127-011-0408-2|pmid=21681455|issn=0933-7954|pmc=3974968}}</ref> and suicidal thoughts and behaviors.<ref>{{Cite journal|last1=Stanley|first1=Ian H.|last2=Hom|first2=Melanie A.|last3=Joiner|first3=Thomas E.|title=A systematic review of suicidal thoughts and behaviors among police officers, firefighters, EMTs, and paramedics|journal=Clinical Psychology Review|volume=44|pages=25–44|doi=10.1016/j.cpr.2015.12.002|pmid=26719976|year=2016|doi-access=free}}</ref><ref>{{Cite journal|last1=Stanley|first1=Ian H.|last2=Hom|first2=Melanie A.|last3=Hagan|first3=Christopher R.|last4=Joiner|first4=Thomas E.|title=Career prevalence and correlates of suicidal thoughts and behaviors among firefighters|journal=Journal of Affective Disorders|volume=187|pages=163–171|doi=10.1016/j.jad.2015.08.007|pmid=26339926|year=2015}}</ref> Among women in the US, the occupations with the highest suicide rates are police and firefighters, with a rate of 14.1 per 100 000, according to the National Center for Injury Prevention and Control, CDC.<ref>{{Cite journal|last=Lindahl|first=Björn|title= Why are suicide rates higher for farmers and firefighters than for librarians? |url= http://www.nordiclabourjournal.org/nyheter/news-2016/article.2016-10-09.4724251880/|journal=Nordic Labour Journal}}</ref> Chronic stress over time attributes to symptoms that affect first responders, such as anxiousness, irritability, nervousness, memory and concentration problems can occur overtime which can lead to anxiety and depression. Mental stress can have long lasting affects on the brain.<ref>{{Cite news|url=https://www.firehouse.com/safety-health/article/12152154/health-wellness-how-firefighters-can-manage-stress|title=Health & Wellness: How Firefighters Can Manage Stress|work=Firehouse|access-date=2018-09-11|language=en}}</ref> A 2014 report from the National Fallen Firefighters Foundation found that a fire department is three times more likely to experience a suicide in a given year than a line-of-duty death.<ref>{{Cite news|url=https://www.usatoday.com/story/news/2015/01/15/stress-takes-heavy-toll-on-firefighters-experts-say/21830649/|title=Stress takes heavy toll on firefighters, experts say|work=USA TODAY|access-date=2018-09-11|language=en}}</ref> Mental stress of the job can lead to substance abuse and alcohol abuse as ways of coping with the stress.<ref>{{Cite web|url=https://www.nfpa.org/news-and-research/publications/nfpa-journal/2014/may-june-2014/features/special-report-firefighter-behavioral-health|title=Special report: Firefighter behavioral health - NFPA Journal|website=www.nfpa.org|language=en|access-date=2018-09-11}}</ref> The mental stress of fire fighting has many different causes. There are those they see on duty and also what they miss by being on duty. Firefighters schedules fluctuate by district. There are stations where fire fighters work 48 hours on and 48 hours off, whereas some allow 24 hours on and 72 hours off.<ref>{{Cite web|url=https://www.firerescue1.com/exclusives-1/articles/9-sources-of-firefighter-stress-o2KNDn8vMYZTq2FB/|title=9 sources of firefighter stress|website=FireRescue1|date=9 February 2015 |language=en|access-date=2019-11-26}}</ref> The mental impact of missing a child's first steps or a ballet recital can take a heavy impact on first responders. There is also the stress of being on opposite shifts as a spouse or being away from family.

When not on the scene of an emergency, firefighters remain on call at [[fire station]]s, where they eat, sleep, and perform other duties during their shifts. Hence, [[Shift work sleep disorder|sleep disruption]] is another occupational hazard that they may encounter at their job.<ref name="Fent-2017" />