{"id":3066,"date":"2025-01-14T10:00:00","date_gmt":"2025-01-14T10:00:00","guid":{"rendered":"https:\/\/medical-article.com\/?p=3066"},"modified":"2025-01-14T10:00:00","modified_gmt":"2025-01-14T10:00:00","slug":"beyond-hard-hats-mental-struggles-become-the-deadliest-construction-industry-danger","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=3066","title":{"rendered":"Beyond Hard Hats: Mental Struggles Become the Deadliest Construction Industry Danger"},"content":{"rendered":"

If you or someone you know may be experiencing a mental health crisis, contact the 988 Suicide & Crisis Lifeline by dialing or texting \u201c988.\u201d<\/em><\/p>\n

BIRMINGHAM, Ala. \u2014 Frank Wampol had a dark realization when he came across some alarming data a few years ago: Over 5,000 male construction workers<\/a> die from suicide annually \u2014 five times<\/a> the number who die from work-related injuries, according to several studies. That\u2019s considerably more than the suicide rate for men<\/a> in the general population.<\/p>\n

\u201cTo say this is a crisis would be an understatement,\u201d said Wampol, vice president of safety and health at BL Harbert International<\/a>, a construction company based in Birmingham with over 10,000 employees.<\/p>\n

Since then, the company has added mental health first-aid training for on-site supervisors and distributed information about suicide prevention to laborers in the field. The efforts are part of a larger push led by the industry and supported by unions, research institutions, and federal agencies to address construction workers\u2019 mental health.<\/p>\n

But initiatives to combat this mental health crisis are tougher to implement than protocols for hard hats, safety vests, and protective goggles. And some of the potential solutions, such as paid sick leave, have drawn pushback from the industry as it eyes costs.<\/p>\n

Safety experts have long been concerned about the physical hazards of construction work. The \u201cFatal Four\u201d hazards are falls, electrocutions, being struck by an object like a brick or a crane boom, and getting caught between two objects, according to the Occupational Safety and Health Administration<\/a>.<\/p>\n

Only in recent years have the psychosocial hazards of construction work moved onto the public radar. Studies paint a grim picture, said Douglas Trout, an occupational medicine physician and deputy director of the Office of Construction Safety and Health at the National Institute for Occupational Safety and Health<\/a>.<\/p>\n

In addition to high suicide rates, drug use is rampant, especially opioids such as heroin and fentanyl. A recent study<\/a> from the Centers for Disease Control and Prevention found that construction ranks highest in overdose deaths by occupation.<\/p>\n

\u201cRates of suicides and overdose deaths are some of the worst outcomes related to mental health conditions,\u201d Trout said. \u201cAnd unfortunately, these are the more measurable ones.\u201d<\/p>\n

Less measurable but also prevalent among construction workers are anxiety and depression, which often remain undiagnosed. Almost half of construction workers have experienced symptoms of both, a rate higher than that of the general U.S. population, according to a preliminary 2024 study<\/a> by the Center for Construction Research and Training, an arm of North America\u2019s Building Trades Unions. But fewer than 5% of construction workers<\/a> reported seeing a mental health professional, compared with 22% of all U.S. adults<\/a>, according federal statistics.<\/p>\n

The combination of high-hazard environments and organizational factors puts construction workers at particular risk for mental health issues, Trout said. Construction is a high-stress occupation involving long hours, extended separation from family and friends, and low job security due to the industry\u2019s cyclical nature.<\/p>\n

Even though health insurance and workers\u2019 compensation are offered by some contractors, paid sick leave for laborers, craft workers, and mechanics is not standard. While 18 states and Washington, D.C., have approved laws requiring paid sick leave and federal contractors have to offer it, the mandates don\u2019t apply to many construction workers. And industry advocates are pushing back against<\/a> such legal requirements, claiming they don\u2019t fit the transient and seasonal nature of construction work.<\/p>\n

If workers get injured, they often \u201ctry to tough it out and get back to the job as quickly as possible,\u201d said Nazia Shah, director of safety and health services at the Associated General Contractors of America<\/a>, the country\u2019s largest construction trade association.<\/p>\n

To manage pain from injuries, workers often resort to prescription opioids. Some then develop a dependency and turn to street drugs. \u201cIt\u2019s a vicious cycle,\u201d Shah said.<\/p>\n

If a worker is fatigued, distracted by pain or personal issues, or impaired by some type of substance, the results can be catastrophic, said Wampol, a 20-year industry veteran who went into construction after retiring from a career as a firefighter and paramedic.<\/p>\n

The biggest step, Shah said, is \u201cbreaking the stigma and normalizing conversations around mental health.\u201d<\/p>\n

The hurdles are particularly high in this male-dominated field, where harassment and bullying are common and speaking up about emotional hardships is often considered a sign of weakness, Shah said.<\/p>\n

Several organizations, including the Associated Builders and Contractors<\/a>, have created short \u201ctoolbox talks\u201d to review the signs and symptoms of mental health issues, the risks of self-medicating with drugs and alcohol, and the resources available through health insurance and employee assistance programs.<\/p>\n

Some, such as the AGC\u2019s Missouri Chapter<\/a>, hand out hard-hat stickers, cards, and \u201chope coins\u201d \u2014 small tokens that symbolize support. They all serve as conversation starters and include information on the 988 Suicide & Crisis Lifeline<\/a> in English and Spanish.<\/p>\n

Many contractors hold regular stand-downs, with supervisors halting work at a construction site to provide on-the-spot training related to a specific mental health issue. Others, such as BL Harbert, offer health education fairs and team with local health clinics for lunch-and-learn events.<\/p>\n

But Stanley Wheat, an on-site safety manager at BL Harbert, said that even the best policies, procedures, and training materials won\u2019t stick without making an effort on the ground. \u201cA PowerPoint presentation alone won\u2019t cut it. You\u2019ve got to know your people, and you\u2019ve got to engage them.\u201d<\/p>\n

Wheat, a military veteran who has worked in construction for over two decades, said it\u2019s important to make rounds several times a day at a job site \u2014 getting to know the workers and observing changes in their behaviors.<\/p>\n

\u201cYou start noticing the guy who\u2019s isolating himself, sitting alone at lunch, not talking with anybody,\u201d he said.<\/p>\n

Wheat can relate. His uncle died by suicide, but his family would never talk about it. During his time in the military, Wheat said, he went to rehab for drug and alcohol addiction. He dropped out of college to work in construction.<\/p>\n

\u201cI\u2019ve been there,\u201d he said. \u201cI skinned my knuckles. I pulled my back. I worked injured.\u201d<\/p>\n

Wheat tries to strike up conversations with workers who he thinks are having a rough time. He listens, sometimes shares his personal story, and suggests resources for help.<\/p>\n

Peer-to-peer support is among the more promising concepts in the effort to curb the mental health crisis in construction. Workers often don\u2019t want to talk with management or outsiders, Trout said, \u201cbut they usually trust each other.\u201d<\/p>\n

One successful model is Mates<\/a>, a program for mental health and suicide prevention that originated in Australia in 2008. The idea is to train on-site personnel \u2014 workers, foremen, superintendents \u2014 to spot and support co-workers in crisis, offer a confidential space to talk, and guide them to help if needed. The volunteers, called \u201cconnectors,\u201d are typically identified by green hard hat stickers. Efforts are underway to bring a formalized Mates program to the U.S., Trout said.<\/p>\n

Other, often small and local initiatives are being implemented, too. Some contractors have hired full-time wellness coordinators or bring mental health care providers to construction sites so employees can start appointments immediately. A few companies have put dedicated trailers on their job sites that serve as quiet rooms, with lounge chairs, board games, and video consoles, so workers can take a moment to decompress.<\/p>\n

Many contractors also have added naloxone \u2014 an emergency medication used to reverse opioid overdoses, often known by the brand Narcan \u2014 to on-site medical kits.<\/p>\n

Going forward, as President-elect Donald Trump takes office next week, the industry faces major uncertainties, including possible ripple effects from tariffs, mass deportations, tax cuts, and deregulation.<\/p>\n

No matter what comes, Wampol said, the construction industry needs to understand that the investment in mental wellness and suicide prevention programs creates \u201ca healthier, more productive workforce\u201d \u2014 and, ultimately, a better bottom line.<\/p>\n\n

KFF Health News<\/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF\u2014an independent source of health policy research, polling, and journalism. Learn more about KFF<\/a>.<\/p>\n

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If you or someone you know may be experiencing a mental health crisis, contact the 988 Suicide & Crisis Lifeline by dialing or texting \u201c988.\u201d BIRMINGHAM, Ala. \u2014 Frank Wampol had a dark realization when he came across some alarming data a few years ago: Over 5,000 male construction workers die from suicide annually \u2014…<\/p>\n","protected":false},"author":0,"featured_media":3067,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-3066","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/3066"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3066"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/3066\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/media\/3067"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}