@article{ref1,
title="The effects of injury and accidents on self-rated depression in male municipal firefighters",
journal="Safety and health at work",
year="2011",
author="Chung, Yun Kyung and Park, Chung Yill",
volume="2",
number="2",
pages="158-168",
abstract="OBJECTIVES: The present study aims to determine the causal relationship between self-rated depression and experiences of injury and accidents in municipal firefighters. <br><br>METHODS: A panel survey of 186 municipal firefighters measured with depressive symptoms according to the Beck's depression index (BDI) was conducted. The effects of job-related injuries and accidents were evaluated using self-administered questionnaires that were taken once in a 12-month period from 2005 to 2006. Firefighters were classified into the Depression Group or Control Group based on follow-up BDI results with a cutoff level that was set to having &quot;over mild depression.&quot; RESULTS: The depression Group was comprised of 17 (9.1%) workers, including 9 firefighters who met had sufficient BDI scores twice in the 2-year test period and newly sufficient BDI scores in the follow-up test. A significantly higher number of subjects in the Depression Group experienced injuries and accidents in the 2-year test period as compared to the Control Group (15.4% vs. 1.5%, p=0.04). Firefighters who experienced injuries and accidents in the 2-year test period had a 7.4 times higher risk of being in the Depression Group than those who had not. As compared to accidents, near-miss accidents revealed stronger risks related to being classified as in the Depression group (adjusted odds ratio [OR] = 4.58, 95% confidence interval [CI] = 1.15-18.18 vs. Adjusted OR = 4.22, 95% CI = 1.08-16.58). <br><br>CONCLUSION: The above results suggest that we should establish an effective program to promote mental health for groups at high risk for self-rated depression, including persons who have experienced consecutive injuries and accidents as well as near-miss injuries.<p /> <p>Language: en</p>",
language="en",
issn="2093-7911",
doi="10.5491/SHAW.2011.2.2.158",
url="http://dx.doi.org/10.5491/SHAW.2011.2.2.158"
}