I spent yesterday in Denver at the Denver Convention Center the host location for the Fire-Rescue International Conference http://s36.a2zinc.net/clients/iafc/fri12/Public/MainHall.aspx?ID=2716 with Chief Jeff Dill of the Palatine Rural Fire Protection District in suburban Chicago.

B/C Dill is a nationally recognized authority on behavioral health issues within the fire service. He established Counseling Services for Fire Fighters, LLC based on the tragic events that surrounded Hurricane Katrina. When speaking with firefighters who returned after serving the community of New Orleans, Jeff heard the pleas of firefighters who had a difficult time talking with counselors who did not have any firefighting experience. They became frustrated and never did seek the help they needed. You can listen to Jeff’s last appearance on the Firefighter Netcast Show here: “Counseling For a Firefighter- By a Firefighter” In this program, Chief Dill tells us about a new resource coming to the aid of the fire service. Last month, Chief Dill announced the formation of Firefighter Behavioral Health Alliance (FBHA). The new 501(c) (3) organization was established to directly educate firefighters/ Emergency Medical Services (EMS) personnel and their families about behavioral health issues such as depression, Post Traumatic Stress Disorder (PTSD), anxiety and addictions, as well as firefighter suicides. FBHA's sole goal is to promote good mental health to the men and women of the fire service/EMS and their families, as well as make a significant difference in reducing the numbers of firefighters who are turning to suicide to ease their pain. FBHA Founder Jeff Dill holds a Master's Degree in Counseling, and is a Licensed Professional Counselor in the state of Illinois.

What an amazing and passionate man. Chief Dill has spent countless hours helping fire departments all over America in dealing with firefighter suicide and also comforting the families of those left behind.

Here are two dirty secrets of our storied institution the fire service. When one of us suicides out the event is treated like an off the job incident, in my opinion it rarely is, it is a line of duty death to me, but that isn’t how we treat it.

Second the families of these brothers and sisters (yeah women firefighters off themselves too) are treated differently than a firefighter that dies an honorable death. They may get short term support from their department but they and the memory of their father, husband, wife, sister, or brother is quickly forgotten.

We don’t like to talk about this fact of our way of life; it’s scary to think about, so we step away quickly so we don’t have to think about it.

Chief Dill had invited me to speak about my experience as a suicide survivor and firefighter. After I shared my story with an unfortunately tiny audience a Chief asked me if there was anything any of my co-workers could have done back then.

My answer was a solid yes! My crew knew I was suffering, they knew I was “Off” my game I displayed all the characteristics of someone on the brink. But here is the thing I know if one of them had pressed me, really asked how I was doing I would have cracked.

Now I’m not putting any blame on anyone (other than myself) it isn’t their fault I tried to kill myself. What I am saying is this, if we are the brave souls we fancy ourselves to be, shouldn’t we be brave enough to risk asking these questions of ourselves and our co-workers? Shouldn’t one of the lives we try to save be one of our own? I know I questioned patients hard when they seemed to be a risk to themselves, hell I put hundreds on medical holds.

Yet I refused to ask the hard questions of brothers and sisters I suspected of being in danger. It would have been impolite to ask.

As I waited to speak with Chief Dill I tried to work the crowd on his behalf, try and stir up some interest and get a good crowd to come listen to Chief Dill. Well wasn’t I surprised. There were two major reactions, one was to be polite, take my information and then quickly toss it in the trash. The other one shocked me.

I was sitting outside and struck up a conversation with two Chiefs from California. I gave them our little hand-out that has the warning signs of an impending suicide. They both read it, then one looked at the other and in unison they said the name of a firefighter and both laughed a bit.

I asked them, “So you both agree you have a guy with these warning signs?” both answered without hesitation yes. Then I asked what they planned to do about that. They sat there tongue tied with their eyes blinking. “Well we gotta get inside we’re teaching a class. Thanks for the information.” And with that they walked away.

Ask the hard questions you may save a brother or sister, or maybe yourself.

Below is a self-screening for suicide ideations for firefighters.  Please circle either Y= Yes, or N=No.  When you have completed screening please review your score at the end of the screening.

  10. Have you been told that “you have changed” by:          Friends? Family?  Fellow firefighters? 

             Y    N             

  12. Do you have a history of feeling depressed? 

                Y   N                                     

  13.   Do you have feelings of            hopelessness?                                                                         Y    N

  14.   Do you feel like killing yourself?                                             Y     N

  15.  Have you created plans to kill yourself?                                                                                 Y     N 

  16.  Have you recently attempted to kill yourself?                                     Y     N

Scoring: Total the amount of (Yes) circled.

Score:__________   

If you circled question 15 or 16, then please seek help immediately from a trusted friend, chaplain, counselor, dial 911 or call the National Suicide Prevention Lifeline 1-800-273-TALK (8255) or 1-800-SUICIDE (1-800-784-2433.