Firefighters and mental health during COVID-19: A Malaysian study

The COVID-19 pandemic had an adverse impact on the mental health of frontline workers including firefighters. To better understand this occurrence, this cross-sectional study evaluated the prevalence of depression, anxiety, and stress among 105 operational team and elite team firefighters in Kota Bharu, Kelantan State, Malaysia before and after the pandemic. The Depression, Anxiety and Stress Scale-21 (DASS-21), a validated self-reporting survey tool, was used to assess symptoms of depression, anxiety, and stress among the survey respondents. Findings revealed that firefighters had an increased level of anxiety and depression during the post-pandemic period compared to the pre-pandemic period. However, there was a decrease in the stress levels (20%) reported by study participants. Respondents belonging to the operational team had a higher reported level of depression, anxiety, and stress than those from the elite team. This may be attributed the operational team being more exposed to the risk of COVID-19 infection on account of their routine and more voluminous workload. The findings of this study suggest that firefighters, in general, are at an increased risk of mental health problems as a result of the COVID-19 pandemic. Knowing this, it is important to consider these findings when addressing the prevention and management of mental health among firefighters. This includes providing additional support and devoting more resources to those who are most at risk for experiencing symptoms of mental health such as firefighters performing functions aligned with that of an operational team.