Mental Health Safety Challenges Among Pre-Hospital Emergency Medical Service Providers: A Scoping Review

Oct 31, 2025IISE transactions on occupational ergonomics and human factors

Mental health risks faced by emergency medical workers before reaching the hospital

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Abstract

Among 61 studies, sleep disorders were identified as the most prominent contributing factor to mental health challenges in pre-hospital emergency medical service (EMS) providers.

  • Mental health challenges in EMS providers include post-traumatic stress disorder (PTSD), burnout, depression, anxiety, suicidality, and occupational stress.
  • High workload, years of service, exposure to violence, and insufficient peer support are key risk factors associated with these challenges.
  • The cumulative toll of chronic stress is linked to increased rates of mental health disorders and burnout.
  • Organizational and individual factors, such as emotional regulation and fatigue management, influence mental health outcomes.

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Full Text

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