Firefighter Behavioral Health Alliance
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FF Suicide Report

Firefighter Suicide Report

 

In order for CSFF and FBHA to be able to serve the needs of the fire service family, the more information we can gather on the firefighter suicide mechanism for pro-active training, the better.  By gathering as much information as we can, we can provide a profile that helps identify at-risk firefighters before this tragedy strikes. This information has proven to be an invaluable tool for the police service.

 

We request that anyone having information on a firefighter suicide please contact CSFF or FBHA, using the form below.  Because we are mindful that some agencies prohibit the release of information by their Departments, and that some family members may not be aware that there is a way to make notifications, we have developed a "blind form" that assists in providing anonymity for the submitting party. This form has been graciously given to CSFF and FBHA to use from Robert E. Douglas, Jr. of the National P.O.L.I.C.E. Suicide Foundation.  Once you submit this form, it is transmitted to Counseling Services for Fire Fighter’s or Firefighhter Behavioral Health Alliance's email, with the sender information removed. Since we have no means to contact the submitter back because that information is removed, we appreciate as much information as you can provide.  CSFF and FBHA then uses this information to keep its training, pro-active and post-event, current.

 

At a minimum, we require the agency's name, state, firefighter's rank, years of service, date of death, how death occurred, and any stressors identified or suspected as being a catalyst.  We would appreciate any additional information or details that can be provided.


CSFF and FBHA have policies that we do not release this firefighter or department specific information indiscriminately. We respect the privacy of the families and agencies involved, and do not want to cause any additional pain to families or agencies. Additionally, we do not release this specific case information to the media.

 
 

Sincerely,

 

Jeff Dill

Counseling Services for Fire Fighters &
Firefighter Behavioral Health Alliance
Founder

Firefighter Suicide Form

*denotes required field. Please answer to the best of your knowledge. Thank you.

Fire Department Name: 
Age: *
Rank: *
Years of Service: *
Date of Death: *
How suicide Occurred: *  
State: *
Country:
International: City, Province, etc.:
Phone only if desired to be contacted:
Additional Details: (Catalyst: Stressors, Work, Relationships, Behavioral Health Issues): *
Comments: