Workplace Injuries Linked to Higher Risk of Mental Health Issues

A recent study has revealed a concerning connection between workplace injuries and the increased likelihood of developing mental health disorders, especially anxiety. The research indicates that individuals injured on the job may face a greater risk compared to those injured outside of work. This highlights the critical need for increased awareness and support for the mental well-being of workers who experience physical trauma.

The Study’s Key Findings

The cohort study, published in *JAMA Network Open* on february 13, examined over 35,000 patients and found a stronger association between workplace injuries and rates of anxiety and any mental disorder, compared to non-workplace injuries.

• Increased Anxiety: The study demonstrated a notable correlation between workplace injuries and the subsequent growth of anxiety disorders.
• Mental Health Impact: Overall rates of mental disorders where more strongly linked to injuries sustained in the workplace.

Dr. Anthony Wightman, MD, frist-year internal medicine resident at the University of Manitoba in Winnipeg, a co-author of the study, explained, “There’s a lot of research detailing that workplace injury leads to bad mental health outcomes, but there’s not a lot of research comparing workplace injury to injury outside of the workplace head to head. That’s what we wanted to determine.”

Study Methodology

Researchers analyzed data from the Workers Compensation Board in Manitoba and the Manitoba Center for Health Policy database, focusing on patients hospitalized for injuries requiring surgery between 2002 and 2018. They compared 7,556 patients with workplace injuries to 28,901 patients with non-workplace injuries,matching for age,sex,geographic region,and injury severity. The primary outcome was a diagnosis of mental disorder, assessed two years before and after the injury.

The study excluded individuals with traumatic brain injuries and repetitive strain injuries, focusing on “traumatic physical injury that required surgery with anesthetic. We were looking for specific workplace injuries at a discrete point in time,” according to Dr. Wightman.

Demographics of workplace Injury Group

• Gender: Predominantly men (75.7%)
• Average Age: 44.8 years
• Location: Majority (61.2%) lived in urban areas
• Income: 60.1% were considered low income

Common Injury Characteristics

• Causes: Objects in the habitat (35.0%), the environment itself (27.2%), and body position (22.1%)
• Location: Half of the injuries affected an upper extremity
• Types: Strains,sprains,and tears (40.3%), followed by fractures and dislocations (25.2%)
• Industries: Service, construction, and manufacturing sectors

the Stresses of Workplace Injuries

Dr. Sarvesh Logsetty, MD, professor of surgery, psychiatry, and children’s health at the University of manitoba’s Max Rady College of Medicine, another co-author, stated, “Part of our journey has been understanding there are stresses that are associated with, such as, a broken leg that everybody has: The pain, the time in hospital, the time you have to take away from work, the economic challenges, stress on your family, and things like that. But there is the additional stress of being at work,meaning that you are returning to the place where your injury occurred.”

Dr. Logsetty further elaborated, “If you had a skiing accident, you can stay away from skiing. But if you have injuries that occurred because you fell off the roof, and you have to go back to doing that work, it could be an additional stress.” He also pointed to financial strain, noting that “Even though workers’ compensation is generous these days, it doesn’t pay 100%. They only pay a portion, depending on wich jurisdiction you are in, so there is a pattern of responding to the injury that is different than if you went skiing and broke your leg.”

Call to Action: Mental Health Support is Crucial

The authors emphasize the importance of recognizing the mental health consequences of workplace injuries and seeking timely help. Dr.rae Spiwak, PhD, assistant professor of surgery at the Max Rady College of Medicine, urges, “A big part of what we hope happens with our work is that individuals recognize that there may be mental health consequences that are associated with injuries in the workplace. Hopefully,this could help reduce some of the stigma around health-seeking individuals that might potentially be expressing symptoms so they can seek help.”

Dr. Spiwak added,”We certainly know that seeking help early,especially if you are experiencing any mental health symptoms,is key to improving outcomes and helping people return to their life and work. Definitely, creating awareness around some of these potential consequences of workplace injury is vital.”

Expert Commentary

Dr. Simon Sherry, PhD, professor of psychology and neuroscience at Dalhousie University in Halifax, commented, “This is valuable research.” He noted,”It makes sense that stress over returning to the workplace in which you were injured and navigating the frequently enough challenging process of filing injury claims and securing compensation could contribute to deteriorating mental health. Both of those are issues unique to those who incurred workplace injuries.”

Dr. Sherry concludes, “Stress over lost income and pressure to return to work early could be equally felt by those who were injured outside of work but whose injury still requires leave. But the moral of this research is clear: Mental illness is prevalent after injury, and more can and should be done to support the mental health of the injured, whether they were injured in the workplace or not.”

Practical Applications

• Employer responsibility: Implement comprehensive mental health support programs for employees who have experienced workplace injuries. This may include counseling services, peer support groups, and resources for managing stress and anxiety.
• Early Intervention: Encourage early intervention for mental health symptoms. Provide training to supervisors and managers to recognize signs of distress and offer support to employees.
• Promote Open Communication: Foster a workplace culture that promotes open communication about mental health. Reduce stigma by normalizing conversations about mental well-being and encouraging employees to seek help when needed.
• Workers’ Compensation: Advocate for workers’ compensation policies that fully address the mental health needs of injured workers. This includes adequate financial support and access to appropriate mental health services.

the study underscores the critical link between workplace injuries and mental health, emphasizing the need for proactive measures to support the psychological well-being of injured workers. By raising awareness, implementing supportive programs, and promoting open communication, employers and policymakers can create a safer and healthier work environment for all. If you or someone you know has experienced a workplace injury and is struggling with their mental health, seeking professional help is a crucial first step toward recovery and well-being. Contact your healthcare provider or mental health professional today.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

How can employers effectively create adn implement mental health support programs within the workplace to address the unique stressors faced by employees who have experienced workplace injuries and are struggling with their mental health?

Workplace Injuries and Mental Health: An Interview with Dr. Evelyn Reed

The recent study published in *JAMA Network Open* highlighting the link between workplace injuries and mental health disorders, particularly anxiety, has sparked considerable discussion. We sat down with Dr. Evelyn Reed, a leading occupational health psychologist and consultant for many Fortune 500 companies, to delve deeper into the implications of this research. Dr. Reed’s expertise lies in developing mental health support programs within workplaces, giving her a unique perspective on this issue.

The Connection Between Workplace Injuries and Mental Health

Archyde: Dr. Reed, thank you for joining us today. The study’s findings are quite concerning. In your experiance, how prevalent is this connection between workplace injuries and mental health issues like anxiety?

Dr. Reed: it’s more widespread than many realize. While physical recovery is often the primary focus after a workplace injury, the psychological impact can be significant. The fear of re-injury, the stress of financial uncertainty, and the potential for long-term disability can all contribute to anxiety, depression, and even PTSD. It’s crucial to acknowledge these mental health consequences alongside physical rehabilitation.

Addressing the Unique Stressors of Workplace Injuries

Archyde: The study pointed out that workplace injuries seem to have a stronger association with mental disorders compared to non-workplace injuries. Why do you think that is?

Dr. Reed: Several unique factors contribute to this. As the study’s authors noted, returning to the site where the injury occurred can be a significant source of stress. There’s also the added layer of dealing with workers’ compensation, which can be a complex and frustrating process. Plus, there might be feelings of guilt, especially if the worker believes they contributed to the accident.These factors create a unique psychological burden that differentiates workplace injuries from those sustained elsewhere, leading to an increased risk of mental health issues.

Employer obligation in supporting Injured Workers

Archyde: What role should employers play in supporting the mental health of employees who have experienced workplace injuries?

Dr. Reed: Employers have a moral and often legal responsibility to support their employees. This starts with creating a safe work environment in the first place, minimizing the risk of workplace injuries. But when an injury does occur, employers should provide thorough support, including:

• Access to confidential counseling services.
• Peer support programs to connect injured workers with others who have had similar experiences.
• Training for managers and supervisors to recognize signs of distress and provide appropriate support.
• Modified work arrangements to ease the transition back to the workplace and help workers returning to work after workplace injuries regain confidence.

It’s about fostering a culture of care where employees feel comfortable seeking help without fear of stigma or retribution.

Early Intervention and Reducing Stigma

Archyde: The study authors emphasized the importance of early intervention. What are some practical tips for employees or their colleagues to identify and address mental health concerns following a workplace injury?

Dr. Reed: early intervention is key to preventing mental health issues from escalating.Watch out for signs like persistent anxiety, difficulty sleeping, increased irritability, withdrawal from social activities, or changes in appetite. Encourage open interaction and normalize conversations about mental well-being.If you notice these signs in yourself or a colleague, reach out to a healthcare provider, a mental health professional, or a trusted friend or family member. Remember, seeking help is a sign of strength, not weakness.

Rethinking Workers’ Compensation Policies

Archyde: This study highlights the need to re-evaluate workers’ compensation policies. What changes do you think are necessary to better address the mental health needs of injured workers?

Dr. Reed: Workers’ compensation needs to evolve to adequately address the holistic needs of injured workers, including their mental health. This means:

• ensuring access to timely and appropriate mental health services as part of the standard compensation package.
• Providing adequate financial support to reduce stress during recovery.
• Streamlining the claims process to minimize delays and frustration.
• Increasing awareness among healthcare providers and insurance adjusters about the mental health consequences of workplace injuries.

Compensation should not only cover physical injuries, but also the psychological toll that a workplace injury can have.

A Thought-Provoking Question for Our Readers

Archyde: Dr. Reed, what is one thing you would urge our readers to consider after hearing this discussion on mental health after workplace injuries?

dr. Reed: To our readers, consider this: How can we, as individuals and as a society, create workplaces where peopel not only feel physically safe but also psychologically supported? What steps can *you* take to foster a culture of empathy and understanding for those who have experienced workplace injuries and are struggling with their mental health? Your actions, big or small, can make a real difference in the lives of others.

Archyde: Dr. Reed, thank you for providing insightful perspective on this crucial issue, especially on workplace injuries and mental health. Your expertise underscores the importance of prioritizing mental well-being in the workplace.