Critical incidents, alcohol and trauma problems, and service utilization among police officers from five countries

This study examines the relationship between critical incidents, alcohol problems, trauma symptoms, and service utilization across five countries. A sample of 1286 police officers (79% male; 21% female) from five countries (US = 838, Canada = 231, UK = 102, Australia = 58, and New Zealand = 57) completed the Alcohol Use Disorders Identification Test (AUDIT) and the PTSD Checklist – Civilian PCL-C, as well as questions regarding service availability and utilization in an on-line survey. ANOVA and chi-square tests indicate significant country differences on all variables except social stressors. Multivariate analysis of critical incidents, AUDIT, PTSD, and service utilization found negative coping and country of origin mattered. The reasons officers provided for why they felt they could not use available services (i.e., confidentiality, stigma, distrust of department, and ineffective/inadequate) also varied by country, which has important policy implications.