The growing concern of mental health in construction
We all know that construction jobsites are high-risk work environments. But one of the most urgent dangers facing today’s construction workforce isn’t falling from a height or being struck by equipment—it’s the silent struggle with mental health.
According to the Centers for Disease Control and Prevention (CDC) and the Construction Industry Alliance for Suicide Prevention (CIASP), construction workers die by suicide at a rate of about 45 per 100,000 workers. That is four times higher than the general population and five times higher than all workplace fatalities in construction combined. Suicide is now the leading cause of death for construction workers—and the numbers keep growing.
Protecting workers must go beyond physical safety—it requires addressing the mental health struggles that far too often go unseen.
Construction suicide rates
Construction has the highest suicide rate of any occupational group in the United States. The vast majority of these tragedies—97%—involve men between the ages of 25 and 34. These are often workers in the prime of their lives, with families, careers, and futures ahead of them.
The statistics become even more alarming when you consider the overlap with high-risk populations. For example, 15% of people leaving the military transition into the construction industry. Many of these individuals already face elevated risks of suicide due to PTSD, substance misuse, and other service-related challenges.
Taken together, these numbers highlight an urgent need: mental health in construction cannot remain an afterthought. It must become a central focus of workplace safety efforts.
Why construction workers have a higher risk
Several factors combine to make construction workers particularly vulnerable:
- Job insecurity and financial stress: Construction often involves seasonal work, layoffs, and the pressure of providing for a family without consistent stability.
- Physical pain and injury: Chronic pain from demanding physical labor can lead to depression, substance misuse, or opioid dependence.
- Workplace culture: A longstanding “tough it out” mentality in construction discourages workers from speaking openly about stress, anxiety, or depression.
These risk factors are deeply ingrained in the industry, which means meaningful change requires intentional action from within.
What employers and safety managers can do
The good news is that there are proven steps employers can take to address this crisis. By fostering a supportive culture and equipping workers with resources, companies can potentially save lives. Here are some starting points:
1. Break the stigma. Openly acknowledge mental health as a safety issue. Incorporate mental health into toolbox talks, safety meetings, and training. Leaders should model openness by sharing resources and encouraging conversations.
2. Provide training and awareness programs. Educate supervisors and crew leaders to recognize the warning signs of distress—such as withdrawal, mood changes, or increased substance use. Programs like ASIST (Applied Suicide Intervention Skills Training) and QPR (Question, Persuade, Refer) can prepare leaders to respond.
3. Promote the 988 Suicide & Crisis Lifeline. Workers need to know there is immediate help available. The 988 Lifeline provides 24/7, confidential support for anyone in crisis. Display posters, wallet cards, or stickers with the 988 number around job sites.
4. Connect Workers to Resources. Offer Employee Assistance Programs (EAPs) or partner with local mental health providers. Ensure workers know how to access counseling, peer support, or substance use treatment.
5. Build a Supportive Culture. Encourage open dialogue and peer-to-peer support. Simple practices like checking in with coworkers or making mental health part of regular safety checks can normalize seeking help.
Industry initiatives making a difference
The construction industry is beginning to recognize this crisis, and major organizations are stepping up. OSHA has partnered with industry stakeholders to promote mental health awareness. Trade groups are developing training, toolkits, and campaigns to help employers integrate mental health into safety programs.
One excellent resource is the Construction Industry Alliance for Suicide Prevention (CIASP), which provides practical tools and educational materials tailored to construction workplaces. Their website, www.PreventConstructionSuicide.com offers posters, checklists, and guides that employers can use immediately.
By leveraging these resources, safety managers can take actionable steps to improve workplace culture and provide support for their teams.
Key to remember: Suicide is the leading cause of death for construction workers. If mental health is not addressed, the industry will continue to lose workers at alarming rates.