Addressing Mental Health and Suicide Prevention in the Construction Industry

Sonya Bohmann, Executive Director
Construction Industry Alliance for Suicide Prevention
Sonya Bohmann, Executive Director of the Construction Industry Alliance for Suicide Prevention, highlighted a critical issue affecting the construction industry: the alarming rate of suicide among its workers.
“I recognize this is a very heavy topic,” said Bohmann, emphasizing that the industry faces a significant challenge, because it has a higher rate of suicide than most other sectors. Their mission is clear: zero suicides in the construction industry.
Bohmann discussed the concept of the “mental health continuum,” where individuals may fluctuate between thriving and struggling based on life events. It is crucial to approach mental health issues as illnesses, not as “sins,” she stressed. Until the 1970s, suicide was considered a crime. It’s where the term “commit suicide” came from. Today, the preferred terminology is “die by suicide,” reflecting a more compassionate and accurate understanding of the issue. Language matters in shaping perceptions, and using sensitive language helps reduce stigma.
The construction industry is particularly vulnerable, with a staggering statistic highlighting the problem. In 2022, there were 6,428 suicides, compared to 1,092 work-related construction deaths. Further, 1 in 7 people aged 16 to 64 who died by suicide were construction workers.
One reason for these high rates is the industry’s culture. Construction workers are often admired for their toughness and resilience, but these traits can also prevent them from seeking help when struggling. The “pull yourself up by your bootstraps” mentality may discourage workers from acknowledging mental health challenges, leading to isolation and unaddressed issues. Bohmann noted that many construction workers are former military personnel who may have access to lethal means, further elevating the risk.
Depression is the leading cause of work disability, affecting 52.9 million people, and can result in up to 27 lost workdays per year per individual. Bohmann said that investing in mental health has tangible benefits. “For every $1 you invest in mental health, there’s a $4 return on investment.”
There is hope, and prevention is key. Bohmann advocates for peer-to-peer support, creating social connectedness, and having leadership address mental health with the same importance as safety. She suggested conducting toolbox talks about mental health and safety, setting realistic expectations, and creating a culture of care. Leadership support is essential in making mental health an everyday part of the organizational culture.
To build a supportive environment, it’s essential to encourage open conversations about mental health. Simple actions like making a phone call, inviting someone to lunch, or sharing a post on social media that lets people know you are an ally and open to listening can make a significant difference.
Bohmann also reminded everyone that it is not a coworker’s or manager’s responsibility to provide ongoing support for someone struggling—sometimes, the best course of action is to connect them to professional resources, like the 988 Suicide & Crisis Lifeline. In addressing these issues head-on, the construction industry can build a safer and more supportive environment where mental health is prioritized, and every worker feels valued and supported.
View the presentation Mental Health and Suicide Prevention in Construction