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Editor’s Note: Suicide is always preventable. If you are having thoughts of suicide or feeling suicidal, please call the National Suicide Prevention Hotline immediately at 988. Remember: You deserve to be supported, and it is never too late to seek help. Speak with someone today.

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This week on Inside EMS, host Kelly Grayson is joined by Texas educator John Puryear as they process the loss of a colleague to suicide — and to confront the uncomfortable truth: the mental health crisis in EMS is years in the making, and awareness alone isn’t cutting it.

From peer support to fatigue policies, Chris and Jon lay out what actually helps: real conversations in the rig, leadership that prioritizes mental health and seeking professional help. The message is clear: taking care of your mind is operational readiness. And if you’re not checking on your partner, you’re missing the fight that matters most.

Quotable takeaways

• “I don't think the public understands how much this profession can break you.”
• “It’s not about what’s wrong with you, it’s what’s happened to you.”
• “Help is a professional strength, not a weakness.”

Additional resources:

• What’s your department’s suicide prevention plan?
• How to recognize, help a struggling team member
• Mental wellness check-ins: What they are and how they help

Enjoying Inside EMS? Email theshow@ems1.com to share feedback.