Although the firefighting profession is among the most stressful jobs, and it is widely believed that firefighters are at greater risk for suicide, few studies have looked at the reasons why some firefighters consider suicide as an option. With so many fires, line-of-duty deaths and other critical incidents, the wear and tear of daily life may become unbearable for some. This repeated exposure to traumatic situations puts firefighters and EMS personnel at a higher risk for developing mental health difficulties (e.g., depression, anxiety, post-traumatic stress) that may interfere with the job, relationships and taking care of one’s self in many ways. In some cases, when these difficulties become even more overwhelming, fire and EMS personnel may begin having thoughts of hurting themselves or taking their lives (suicidal ideation and/or attempts).