Construction, farming & trucking
You keep the country built, fed and moving. Your mind deserves the same care as your tools.
Why hands-on jobs carry extra risk
Several pressures stack up, and the culture can make talking hard.
In 2021, CDC researchers looked at suicide rates by job. Men in construction and extraction jobs had a rate of 65.6 per 100,000, about twice the rate for all working men (32.0). Men in farming, fishing and forestry had a rate of 49.9, and men in transportation and material moving had a rate of 34.9.
This doesn’t mean these jobs cause suicide. It means people in them often face several known risk factors at once: job stress, injuries, money worries and easier access to dangerous means.
Read more
Common pressures
- A “tough it out” culture that makes talking hard
- Heat, cold and dangerous conditions
- Injuries and chronic pain
- Long hours and time away from family
- Seasonal work, layoffs and uneven pay
- Weather, prices and debt you can’t control
Each of these is a known risk on its own. Together they can feel crushing, especially for someone who believes they should handle it alone.
Read more
Crews, farm families and drivers often share loyalty, pride in hard work and a habit of looking out for each other’s safety. Peer support is one of the ways CDC suggests workplaces can help prevent suicide.
When mental health is treated as part of safety, those strengths can save lives. A crewmate who would never let you work without fall protection can also ask how you’re really doing.
Construction
Tough, proud work, with one of the highest suicide rates of any field.
Construction workers build our homes, roads and cities. Construction made up 17.9% of worker suicides in 2021, while it made up only 7.4% of the workforce. Men made up 97.8% of these deaths.
Heavy drinking was also more common in construction than in most industries, even after accounting for age and gender. Drinking can hide pain for a while, but it often deepens low mood and raises risk.
Read more
On many jobsites
- A “tough it out” culture that makes talking hard
- Demanding schedules and long travel
- Heat, cold and dangerous heights
- Injuries and chronic pain
- Seasonal work and layoffs between jobs
- Time away from family
A worker may be hurting from an old injury, worried about the next job after a layoff, far from family on a travel job, and part of a crew where nobody talks about feelings. That stack is what raises risk.
Read more
Watch for
- Angry outbursts or seeming flat
- More mistakes, near-misses or risk-taking
- Pulling away from the crew
- Showing up late or missing work more often
- Talking about being a burden or feeling trapped
A short way to start: “Hey, you’ve seemed off this week. I’m not trying to pry. Just want you to know I’ve got your back if you want to talk.” Then listen. You don’t need to fix anything.
Read more
What helps
- Check in with crewmates: “You doing okay, really?”
- Getting injuries treated, not ignored
- Keeping dangerous means away from someone in crisis
- Talk about mental health in toolbox talks, just like any other safety topic
- Trained peers who know how to help
The Construction Industry Alliance for Suicide Prevention (CIASP) is a nonprofit working toward a zero-suicide industry. It shares toolbox talks, jobsite tools and training at preventconstructionsuicide.com. OSHA also shares resources each September for Suicide Prevention Month.
Read more
Ideas for leaders
- Know your EAP number and the 988 number, and put them on a hard hat sticker or the trailer wall
- Notice the quiet worker as well as the loud one
- Open the day with a short mental health toolbox talk once in a while
- Plan for the slow season: let crews know about money and support resources before layoffs hit
- Say out loud that asking for help won’t cost anyone their job
Farming, ranching & farm work
Weather, prices and debt are out of your hands, but the work never stops.
Farming is often a family legacy and a deep part of who people are. That can make hard times feel like personal failure. In 2021, men in farming, fishing and forestry jobs had a suicide rate of 49.9 per 100,000, well above the rate for all working men.
Read more
On many farms
- Debt, prices and money uncertainty
- Injuries and dangerous machinery
- Living far from neighbors and services
- Long hours with no days off at busy times
- Pressure to keep the family farm going
- Weather, drought, floods and crop or livestock loss
Many farmers carry the weight of generations. “I can’t be the one who loses the farm” is a heavy thought to hold alone. Weather, markets and interest rates are not personal failures, and asking for financial or legal advice early is a smart business move, not giving up.
Read more
Planting and harvest bring long days and little sleep, while winter can bring too much time to worry about loans and prices. Knowing your hard seasons ahead of time lets you plan for them.
Plan ahead by
- Booking a regular check-in with a friend
- Lining up extra help before the rush
- Setting a bedtime, even in busy weeks
- Taking short breaks, even in busy seasons
Read more
Watch for
- Letting the farm or animals slip
- More accidents or near-misses
- Talking about the family being better off without them
- Withdrawing from church, co-op or neighbors
Read more
Farm workers who are not owners, including seasonal and migrant workers, face their own pressures: heat, low pay, time away from family and sometimes language barriers. They deserve the same care and the same access to help.
The AgriStress Helpline offers phone interpretation in many languages, and texting in English and Spanish.
Read more
The AgriStress Helpline (call or text 833-897-2474) is a free, confidential 24/7 crisis and support line run by the AgriSafe Network. Its crisis specialists are trained on the stresses of agriculture, forestry and fishing. It serves people in a list of states shown on its website.
The Farm Aid Farmer Hotline, 1-800-FARM-AID (1-800-327-6243), helps farmers find resources for money, legal and farm stress problems on weekdays. It is not a crisis line. Check farmaid.org for current hours.
Trucking & transport
Long miles, long hours, and a lot of time alone.
Drivers keep the country moving, often far from home for days or weeks. In 2021, men in transportation and material moving jobs had a higher-than-average suicide rate.
In a national NIOSH survey from 2010, 68.9% of long-haul truck drivers had obesity and 50.7% smoked, both far higher than other U.S. workers. Physical and mental health are closely linked, so these risks matter for mood too.
Read more
On the road
- Irregular sleep and long hours
- Isolation and loneliness on the road
- Little chance to eat well or exercise
- Sitting for many hours
- Tight delivery deadlines and traffic
- Time away from family and missed events
Poorly timed sleep is a big issue. Sleep that is out of step with your body clock is not as restful, even if it is long enough. Not enough sleep is linked to crashes, mistakes and long-term health problems.
Read more
Watch for
- Drinking or using more to cope or to sleep
- Feeling numb, hopeless or cut off
- Losing interest in calls home
- Struggling to stay awake or alert
Read more
Ideas
- A blackout shade and earplugs for daytime sleep in the sleeper berth
- A cooler with real food so you aren’t living on gas-station snacks
- A playlist, podcast or audiobook that lifts your mood, not just news
- A short routine before sleep, like stretching and putting the phone away
- A small comfort from home, like a photo or a blanket
- Walk or stretch at every stop
Read more
Hours of silence can let worries grow louder, and missing birthdays or school events can leave a driver feeling like a visitor in their own family. A quick voice message each morning, a photo from the road or a set time to say goodnight to the kids all help.
Stay connected by
- Connecting with other drivers online or at truck stops
- Scheduling calls or video chats home
- Sharing a little of your day, not only the hard parts
Read more
Drivers often come back tired and need a day to “land.” It helps to plan a calm first evening, share what’s been going on at home without a flood of problems at the door, and keep the driver included in decisions while they’re away.
Heat, cold & hard conditions
Harsh conditions strain the body and the mind.
Heat can make workers sick indoors or outdoors, in any season. Outdoor jobs like farming, construction and landscaping, and indoor jobs like bakeries, laundries and warehouses, are all at risk. Thousands of workers get sick from heat each year, and some cases are deadly.
Heat affects mental health too. A U.S. study of 2010–2019 found that on extreme-heat days, emergency visits for mental health conditions were about 8% higher. Heat seems to make it harder for people to cope with what they’re already facing.
Read more
What can help
- Building up time in the heat slowly over the first few days
- Doing heavy work in cooler hours
- Water, rest and shade
- Watching coworkers for confusion, dizziness or collapse
Read more
Hot days can make people more irritable, tired and less able to cope. If you or a crewmate seem “off” in a heat wave, rest, cool down and check in.
Unsafe or poor physical working conditions are a known risk to mental health, not only to the body.
Read more
Hard seasons often mean long days, less sleep and more risk. Planning ahead for them protects both your body and your mind. The worksheet “My plan for hard conditions” can help.
Injuries & pain
Physical risk and chronic pain can weigh on mental health.
Jobs with injury risk, like construction, farming and logging, can bring ongoing pain and worry. Workplace injuries are one of the stresses linked to higher suicide risk in construction.
When an injury is ignored so you don’t lose shifts, the pain can wear down sleep, patience and hope. Getting injuries looked at early, and talking honestly with a clinical provider about pain, protects your mind as well as your body.
Read more
Steps
- Notice if pain is changing your mood or sleep
- Report and treat injuries early
- Talk with a clinical provider about safe pain care
- Use safety gear and speak up about hazards
Read more
Time off after an injury can bring money worries, boredom and a feeling of being cut off from the crew. Return-to-work programs that combine work support with ongoing care help people get back safely.
While you recover
- Ask about light-duty or return-to-work options
- Keep a daily routine, even a simple one
- Stay in touch with a crewmate or two
- Tell someone if your mood keeps dropping
Working far from home or alone
Remote sites, travel jobs and days without real conversation.
Long-haul drivers, farmers, oil and gas workers and people on remote sites can go days without real conversation. Limited support from colleagues is a known risk for mental health.
Read more
What can help
- Find online communities of people in your field
- Join crew or community events when you’re back
- Keep a small routine that grounds you, like a morning walk
- Plan regular calls with people you care about
Read more
Living far from neighbors and services is one of the stresses of farm life. Phone and text lines, like 988 and the AgriStress Helpline, can be reached from anywhere with signal.
Looking out for your crew
How crewmates, farm neighbors and families can help.
In tough work cultures, people worry that admitting stress will make them look weak or cost them their job. A crewmate or neighbor who checks in quietly and keeps it private can open a door nobody else can.
Read more
Steps
- Pick a private moment, like a drive or a break
- Say what you noticed: “You haven’t seemed yourself lately.”
- Listen without fixing
- If you’re worried, ask directly and calmly: “Are you thinking about suicide?”
- Help them connect to 988, the EAP or a farm stress line
- Check in again a few days later
Read more
Ideas
- Drop by in person. Rural people often say more over coffee at the kitchen table than on the phone
- Keep church, co-op and 4-H connections going, especially in hard years
- Notice changes, like a neat farmer letting fences or animals slip
- Offer specific help, like covering chores for an afternoon
- Share the AgriStress Helpline number before someone needs it
Read more
CDC suggests reducing access to dangerous means as one way workplaces can help prevent suicide. If someone is in crisis, offering to hold their firearms for a while, or storing them away from home, can save a life.
How community helps
Crews, co-ops, unions and neighbors can carry each other.
People in the same line of work understand each other in a way others can’t. A crewmate, fellow farmer or another driver is often the first person to notice, and the most trusted person to speak up.
Ways community can help
- Faith groups and neighbors who check in during hard seasons
- Farm groups, co-ops and extension offices that share farm stress resources
- Industry groups like CIASP, which build mental health into safety culture
- Online communities for drivers and tradespeople
- Unions and trade associations that offer peer support or EAPs
By the numbers
Verified facts about hands-on jobs and mental health.
Suicide rates (men, 2021)
Construction
Health & conditions
When and where to get help
Signs it’s time to reach out, and lines made for your work.
Reach out to a clinical provider, therapist or your EAP if
- An injury or pain is changing your mood
- Money or farm worries are keeping you up most nights
- Work stress is affecting your sleep, health or relationships for weeks
- You feel hopeless, trapped or numb
- You’re drinking or using more to get through
Urgent warning signs of suicide
- Feeling trapped or in unbearable pain
- Making a plan, giving things away or saying goodbye
- Taking dangerous risks, or using alcohol or drugs more
- Talking about wanting to die, being a burden, or having no reason to live
Where to start
- 988 Suicide & Crisis Lifeline: call or text 988, 24/7. For Spanish, call 988 and press 2.
- AgriStress Helpline (agriculture, forestry and fishing): call or text 833-897-2474, 24/7, in the states it serves.
- Crisis Text Line: text HOME to 741741.
- Farm Aid Farmer Hotline: 1-800-FARM-AID (1-800-327-6243), weekdays. For money, legal and farm stress resources, not crises.
- Veterans: call 988 and press 1, or text 838255.
- Outside the U.S.: findahelpline.com lists free, confidential helplines by country.
📝 Worksheets for this guide
Fill these in privately in the app. Your answers stay on your phone.
Sources
- Centers for Disease Control and Prevention (CDC) (2023). Suicide Rates by Industry and Occupation — National Vital Statistics System, United States, 2021 (MMWR)
- CDC/NIOSH researchers (peer-reviewed) (2025). Suicides Among Construction Workers in the United States, 2021 (American Journal of Industrial Medicine)
- Occupational Safety and Health Administration (OSHA). Preventing Suicides in Construction
- Construction Industry Alliance for Suicide Prevention (CIASP). About Us
- Substance Abuse and Mental Health Services Administration (SAMHSA) (2015). Substance Use and Substance Use Disorder by Industry (CBHSQ Report)
- Sieber et al., NIOSH (peer-reviewed) (2014). Obesity and Other Risk Factors: The National Survey of U.S. Long-Haul Truck Driver Health and Injury (American Journal of Industrial Medicine)
- National Institute for Occupational Safety and Health (CDC/NIOSH). Work Hour Training for Nurses: Sleep and health
- National Institute for Occupational Safety and Health (CDC/NIOSH). Agriculture Worker Safety and Health
- AgriSafe Network. AgriStress Helpline
- University of Missouri Extension. New AgriStress Helpline available to Missouri farmers
- Farm Aid. Resources for Farmers (Farm Aid Farmer Hotline)
- Weld County, Colorado (CSU Extension). Farm Aid
- Occupational Safety and Health Administration (OSHA). Heat: Working in Outdoor and Indoor Heat Environments
- Nori-Sarma, Sun, Sun et al. (peer-reviewed) (2022). Association Between Ambient Heat and Risk of Emergency Department Visits for Mental Health Among US Adults, 2010 to 2019 (JAMA Psychiatry)
- World Health Organization (WHO). Mental health at work (fact sheet)
- National Institute of Mental Health (NIMH). Warning Signs of Suicide
- 988 Suicide & Crisis Lifeline. 988 Suicide & Crisis Lifeline
- 988 Suicide & Crisis Lifeline. Is the 988 Lifeline available in other languages?
- Crisis Text Line. Crisis Text Line
- Substance Abuse and Mental Health Services Administration (SAMHSA). Crisis Text Line
- U.S. Department of Veterans Affairs. Veterans Crisis Line
- Find A Helpline (ThroughLine). Find A Helpline
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

