Construction workers face a variety of threats on the job site. Physical hazards—like electrocution, falls, and struck-by incidents—are some of the most common in the industry. But beyond physical dangers, many construction workers are at increased risk of experiencing mental health challenges. According to a 2020 report from the Centers for Disease Control and Prevention (CDC), the construction industry has the second-highest suicide rate of all major industries in the U.S.
There are several reasons why construction workers may be more likely to struggle with their mental health. The job is high-stress, deadline-driven, and often involves long hours. Many workers also experience physical pain and fatigue that can wear down emotional well-being over time.
Mental Health in Construction: By the Numbers
Mental health is a serious concern across the construction industry. A 2020 survey of construction workers found that 14.3% reported symptoms of anxiety, and nearly 6% struggled with depression. Many workers also reported worsened mental health during the COVID-19 pandemic.
The CDC also reports that the suicide rate among male construction workers is four times higher than the general population. To cope with mental health challenges, some workers turn to substance use. One study found that construction workers were significantly more likely to report marijuana, cocaine, and non-prescription opioid use in the past month than workers in other industries.
What’s Driving Poor Mental Health in Construction?
Here are several key factors that contribute to high rates of depression, anxiety, and substance use in the construction industry:
Physical Exhaustion
Construction is physically demanding work. Constant fatigue can lead to emotional burnout and affect overall mental well-being.
Injuries
Construction workers are more prone to injuries than workers in many other fields. Serious or chronic injuries can lead to long-term pain, emotional distress, and increased risk of substance use—especially when prescription pain medication is involved.
Long Working Hours
It’s common for workers to spend 10 to 12 hours a day on the job site. These long hours leave little time for rest, family, exercise, or other activities that support good mental health.
Seasonal Layoffs
In many areas, construction work is seasonal. Periods of unemployment can cause significant financial stress, contributing to anxiety and depression.
How to Support Mental Health in Construction
While mental health challenges are common in every industry, construction workers face unique pressures. Here are several ways leaders can take action:
1. Know the Warning Signs
Leaders and supervisors should learn how to recognize early signs of mental health issues. Spotting them early may help prevent serious outcomes. Common warning signs include:
- Decreased productivity
- Frequent tardiness
- Increased conflict with coworkers
- Withdrawal from the team
- Risky or unsafe behavior
- Trouble concentrating
- Extreme mood swings
- Excessive use of drugs or alcohol
2. Use Toolbox Talks
The Occupational Safety and Health Administration (OSHA) publishes free monthly Toolbox Talks that address workplace issues, including safety and mental health. These discussions are a great opportunity to spark open conversations and encourage workers to share their experiences or ask questions.
3. Address the Stigma
Mental health is still a difficult topic in construction, where workers often don’t feel safe opening up. Many fear being seen as weak or unfit for the job. Building a judgment-free environment is essential.
Leaders can help by speaking openly about mental health, encouraging vulnerability, and offering consistent training. For example, Procore offers a continuing education course called Health and Wellness of Your Team, which teaches leaders how to recognize mental health concerns and improve emotional well-being in the workplace.
A 2021 survey by the Center for Workplace Mental Health found that 77% of construction CEOs, presidents, and owners considered mental health a workplace priority. That’s a promising sign—but it’s critical to keep the momentum going and make mental health a core part of company culture.
Resources for Construction Workers
There are many free and confidential mental health resources available.
Construction Working Minds
Offers training, mental health and suicide prevention resources, posters, quizzes, and crisis tools.
https://www.constructionworkingminds.org
Construction Industry Alliance for Suicide Prevention (CIASP)
Provides free toolbox talks, training guides, and suicide-prevention resources tailored to construction professionals.
https://preventconstructionsuicide.com
National Suicide Prevention Lifeline
Free, 24/7 support for anyone in emotional distress. Dial 988 or call 1-800-273-TALK (8255).
Crisis Text Line
Text HOME to 741741 anytime for free support from a trained counselor.
By prioritizing our mental health and supporting those around us, we create a stronger, safer, and more connected industry. You are not alone!
Until next time…Work Safe & Be Safe!
