Answer extracted from the Powerline Podcast — listen to the full episode below.
Mental health should be treated like physical health—it requires a comprehensive plan including physical activity, outdoor hobbies, meaningful social connections, and professional mental health support. Workers who develop outlets outside of work and maintain active engagement with family and friends significantly reduce their risk of crisis. Research shows that simply being present with somebody and showing that you care reduces the risk of suicide.
The construction industry operates under conditions that isolate workers from these essential protective factors. Typical crews work six days a week, 10 to 12 or more hours daily, often in remote locations—man camps and temporary housing that separate workers from their families and support networks for weeks or months at a time. This extended isolation compounds mental health risk in an industry where feelings are already discouraged and the focus remains solely on task completion.
Physical activity and meaningful hobbies function as both preventive measures and early intervention tools. As Wykisha Thomas-McKinney explains in the episode, workers benefit from finding outlets such as exercise, building projects, or regular phone calls to family and friends. These activities serve dual purposes: they reduce stress in real time and they maintain the relational bonds that research identifies as critical to suicide prevention.
A structured mental health plan—developed as part of overall health strategy, not as a reactive crisis response—prevents workers from reaching the point of needing hospitalization or medication. This approach mirrors safety protocols already embedded in construction culture: just as fall protection and hazard controls are non-negotiable planning measures, mental health planning should be equally systematic and built into site protocols.
"Research right now on suicide prevention shows that having access to people that care about you reduces the risk of suicide."
Wykisha Thomas-McKinney — Field Officer, Mates North America Pilot. Thomas-McKinney is instrumental in implementing a suicide prevention framework adapted from the Australian Mates model across six operating companies. She works directly with construction sites to build networks of safety through training and relationship-building with both workers and leadership.
One striking detail discussed in the full episode is how the Mates North America program builds informal support networks on actual job sites—leveraging the existing crew structure rather than requiring workers to seek help outside their immediate workplace.
Mates North America is a pilot program launched in February that is built off a model developed in Australia over 20 plus years ago. The program works directly with construction sites to build networks of safety through training and relationship-building with workers and leadership.
Workers spend 12 to 14 hours a day on jobs, often for extended periods in remote locations like man camps or hotels, creating profound isolation. When separated from meaningful social connections and family support systems, the risk of mental health crises increases significantly.
In 2023, construction workers died of overdose at over 10 times the rate they died from job site injury. Additionally, male construction workers die by suicide at a rate of 75% higher than men in the general population.