C-A-S-P-R

C-A-S-P-RC-A-S-P-RC-A-S-P-R

C-A-S-P-R

C-A-S-P-RC-A-S-P-RC-A-S-P-R

Construction's Acute Suicide Postvention Response

Construction's Acute Suicide Postvention ResponseConstruction's Acute Suicide Postvention ResponseConstruction's Acute Suicide Postvention Response

"As our case is new, so we must think anew, and act anew."


President Abe Lincoln (Dec 1, 1862)

About C A S P R

Why our Industry needs this approach?

CPWR, the North Amercian Buidiling Trade Unions' research arm, data reveal that the US construction industry loses over 5000 workers to suicide each year. This equates to 1 worker every 2 hours…365 days a year. With 1 suicide impacting ~135 people, it became clear this industry needed a new approach that went beyond suicide prevention and intervention programs. After taking 8 suicide death calls in 12 weeks, during Q3-2024, leaders in the STL construction industry moved from awareness to action! The CASPR Project has set out to address two unmet needs:

1) addressing loss survivors within the First 48 hours after a suicide death; and

2) connecting the 3 legs of the Suicide Triangle: Prevention / Intervention / Postvention 

in an attempt to reduce the number of white- and blue-collar suicides in our industry. 

This will require support from the top-down and bottom-up: labor, management, and owners. 



--Content Warnings--

  Issues related to Mental Health, Substance Misuse, and Suicide are addressed in this site.

  The information provided is for general education purposes and does not constitute legal or medical advice.

  

If you are in crisis, contact the toll-free National Suicide & Crisis Lifeline @

Dial 988 or Text "HELP" to 988 



(CASPR is a project operated under the 21-14 Concussion Awareness Foundation, 

a dba of the Dr John S Gaal Scholarship Fund -  a 501(c)(3); EIN: 26-2693980.

Please visit www.2114CAF.org for more information.)

Educational Resources

In order to solve a problem, one must become familiar with the environment. The section below will provide a variety of articles and podcasts related to the 

troubling trinity: Mental Health, 

Substance Misuse, and Suicide Crisis.

Helping Resources

One thing for sure, is that these issues/challenges/problems did not arise overnight...

nor will they be resolved overnight. 

Therefore, a new approach is required. As builders, 

we must move from fixers to supportive peers.


Educational Resources

Podcasts

Postvention Is Prevention: Dr. John Gaal’s Mission After Tragedy

https://podcasts.apple.com/us/podcast/episode-13-postvention-is-prevention-dr-john-gaals/id1811138761?i=1000735502231


Establishing Suicide Postvention in the STL Construction Industry

https://podcasts.apple.com/us/podcast/st-louis-on-the-air/id279357633?i=1000784674353 


Peer Support & Postvention

https://share.google/wGSLboeh3iySJk6Z0 


From Personal Loss to Public Advocacy 

www.youtube.com/watch?v=oBiKtAHrk9E


Postvention is Prevention

https://open.spotify.com/episode/69WRojGJhS5UT3OZyHUHt2


After the Unthinkable

https://www.iheart.com/podcast/269-hope-illuminated-podcast-h-76909392/episode/after-the-unthinkable-workplace-suicide-postvention-the-first-48-hours-peer-support-with-dr-john-gaal-316305584


Above & Below

https://www.youtube.com/watch?v=6G9_tBjLcl8


Prevention to Postvention

https://prevented.org/podcasts/prevention-to-postvention/


Inside the Mind of a Worker Wellness Advocate

https://www.youtube.com/watch?v=jPoCZZdTmeg


Take Care of Your People

https://prevented.org/podcasts/take-care-of-your-people/


When the Hits Don't Heal

https://www.youtube.com/shorts/_36oMhll9X4


Football: Kids, Parents, and CTE

https://www.npr.org/2026/08/29/nx-s1-5945590/landmark-study-finds-1-in-4-nfl-players-developed-brain-trauma 

Articles

Acute Suicide Postvention in the US Construction Industry: Addressing the 48 Hours Following a Suicide

https://constructforstl.org/john-gaal-suicide-postvention-construction-research/


Postvention in the Construction Industry

https://www.constructiondive.com/news/suicide-postvention-construction-mental-health-support/830505  


Leading the Way: Suicide Postvention in the STL Construction Industry

https://www.stlpr.org/show/st-louis-on-the-air/2026-08-25/st-louis-suicide-postvention-prevention-construction-industry-skilled-trades


The Journey: From Tragedy to Triumph

https://suicideresearch.info/2026/01/30/the-journey-from-tragedy-to-triumph/


Triumph from Tragedy: A Story of Loss and Growth

https://mycnr.com/guest-column/triumph-from-tragedy-a-story-of-loss-growth/

 

TAPS:  Postvention Immediately After a Suicide Death / Emotional Support 

https://youtu.be/oziHgjdY2P0 


Peer Support in the Construction Industry

https://constructforstl.org/gaal-studies-peer-support-mental-health/


Apprentices' Mental Health & Well-being

https://constructforstl.org/wp-content/uploads/2021/04/Work-Life-Balance_JGAAL_033021.pdf


Requiring Mental Health Training in Construction

https://constructforstl.org/study-makes-case-for-mental-health-training-in-apprentice-rule-updates/


Preventing Workplace Harassment & Physical Violence

https://www.cpwr.com/wp-content/uploads/GB-CPWR_Guide_Prevent_Workplace_Harassment_Violence.pdf?utm_id=d2edc5ec-369f-4be6-ad4d-e141f8584df8&utm_campaign=Update+-+August+2026&utm_medium=email&utm_source=constant_contact


In St. Louis, unions join forces to tackle ‘shocking’ rates of suicide for workers  

https://share.google/gkjBObzU5WLENOCLw 


Preventing Suicide and Promoting Mental Health in Construction Workers

https://www.cpwr.com/research/current-research/preventing-suicide-and-promoting-mental-health-in-construction-workers/


Opioid Crisis in the Workforce

https://constructforstl.org/opioid-crisis-and-the-workforce-a-firsthand-perspective/


Construction's Guidelines for Opioid & Substance Misuse

https://hwc.public-health.uiowa.edu/wp-content/uploads/Workplace-Opioid-Prevention-Program-Guidelines-for-Construction_v3.0.pdf


Addressing the Opioid Crisis through  Language and Collaboration

https://confluence.washu.edu/addressing-the-opioid-crisis-through-data-language-access-and-collaboration-a-qa-with-sal-valadez/


Why Carry Naloxone?

https://www.stlpr.org/show/st-louis-on-the-air/2023-05-23/everyone-should-be-carrying-the-overdose-reversal-medication-naloxone-advocates-say


St. Louis Couple Pushes for Narcan on Flights

https://www.stlpr.org/health-science-environment/2024-01-24/southwest-airlines-to-carry-naloxone-after-push-from-st-louis-area-advocate


Traumatic Brain Injuries (TBI) in Construction

https://www.cdc.gov/niosh/bulletin/2016/brain-injuries-construction.html 


Healing Invisible Injuries in the Construction Industry

https://constructforstl.org/healing-invisible-injuries-in-the-construction-industry/


Causes & Consequences of TBIs

https://www.hardhatstohelmets.org/wp-content/uploads/2022/09/TBI-CTE_BeneMag_110121-1.pdf


NFL & CTE: Where's OSHA?

https://www.nytimes.com/2026/08/25/us/nfl-cte-osha.html?unlocked_article_code=1.8FA.QbAq.ksv1NzoKoMJq&smid=nytcore-ios-share
 

DCN's Civil Quarterly: Voices of the Industry

https://www.hardhatstohelmets.org/wp-content/uploads/2023/12/DODGE-Civil-Quarterly_JGaal_0223.pdf


Work-Life Balance & Well-being of Construction Apprentices

https://constructforstl.org/dr-john-gaal-publishes-study-on-work-life-balance-training-for-apprentices/


Making the Case for Requiring Mental Health Training in Construction

https://constructforstl.org/study-makes-case-for-mental-health-training-in-apprentice-rule-updates/


Making Mental Health a Priority

https://share.google/PVHwGSJ0rU8jFnyBe
 

Helping Resources

STL Building Trades Wellness Coalition

www.stlbtwellness.org

 

LEAN-STL

https://www.stllaborers.com/lean-stl


CIASP Safe Messaging Guide

https://irp.cdn-website.com/2e2e706c/files/uploaded/CIASP-Safe+Messaging_v2-4.pdf 


PreventEd

https://prevented.org/


United Way - GSTL

https://helpingpeople.org/labor-partnerships/


Missouri Works Initiative

https://moworksinitiative.org/worker-wellness-program/


MO Suicide Prevention Network

https://www.mospn.org/


Hard Hat Courage

https://hardhatcourage.com/


WashU & CPWR: COMPASS

https://www.cpwr.com/research/current-research/preventing-suicide-and-promoting-mental-health-in-construction-workers/


TAPS: Loss Support

https://www.taps.org/suicide


Alliance for Naloxone Safety in the Workplace

https://www.answ.org/


Construction Mental Health Alliance

https://www.constructionwellness.org/


Stronger than Silence: MH in Construction

https://youtu.be/r3N9l-2uySQ?si=a72KG8kS-CM9BiYF 



Related Trainings

Please review the available programs and reach out via the "Contact Us" section below with your inquiry. (Delivery is mainly in-person but can be arranged virtually upon request.) Thank you!

Part 1: Stabilization

(Active)

This general awareness training consists of two 60-min sessions that address the First 48 hours after a suicide incident in the construction workplace. It lays the groundwork for an organization to better prepare for unexpected losses within its ranks.


Part 2: Grief Work & Trauma

(TBA)

This is a 2-hour session available to those who have completed part 1 and are interested in taking a deeper dive beyond awareness. It looks beyond the acute phase in part 1. Suggested audience: If you serve on the front-line and may be willing/capable to assist those impacted by a suicide loss.


Part 3: Post-traumatic Growth & Peer Support

(TBA)

This is a 2-hour session available to those who have completed parts 1 & 2 and are interested in continuing this journey. By providing tools to assist in delivering peer support to those impacted by a suicide loss, we can collectively seek ways to grow by safely sharing lessons learned.


Events

Sept 29, 2026: Talk Saves Lives - Construction (HHC-MO)

https://tsl-construction-mo.attendease.com/


---


August 26, 2026: ESSSB21 Symposium

IAS Conference: Rethinking  Workplace Suicide Prevention

Vilnius, Lithuania


August 19, 2026: Addressing Suicide Postvention in the Workplace

https://www.ifebp.org/education---events/virtual-education-and-webcasts/webcasts/event/2026/08/19/default-calendar/addressing-suicide-postvention-in-the-workplace-26t19 


August 17, 2026: Why Postvention Matters

Grand Glaize Library

1010 Meramec Station Rd.  63021 

2:30p CT


August 13, 2026: Connecting a Stronger Chain

Postvention in Workplaces - Panel Discussion

Springfield, MO


August 10, 2026: The Suicide Triangle

https://www.stlbtwellness.org/event-details/training-suicide-triangle


May 21, 2026: Addressing Postvention at a State Level

AAS Conference

St. Louis, MO








Donate Now

Donations

$50.00
Pay with PayPal or a debit/credit card

By providing funds, CASPR can continue to undergo R&D efforts to further advance and assist in the declne of suicides in the construction industry.

 

Together, we can make a difference!


PLEASE note that we will receive 100% of your donation--in any amount--if you send in a personal or business check made payable to the following:


CASPR

c/o 21-14 CAF

Attn: T Rhodenbaugh, Treasurer

2211 S Grand - #102

St. Louis, MO 63104

info@c-a-s-p-r.us


NOTE:

21-14 Concussion Awareness Foundation (21-14 CAF) is a dba under 

Dr John S Gaal Scholarship Fund a 501(c)(3); EIN: 26-2693980

"Arrogance is the byproduct of ignorance and pride."


Dr John S Gaal

Contact Us

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