But I was genuinely surprised to hear that cancer screenings exhibit no net increase on all-cause mortality.
Zero chance this is the case.
While it's true you can find some research for some screening that aligns with this, anyone broadly making this claim without excessive qualification of the claim should be assumed to be a crank.
Ex: PMCID: PMC4412262
I've done some forensic work and my practice setting gets me more exposure even when I'm working on civilian units.
It is okay to be burnt out by what you hearing.
It is also okay to not be burnt out. Sometimes people find something not triggering - don't feel guilty if certain types of crimes or criminals don't bother you.
Therapy is completely reasonable, the formal, big T-Trauma includes exposure to bad shit in certain vulnerable populations (medical staff, police, etc.). That's not quite you but what you are working with gets you damn close. Trauma... can be bad. I don't know if they do video visits but you can find therapists who specialize in high achieving individuals with a need for sensitivity due to their profession.
The natural arc in healthcare for people working with forensic patients is to eventual leave and stop. Some people don't have the temperament or just lose it because they've seen too much.
I know that's not ideal for you because of location but life is too short to be miserable. If it's what you need, that's what you need.
For me I hold onto the wins - people being jammed up, people who try and improve, people who are upfront and polite, you can pick out good bits and mentally focus on that to fuzz over the bad stuff.
Working deeply with the American criminal population is to some extent like being a veteran. People who haven't gone through it just don't understand.
I hope you find your balance.
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I'd consider it something of an info hazard, it's really hard to get people to adhere to screening guidelines and the most effective one is the one people bail out on the most (colonoscopy).
Especially in a place like this filled with grumpy skeptics..... you'll get some people who will use it as an excuse.
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