PTSD Prevalence Rates of US Funeral Directors during the COVID-19 Pandemic

A Brief Report




The COVID-19 pandemic has created physical and mental health concerns for funeral directors. Past literature notes that high job demands, occupational death exposure, and heightened numbers of funerals have negative impacts on the mental health of funeral workers. Additionally, previous studies have found prevalence rates of PTSD to be more than three times higher in funeral directors than the general population. The present study sought to evaluate PTSD rates of funeral directors in the United States during the COVID-19 pandemic given the increased job demands, high rates of burnout, and heightened death exposure they have faced. A convenience sample was used, and 10 participants completed an online survey containing the PTSD Checklist for DSM-5 (PCL-5) and questions regarding awareness of mental health resources. Findings indicate that 50% of participants met criteria for a provisional PTSD diagnosis (n = 5), and 30% of participants had little to no awareness of mental health resources for funeral directors (n = 3). The results highlight the need for increased research and awareness regarding the mental health of funeral directors, particularly during times of increased stress, and the need for mental health services for funeral workers.


Funeral directors, PTSD, COVID-19


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Barello, S., Palamenghi, L., & Graffigna, G. (2020). Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Research, 290, 113129.

Blevins, C.A., Weathers, F.W., Davis, M.T., Witte, T.K., & Domino, J.L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489-498. doi:10.1002/jts.22059

Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL5) in Veterans. Psychological Assessment, 28, 1379-1391. doi:10.1037/pas0000254

Dijkhuizenab, L.G.M., Geldermanab, H.T., & Duijst, W.L.J.M. (2020). Review: The safe handling of a corpse (suspected) with COVID-19. Journal of Forensic and Legal Medicine, 73, 101999.

Du, J., Dong, L., Wang, T., Yuan, C., Fu, R., Zhang, L., Liu, B., Zhang, M., Yin, Y., Qin, J., Bouey, J., Zhao, M., & Li, X. (2020). Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. General Hospital Psychiatry, 67, 144-145.

Goldenhar, L.M., Gershon, R., Mueller, C., Christine, K., & Swanson, N.G. (2001). Psychosocial work stress in female funeral service practioners. Equal Opportunities International, 20(1 / 2), 17-38. doi:10.1108/02610150110786688

Harrawood, L.K., White, L.J., & Benshoff, J.J. (2009). Death anxiety in a national sample of United States funeral directors and its relationship with death exposure, age, and sex. OMEGA - Journal of Death and Dying, 58(2), 129-146.

Jahrami, H., BaHammam, A.S., AlGahtani, H., Ebrahim, A., Faris, M., AlEid, K., Saif, Z., Haji, E., Dhahi, A., Marzooq, H., Hubail, S., & Hasan, Z. (2020). The examination of sleep quality for frontline healthcare workers during the outbreak of COVID-19. Sleep and Breathing.

Linley, P.A., & Joseph, S. (2005). Positive and negative changes following occupational death exposure. Journal of Traumatic Stress, 18(6), 751-759. doi:10.1002/jts.20083

McClanahan, J. (2019). Posttraumatic stress among mortuary workers: Prevalence, risk, and resilience. Digital Access to Scholarship at Harvard.

National Center for PTSD. (n.d.). How Common is PTSD in Adults? U.S. Department of Veterans Affairs

Nguyen, L.H., Drew, D.A., Joshi, A.D., Guo, C.G., Ma, W., Mehta, R.S., Sikavi, D.R., Lo, C.H., Kwon, S., Song, M., Mucci, L.A., Stampfer, M.J., Willett, W.C., Eliassen, A.H., Hart, J.E., Chavarro, J.E., Rich-Edwards, J.W., Davies, R., Capdevila, J.,..., & Chan, A.T. (2020). Risk of COVID-19 among frontline healthcare workers and the general community: A prospective cohort study. The Lancet Public Health, 5(9), E475-E483. doi: 10.1016/S2468-2667(20)30164-X

Occupational Safety and Health Administration (OSHA). (n.d.). Postmortem Care Workers and Employers. COVID-19 - Control and Prevention.

Overmeire, R.V., & Bilsen, J. (2020). COVID-19: The risks for funeral directors. Journal of Public Health, 42(3), 655-655. doi: 10.1093/pubmed/fdaa089

Overmeire, R.V., Van Keer, R.L., Cocquyt, M., & Bilsen, J. (2021). Compassion fatigue of funeral directors during and after the first wave of COVID-19. Journal of Public Health, PMID: 33635314. doi:10.1093/pubmed/fdab030

Torres, F. (2020, August). What is posttraumatic stress disorder? American Psychiatric Association.

Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5) – Standard [Measurement instrument]. Available from






Survey Article

How to Cite

Hicks, E., Mashinchi, G., Heppner, H., Bean, P., & Maxson, C. (2022). PTSD Prevalence Rates of US Funeral Directors during the COVID-19 Pandemic: A Brief Report. Advanced Journal of Social Science, 10(1), 45–51.

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