Prioritizing Mental Health and Substance Abuse Safety in Construction

Construction is one of the most demanding industries, both physically and mentally. Long hours, high-pressure deadlines and physical risks all contribute to unique challenges for workers. 

Beyond the jobsite hazards we see every day, there are invisible risks tied to mental health and substance abuse. Addressing these issues is critical to maintaining a safe, productive and sustainable workforce.

Why It Matters

Studies show that construction workers face higher-than-average rates of mental health challenges and substance use compared to other industries. A 2022 report showed that the suicide death rate for construction workers was 2.4 times higher than all industries (46.1 vs. 19.5 per 100,000 full-time employees). 

The demanding nature of the work, coupled with a “tough it out” culture, often means struggles go unspoken. Left unchecked, these challenges can impact safety, increase workplace incidents and lead to long-term personal and professional consequences.

The Link Between Safety and Mental Health

Mental health is directly tied to jobsite safety. Stress, fatigue and substance use impair focus and reaction time, increasing the likelihood of accidents. In an industry where split-second decisions matter, mental clarity and well-being are essential for protecting workers and those around them.

Building a Safer Culture

Supporting mental health and preventing substance abuse starts with creating a culture that prioritizes care as much as productivity. Employers can take practical steps to build that culture:

• Promote Awareness: Normalize conversations around mental health. Training and toolbox talks can help break down stigma and encourage workers to seek support.

• Provide Resources: Offer Employee Assistance Programs (EAPs), mental health hotlines or local counseling connections to ensure workers know where to turn.

• Encourage Balance: Where possible, promote rest, breaks and work-life balance. Fatigue is a hidden safety hazard that affects both mental and physical health.

• Monitor and Support: Supervisors can be trained to spot signs of stress, substance misuse or burnout — and to respond with compassion and resources, not judgment.

• Lead by Example: Leadership buy-in is essential. When supervisors and managers openly support mental health initiatives, it gives workers permission to do the same.

SCHBSIF’s Commitment

Safety means more than hard hats and harnesses. As South Carolina’s leading self-insured fund for workers’ compensation, we’re committed to supporting our members in protecting their workforce both physically and mentally. By addressing mental health and substance abuse proactively, we can reduce risks, strengthen teams and build safer, healthier job sites across South Carolina.