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This research aims to understand the characteristics, including sociodemographic characteristics, health services utilisation and contacts with non-clinical services, of individuals working within the construction industry and who experience distress, and to quantify the costs and benefits of different help-seeking pathways.

This study provides evidence of a decline in suicide rates among Australian construction workers over the last two decades; this decline may be attributable to the combined effects of population-wide, male-specific, and sector-specific suicide prevention efforts over this same period, suggesting that the continuation or expansion of such efforts may lead to further declines.

The Australian construction industry is facing a mental health crisis; poor mental health indicators are significantly higher than the all-industry average. This paper addresses the knowledge gap by reporting the results of a systematic review of peer-reviewed mental health research and reveals significant misalignment between existing research and Australian government regulation.