In construction, we pride ourselves on getting things done. We’re builders, problem-solvers, and doers at heart. We take satisfaction in watching projects rise from sketches on a napkin to blueprints for the buildings and other structures we experience each day—structures that can weather storms and stand for generations.

But buildings won’t remain functional or resist the elements without a strong foundation, periodic inspections, and routine maintenance. People are no different. We all need strong support systems to face challenges, check-in with each other, and practice self-care or seek help to remain resilient.

Too often, that kind of support is missing in our industry.

A Silent Struggle

Construction remains one of the top industries impacted by suicide and substance misuse. While companies have invested heavily in the physical safety of their workers, mental health is often treated like a personal issue—or worse, something to hide.

Many workers experience stress, chronic pain, trauma, or personal struggles without telling anyone. Why? Because the culture of construction has been equated with toughness. People worry that if they share their challenges, they’ll be seen as weak, or risk their jobs or reputation. That stigma, combined with a lack of training in how to talk about mental health, leaves too many isolated and suffering alone.

And isolation has consequences. Instead of reaching out, workers may turn to alcohol or drugs to cope or retreat further from their community and support systems. This loneliness also increases the risk of suicide.

Redefining Strength

I’ve learned firsthand that real strength is not about hiding your struggles—it’s about being willing to share them. It took me years—decades, in fact—to have the courage speak openly about my own experiences. However, I’ve been humbled by how many others have approached me afterward to say, “me too.” Vulnerability sparks connection. It builds trust. It reminds us that we’re not alone.

At Holmes Murphy, our Construction Risk & Safety team has seen the power of even a single honest conversation. We’ve worked with clients and industry partners for years on mental health advocacy, and one thing is clear: when people feel safe to talk, lives can change.

Progress Worth Celebrating

The industry is making great strides. In recent years, we’ve seen:

These efforts are meaningful, but there’s much more work to be done. Some leaders deny that mental health challenges exist within their companies. But just because they don’t hear about it or see it doesn’t mean it’s not there—instead, it’s likely that their work culture has suppressed the willingness to be open. Leaders can’t afford to wait for these challenges to become visible because for some, it may be too late. Leaders must actively check in, listen, and ask the right questions.

Changing the Narrative

One way to change the culture of construction is to recognize that the words we use matter.  When we label people as “addict,” “crazy,” “unstable,” or “bipolar”, we are defining them by their behaviors or diagnosis. This stigmatizing language perpetuates negative perceptions and may prevent someone from seeking help. We must recognize that behind every behavior or diagnosis is a person—often a hardworking, dedicated employee—trying to manage circumstances we may never see.

This is especially true for substance use. Too often, drug testing in the workplace is tied to discipline or termination. Instead, companies can use a positive test as a turning point—an opportunity to connect someone with the help and resources they need. What if, instead of pushing people out, we offered them a path forward?

That’s the goal of recovery-friendly workplaces, which may include:

When people feel supported instead of penalized, they’re far more likely to recover, stay engaged, and return stronger.

What Leaders Can Do

Every person, no matter their role in a company, has the power to influence culture. Here are a few practical steps:

Building a Safer Future

Mental health in construction goes beyond the individual—it’s an industry-wide responsibility. Just as we wouldn’t build without safe work practices and proper protective equipment, we can’t ignore the tools needed to protect workers’ mental well-being.

As an industry, we must move from awareness to action: fostering open dialogue, challenging stigma, and creating workplaces where employees are appreciated as people first, not only for their output. The strongest foundation is the one that prioritizes the physical and mental well-being of our people.

What’s under the hard hat matters, and solutions need to go beyond another safety program. Understanding mental health and suicide prevention is the key to protecting your employees and making job sites safer and more successful. To connect with our Construction Risk & Safety team, reach out today.