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FUNDAMENTAL FACTS ABOUT MENTAL HEALTH 2016

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Risk factors<br />

• Non-fatal self-harm is the strongest<br />

risk factor for subsequent suicide;<br />

a 2014 systematic review found<br />

that 1 in 25 patients presenting to<br />

hospital for self-harm will die by<br />

suicide within five years, 95 while a<br />

2013 literature review found that up<br />

to 16% of survivors try again within<br />

a year, with 2% of repeat attempts<br />

being fatal. 96<br />

• Employment status was associated<br />

with suicidal thoughts, suicide<br />

attempts and self-harm in workingage<br />

adults (i.e. 16–64 years). This<br />

was strongest for men, with higher<br />

rates being reported among those<br />

who were economically inactive. 97 •<br />

•<br />

Two thirds (66.4%) of people in<br />

receipt of ESA had thought about<br />

taking their life, almost half (43.2%)<br />

had made a suicide attempt, and a<br />

third (33.5%) reported self-harming,<br />

indicating that this is a population<br />

in great need of support. People in<br />

receipt of other benefits also had<br />

higher rates of suicidal thoughts,<br />

suicide attempts and self-harm than<br />

those not in receipt of these benefits<br />

(see Figure 1i). 98<br />

Living alone was found to be a<br />

predictor of suicidal thoughts, with<br />

people under 60 who lived alone<br />

being found to be more likely to<br />

have suicidal thoughts than those of<br />

the same age who were living with<br />

others. 99<br />

Base: aged 16-64<br />

Men<br />

Women<br />

% 25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

Employed Unemployed Economically inactive<br />

Employment status<br />

Figure 1i: Suicide attempts by employment status<br />

McManus, S., Hassiotis, A., Jenkins, R., Dennis, M., Aznar, C., & Appleby, L. (<strong>2016</strong>). Chapter 12: Suicidal<br />

thoughts, suicide attempts, and self-harm. In S. McManus, P. Bebbington, R. Jenkins, & T. Brugha (Eds.),<br />

Mental health and wellbeing in England: Adult Psychiatric Morbidity Survey 2014. Leeds: NHS Digital.<br />

26

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