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 />
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