These figures draw from a study by Salomon JA et al.: Disability weights for the Global Burden of Disease 2013.
In this research, the authors asked 60,890 participants from around the world which diseases, injuries and disorders they considered to be the most disabling. They then analysed the data to create a ‘disability weight’ for each condition. A disability weight is a number ranging from 0.0 to 1.0 which represents the severity of a disease, with larger numbers representing increasing severity/disability. The paper ranks 185 physical and mental health conditions from least to most disabling, including:
These types of studies help to determine how illness affects wellbeing and quality of life, particularly for conditions which are chronic and non-fatal.
This study is part of a wider programme of research by the World Health Organization (2). You can find the most up to date version at who.int.
-
People who identify as LGBT+ are more likely to have suicidal thoughts, and attempt suicide, than those who do not identify as LGBT+ (1–3)
-
People who identify as LGBT+ are at increased risk of developing anxiety disorders (4,5)
-
Self-harm is more common in ex-service personnel, young people, women, LGBT+ community, prisoners, asylum seekers, and people who have experienced physical, emotional or sexual abuse (6)
-
Up to 16% of people who identify as LGBT+ experience symptoms of an eating disorder (7,8)
-
Psychosis is more common among BAME groups (9–12)
-
Mental health issues are more likely to affect young people who identify as LGBT+ than those who do not (8,13–15)
-
Young people who identify as LGBT+ are more likely to report self-harming than young people who do not identify as LGBT+ (14,16)
-
Young people from BAME and migrant backgrounds are more likely to show developmental difficulties associated with psychosis and develop psychotic disorders later in life (10,17)
-
Symptoms of depression are more common and severe in young people who identify as LGBT+ than in those who do not (14,16)
-
Adolescents who identify as LGBT+ are at increased risk of anxiety disorders (18,19)
-
11% - 32% of young people who identify as LGBT+ have attempted suicide in their lifetime (8,16,20)
-
Young people who identify as LGBT+ are more likely to show symptoms of eating disorders than those who do not identify as LGBT+ (8,15)
-
People who identify as LGBT+ are at increased risk of both mental ill health and substance misuse (1,2,7)
-
Ex-service personnel who identify as LGBT+ are more likely to have suicidal thoughts, and attempt suicide, than those who do not identify as LGBT+ (21)
-
4,214 or 2.7% of UK armed forces personnel were assessed with a mental disorder in 2018/19 (1)
-
In 2016/17, over 24,000 ex-service personnel used primary care NHS therapeutic services in England, a 15.4% increase on the previous year (2)
Note: Primary care services are those which can be accessed through a GP, or self-referral, and don’t require a specialist referral
-
NHS England spends £6.4 million per year on bespoke mental health services for ex-service personnel, in addition to the £11.4 billion spending on mental health for the general population (2)
-
Stigma is a frequently reported barrier to help-seeking. Armed forces personnel fear differential treatment from unit leaders, being labelled ‘weak’ or ‘malingerers’, or becoming ‘non-deployable’ (3–5)
Note: A malingerer is defined as a person who pretends to be ill to avoid having to work
-
Up to 71% of military personnel who experience mental ill health don’t seek professional help (6,7)
-
Although reported mental health issues doubled in the UK armed forces between 2005-2014, only 1 in 20 ex-service personnel experiencing symptoms of mental ill health sought help (8)
-
84% of ex-service personnel reporting psychological issues did not access professional help (8)
-
62% of males and 46% of females in the UK armed forces were identified as drinking hazardous amounts of alcohol (9)
-
Service personnel are 2-5 times more likely to be dependent on alcohol than the general population (8,10,11)
-
1 in 10 ex-service personnel has an issue with alcohol misuse, equivalent to 270,000 people (8)
-
Ex-service personnel with problematic alcohol intake are less likely to seek medical advice, and more likely to avoid seeking help due to stigma or self-stigma (8)
Note: More information about veterans’ reasons for not seeking help for alcohol-related issues can be found in (12)
-
Exposure to combat and traumatic events during service significantly increases the risk of violent offending (13,14)
-
Ex-service personnel with mental health issues, particularly PTSD, often present with comorbid problems of anger and aggression (15)
-
While the UK armed forces does not tolerate domestic violence, 3.6% report family violence and 7.8% report stranger violence immediately following return from deployment (16–18)
-
Approximately 4% of the prison population in the UK are former members of the armed forces (19)
-
In 2015 it became a requirement for all prisons to ask whether new inmates have served in the armed forces (20)
-
On arrival into prison, ex-service personnel were as likely as the general prisoner population to report problems around issues such as alcohol (17%) and mental health (15%) (21)
-
Ex-service personnel are more likely to report feeling depressed or suicidal on arrival into prison (18% compared to 14%) (21)
-
Compared to those who have not served, ex-service personnel in the criminal justice system are more likely to present with anxiety disorders and hazardous drinking patterns, and less likely to present with schizophrenia and substance misuse (22)
-
The annual suicide rate for the UK armed forces is significantly lower than the UK general population (23)
-
Male suicide rates over the last 20 years are:
-
10 per 100,000 in the Army
-
8 per 100,000 in the Naval service
-
5 per 100,000 in the RAF (23)
-
In 2017, the suicide rate among males aged 16—59 years in the UK armed forces was 9 per 100,000, compared to 19 per 100,000 in the UK general population (23)
-
The risk of suicide for men aged 24 or younger who have left the armed forces is between two and three times higher than for men the same age who haven’t served in the military (24)
-
Suicide risk is associated with younger age at discharge, male gender, Army service, lower rank, not being married, and length of service of 4 years or less (24,25)
-
Ex-service personnel who identify as LGBT+ are more likely to have suicidal thoughts, and attempt suicide, than those who do not identify as LGBT+ (26)
-
2.3% of UK armed forces personnel report ever having self-harmed, compared to 7.3% in the general population (10,27)
-
Self-harm is more common in ex-service personnel, young people, women, LGBT+ community, prisoners, asylum seekers, and people who have experienced physical, emotional or sexual abuse (36)
-
Reported rates of self-harm in the UK armed forces remain low at 3.1 per 1000 personnel in 2017/18 (28)
-
Between 2010/11–2017/18, those at highest risk of self-harm in the UK forces were: Army personnel, females, non-officer ranks, personnel aged under 25 and untrained personnel (28)
-
Between 2010/11 and 2017/18 there were more self-harm incidents in the Army than in the Navy or RAF (28)
Note: As measured by tests of statistical significance, Army personnel had significantly higher rates of self-harm than the other Services in each of the eight years between 2010/11 and 2017/18. There was no significant difference in rates between Naval Service and RAF personnel over the same time period (28)
-
Risk factors for self-harm reflect those of the general population – they are not deployment related (27)
-
Using alcohol or drugs increases the risk of self-harm (29,30)
-
People who identify as LGBT+ are at increased risk of developing anxiety disorders (31,32)
-
The symptoms of adjustment disorder include: depressed mood, behaviour changes, outbursts of violence, anxiety, worry, feeling unable to cope, plan ahead, or continue in the present situation, and difficulty in day-to-day living (33–35)
-
The symptoms of adjustment disorder arise gradually, within a month after a stressful event. They rarely lasts longer than six months (33,34)
-
Adjustment disorders accounted for 30% of all mental disorders in the armed forces in 2018/19 (1)
-
Rates of adjustment disorders in the UK armed forces were significantly higher than for all other mental disorders between 2007/8 and 2015/16 (1)
-
Higher rates in the armed forces vs the general population may reflect the impact of service life with routine postings and operational tours (1)
-
In 2018/19, PTSD accounted for 7% of all mental disorders diagnosed in UK armed forces personnel, with the highest percentages in the Army and Royal Marines (1)
-
In 2018/19, PTSD risk increased by 170% for service personnel previously deployed to Iraq and/or Afghanistan (1)
-
Diagnosis of PTSD in the UK armed forces remained low at around 2 in 1000 personnel in 2018/19 (1)
-
A study of 100 women caring for a partner with service-related PTSD found: 45% misused alcohol, 39% had depression, 37% had anxiety, and 17% showed symptoms of PTSD (36)
-
Among the general population 20.6% of people have had suicidal thoughts at some time, 6.7% have attempted suicide and 7.3% have engaged in self-harm (1)
-
26.8% of people aged 16-24 report having had suicidal thoughts in their lifetime, a higher percentage than any other age group (1)
-
34.6% of females and 19.3% of males aged 16-24 have had thoughts of suicide in their lifetime (1)
-
9% of 16-24 year olds have attempted suicide in their lifetime – 5.4% of men, and 12.7% of women (1)
-
In 2017 there were 5,487 suicides in Great Britain. This means more than 15 people per day took their life. It is estimated that 10-25 times that number attempted suicide (2,3)
Note: These statistics refer specifically to Great Britain. The figures were calculated using data from supplementary tables released as part of the ONS’s Suicides in the UK: 2017 registrations report and adding together the 2017 suicide figures from England, Scotland and Wales.
-
In 2014, 130 students (full time, aged 18+) completed suicide in England (4)
-
In 2017, 646 people aged 10-29 died by suicide in England and Wales (2)
-
In GB, 1,770 people died in road traffic accidents in 2017/18 (5)
-
More females attempt suicide than males (6)
-
More men die by suicide: 75% male and 25% female (7)
-
Suicide is the most common cause of death for those aged 10-34 (8)
-
In 2015, female suicide rates increased in England to their highest levels since 2005 (9)
-
80-90% of people who attempt/die by suicide have a mental health condition, but not all are diagnosed (10,11)
Note: The best and most recently available evidence suggests that the figure is 80.8% overall (11). This research notes that this figure can vary. This depends on factors such as where the studies were conducted, which mental health conditions were examined, and how recently the study was published. Older studies tend to report higher figures, e.g. Arsenault-Lapierre and colleagues published research in 2004 which reports a figure of 87.3% (10). These studies are reviews of ‘psychological autopsy studies’ of suicide completers. The psychological autopsy method makes use of interviews with family members, medical records, and other relevant documents to assess whether the suicide completer had a mental health condition. Older studies estimated mood disorders were present in 30-90% of suicide cases (12).
-
28% of people who complete suicide have been in contact with mental health services in the year before death (13)
-
51.6% of people aged 16-34 who are suicidal don't seek support (1)
-
ChildLine counselling about suicidal thoughts and feelings reached the highest ever levels with 24,549 sessions in 2017/18 (14)
-
Drug and alcohol misuse increase the risk of suicide attempts and completions (15–17)
-
6.4% of people in England have experienced symptoms of an ED (1)
-
About 25% of those experiencing ED symptoms are male (2)
-
People with eating disorders are at high risk of premature death and suicide (3)
-
The peak age of onset for an eating disorder diagnosis is between 15 and 19 years (3)
-
Up to 725,000 people in the UK have an eating disorder (4)
Note: 13.1% of 16-24 year olds have experienced symptoms of an eating disorder in the past year (1)
-
0.4% of 5-19 year olds experience symptoms of an eating disorder (5)
-
Hospital Episode Statistics data shows 2,703 people were admitted to hospital for an eating disorder in 2015/16, an 8% drop from the previous 12 months. 91% were female (6)
-
The most common age of hospital admission for an eating disorder was 15 years for both females and males (6)
-
Anorexia often co-occurs with other mental and physical health issues (7)
-
The average age of onset for anorexia is 16 years (8)
-
About 50% of patients with anorexia fully recover, about 30% improve and about 20% stay chronically ill (8,9)
-
0.8% of people in the UK meet criteria for bulimia (10)
-
Bulimia is more common in females (3,11,12)
-
Bulimia is most commonly diagnosed in females aged 15-19 (3)
-
45% of people with bulimia recover fully, 27% improve, 23% stay chronically ill (13)
-
Binge eating disorders is more common than anorexia or bulimia: 3.6% of people in the UK meet criteria for binge eating disorder (10)
-
People with eating disorders are at high risk of premature death and suicide (14)
Comments