News Release

People with mental health problems hit harder by recession

Peer-Reviewed Publication

King's College London

Since the start of the recession, the rate of unemployment for people with mental health problems has risen more than twice as much than for people without mental health problems, according to new research from King's College London.

The authors warn that, across Europe, people with mental health problems have been disproportionately affected by the economic crisis, further increasing social exclusion amongst this vulnerable group.

Published in PLOS ONE, the study also found that this gap in employment rates was even greater for men and for those with low levels of education.

The scientists collected data in 27 EU countries from over 20,000 people in 2006 and again in 2010. By using the Eurobarometer survey, they assessed mental health, stigmatising attitudes, socio-demographic information (such as age, gender, education level and urbanicity) and current employment rate.

In 2006, unemployment was at 7.1% for people without mental health problems, compared to 12.7% for people with mental health problems. In 2010, this rose to 9.8% and 18.2% respectively, corresponding to an increase of 5.5% for people with mental health problems vs 2.7% increase for people without mental health problems.

Dr Sara Evans-Lacko, lead author of the study from King's College London's Institute of Psychiatry, says: "The economic recession has had enormous impact across much of Europe, but there is little information about the specific impact of the recession on groups who are already vulnerable to social exclusion, specifically, people with mental health problems. This is the first study to show that the European economic crisis has had a profound impact on people with mental health problems, compared to those without."

In addition, the study identified important sub-groups – for example, the study found that men and individuals with lower levels of education had a significantly greater increase in the likelihood of being unemployed after the recession. In 2010, 21.7% of men with mental health problems were unemployed, compared to 13.7% in 2006.

The study also showed that stigmatising attitudes, especially beliefs regarding dangerousness of people with mental health problems were an important factor contributing to the rise in unemployment. Living in a country where a higher proportion of individuals believed that people with mental health problems were dangerous was associated with higher levels of unemployment for people with mental health problems.

In addition to having lower levels of employment, these subgroups also have lower rates of help-seeking and more negative attitudes to mental health and may require specific forms of outreach.

Professor Graham Thornicroft, co-author of the study from King's College London's Institute of Psychiatry, adds: "Our study emphasises that one important implication of stigma and discrimination is exclusion from employment. During periods of economic recession, attitudes to people with mental health problems may harden, further deepening social exclusion. Governments need to be aware of these risks, and employers need to be aware of their legal duty to comply with the Equality Act to support people with mental health problems coming into, and staying in, employment."

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Notes to editors

For interviews with the authors, or a copy of the paper, please contact Seil Collins, Press Officer, Institute of Psychiatry, King's College London. Email: seil.collins@kcl.ac.uk Tel: (+44) 207 848 5377/(+44) 7718 697176

Paper reference: Evans-Lacko, S. et al "The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries" PLOS ONE

Link to the live article once embargo lifts: http://dx.plos.org/10.1371/journal.pone.0069792

About King's College London:

King's College London is one of the top 30 universities in the world (2012/13 QS international world rankings), and was The Sunday Times 'University of the Year 2010/11', and the fourth oldest in England. A research-led university based in the heart of London, King's has more than 25,000 students (of whom more than 10,000 are graduate students) from nearly 140 countries, and more than 6,500 employees. King's is in the second phase of a £1 billion redevelopment programme which is transforming its estate.

King's has an outstanding reputation for providing world-class teaching and cutting-edge research. In the 2008 Research Assessment Exercise for British universities, 23 departments were ranked in the top quartile of British universities; over half of our academic staff work in departments that are in the top 10 per cent in the UK in their field and can thus be classed as world leading. The College is in the top seven UK universities for research earnings and has an overall annual income of nearly £525 million (year ending 31 July 2011).

King's has a particularly distinguished reputation in the humanities, law, the sciences (including a wide range of health areas such as psychiatry, medicine, nursing and dentistry) and social sciences including international affairs. It has played a major role in many of the advances that have shaped modern life, such as the discovery of the structure of DNA and research that led to the development of radio, television, mobile phones and radar.

King's College London and Guy's and St Thomas', King's College Hospital and South London and Maudsley NHS Foundation Trusts are part of King's Health Partners. King's Health Partners Academic Health Sciences Centre (AHSC) is a pioneering global collaboration between one of the world's leading research-led universities and three of London's most successful NHS Foundation Trusts, including leading teaching hospitals and comprehensive mental health services. For more information, visit: http://www.kingshealthpartners.org.

The College is in the midst of a five-year, £500 million fundraising campaign – World questions|King's answers – created to address some of the most pressing challenges facing humanity as quickly as feasible. The campaign's five priority areas are neuroscience and mental health, leadership and society, cancer, global power and children's health. More information about the campaign is available at http://www.kcl.ac.uk/kingsanswers.


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