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Suicide The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, along with many other studies, reported that the majority of people who completed suicide were either unemployed or had a long-term illness (Department of Health, 1999a). Compared with the general Alcohol and substance misuse Alcohol and drug dependence fit in with the general pattern, with high rates found among those in social class V. Among men and women, alcohol and drug dependence are both much higher among the unemployed group. Social class is a risk factor for alcohol-related mortality, which is also linked to social structural factors such as poverty, disadvantage and social class (Harrison & Gardiner, 1999). Alcohol-related mortality rates are higher for men in the manual occupations than in the non-manual occupations, but the relative magnitude depends on age. Men aged 25–39 years in the unskilled manual class are 10–20 times more likely to die from alcohol-related causes than those in the professional class, whereas men aged 55–64 years in the unskilled manual class are only about 2.5–4 times more likely to die than their professional counterparts.

For women, younger women in the manual classes are more likely to die from alcohol-related causes, but among older women it is those in the professional class who have the greater mortality. Hans (1999) studied the demographic and psychosocial characteristics of substance-misusing pregnant women, and found that demographic features were related only to type of substance used, with Black women and poorer women more likely to use illicit substances, particularly cocaine, and White women and better-educated women more likely to use alcohol.Cite error: The opening <ref> tag is malformed or has a bad name (see the help page).population, people who attempt suicide belong more often to the social categories associated with social destabilisation and poverty.

Gunnell et al(1995) examined the relations between suicide, parasuicide and socio-economic deprivation. A strong association was found between suicide and parasuicide, with socio-economic deprivation accounting for much of this relationship. Furthermore, homicide and suicide occur more frequently in highly populated, deprived areas (Kennedy et al, 1999). This finding is also supported by Crawford & Prince (1999), who noted increasing rates of suicide in young unemployed men living in conditions of extreme social deprivation. It is also true that the mortality rates of overdoses involving cocaine and opiates are significantly associated with poverty status (Marzuk et al, 1997).