Table THORP06

All Work-related mental ill-health: estimated number of cases reported by psychiatrists to SOSMI and by occupational physicians to OPRA and estimated rates per 100 000 workers per year, by precipitating event 2004-2006

Major category	Subcategory	Psychiatrists & Occupational physicians(p)		Psychiatrists (SOSMI)(p)		Occupational physicians (OPRA)(b)(p)
Major category	Subcategory	Annual average estimated cases(c) 2004-2006	% of total	Annual average estimated cases(c) 2004-2006	% of total	Annual average estimated cases(c) 2004-2006	% of total
1. Factors intrinsic to the job		2319	36	646	30	1673	40
	1.0 Factors intrinsic to the job (unspecified)	201	3	35	2	165	4
	1.1 Workload /over demand /pressure of work	1428	22	410	19	1019	24
	1.2 Work schedule /hours /shift work	156	2	42	2	113	3
	1.3 Travel /working away from home	64	1	37	2	27	1
	1.4 Isolation	23	-	13	1	10	-
	1.5 Organisational factors, role poor defined, low job control, perceived lack of support and poor management	610	10	138	6	472	11
	1.6 Under load /boredom /monotony	12	-	8	-	4	-
	1.7 Responsibilities	54	1	26	1	28	1
2. Changes at work		810	13	303	14	507	12
	2.0 Changes at work (unspecified)	155	2	33	2	122	3
	2.1 Change of management /organisational change /company take over	175	3	65	3	109	3
	2.2 Changes in ways of work, e.g. using new technology	52	1	22	1	30	1
	2.3 Change of work content (new job, added responsibilities, capability problems, real or perceived)	307	5	147	7	160	4
	2.4 Reduction in resources available including staff	128	2	40	2	87	2
	2.5 Relocation	36	1	9	-	26	1
3. Interpersonal relationships		1660	26	523	24	1137	27
	3.0 Interpersonal relationships (unspecified)	283	4	45	2	239	6
	3.1 Interpersonal difficulties with manager /foreman	444	7	173	8	271	6
	3.2 Interpersonal difficulties with other workers	284	4	105	5	179	4
	3.3 Interpersonal difficulties with patients /clients /relatives /pupils	148	2	58	3	91	2
	3.4 Bullying /sexual harassment	647	10	176	8	471	11
4. Inequality		31	-	21	1	10	-
	4.1 Racism	14	-	9	-	5	-
5. Personal Development		321	5	169	8	152	4
	5.0 Personal Development (unspecified)	38	1	9	-	29	1
	5.1 Job not secure	42	1	9	-	33	1
	5.2 Redundancy /unemployment /threat of redundancy /sacked	74	1	52	2	22	1
	5.3 Business failure, bankruptcy	26	-	25	1	1	-
	5.4 Lack of opportunities /demotion	33	1	14	1	19	-
	5.6 Exams /training pressures /courses /OFSTED /appraisal	92	1	63	3	28	1
	5.7 Lack of training	24	-	4	-	19	-
6. Physical working environment		77	1	24	1	54	1
	6.0 Physical working environment (unspecified)	40	1	9	-	31	1
7. Traumatic Events		854	13	407	19	446	11
	7.0 Traumatic Events (unspecified)	86	1	31	1	55	1
	7.1 Violence at work /verbal abuse /sexual assault	202	3	92	4	110	3
	7.2 Accidents and physical injury	170	3	122	6	48	1
	7.3 Traumatic experience of other people injury or fatality at work	105	2	68	3	37	1
	7.4 Disciplinary action /accusation /legal proceedings etc	314	5	112	5	202	5
8. Home - work interface		470	7	257	12	213	5
	8.0 Home - work interface (unspecified)	65	1	15	1	51	1
	8.1 One or more physical illness	114	2	77	4	36	1
	8.2 Previous psychiatric illness /family history of psychiatric illness	45	1	27	1	18	-
	8.3 Family responsibilities /home-work interface /pregnancy /childbirth /children /severe health problem in close relative	155	2	78	4	76	2
	8.4 Severe event, death in family or close friend, separation, marital break up or marital problem	92	1	63	3	29	1
9. Others		1105	17	395	18	710	17
	9.1 War /strife /combat related	79	1	78	4	1	-
	9.2 Personal characteristics, e.g. loss of confidence, felt not good enough for the job or over expectation for the job	83	1	33	2	50	1
	9.3 Unspecified work stress	588	9	156	7	432	10
	9.4 Alcohol and drug abuse	58	1	17	1	41	1
	9.9 No reason given	303	5	117	5	186	4
Total(a)		6359	100	2160	100	4199	100

Notes:

(a) At least one precipitating event was given to each case. In some cases, more than one precipitating event was given, therefore the sum total of individual precipitating events will exceed the total number of cases. Figures are shown in light type if they are based on fewer than 10 actual cases.
(b) Comparisons based on OPRA reports are likely to be misleading because workers in some occupations are much more likely to have access to occupational physicians than those in others.
(c) Some physicians report on a sample basis, for one month in each year. Estimated totals for these are calculated by multiplying the actual number of cases reported by 12.
'-' Means zero
(p) Provisional