Trends in suicide across 10-14 and 15-19 year-olds vary widely across countries. Mental ill health also negatively affects work productivity and absenteeism (OECD, 2012b). In England, for example, health care use costs are at least 45% higher for individuals with co-morbid long-term somatic and mental health conditions compared to individuals with long-term physical illnesses only (ibid.).