A research report from the Samaritans provides evidence of what may seem an obvious point – the relationship between inequality and risk of suicide. Research shows that people living in the most economically deprived areas are much more likely to be at risk of suicide and are also much less likely to access mental health support, or be referred for specialist services if they do seek help. At a time when economic hardship is increasing significantly, the report represents yet another call to action to address both inequality and access to good psychotherapy and emotional support services.