health system and the police. Moreover, the poor standard of service provided by these agencies also contributes to the problem. The second is through the impact it has on the individual to secure and retain employment due to the negative consequences of violence they have to endure, such as low-self-esteem, health problems, anger and violence issues, etc. This affects their ability to work, provide for their family (further contributing to a loss of self-esteem) but it also undermines national economic growth directly through loss of productivity and undermining investments in education. The full economic cost of family violence is considered in section 9.5. 9.2 Adults The SFHSS 2000 found that the respondents who had ever been abused were far more likely within the four weeks preceding the survey to have experienced pain, mobility impairment, dizziness, vaginal discharge or their work had been impacted due to health issues. Abused women were 56% more likely to always feel tired, 46% more likely to experience nervous tension and 38% more likely to be unhappy. These figures not only show how women’s right to health is being affected but also reinforces the finding of the economic impact of family violence that came to the fore in examining violence against children. The extent of the physical and mental health consequences of adult violence undermines a person’s economic productivity and their ability to live a happy fulfilling life. Once again, this leads to fatal spiral or worsening health and self-esteem, all trapped within the cycle of violence. Indeed, all of the impacts that can be seen in relation to violence against children can also be seen in violence against adults such as the loss of self-esteem, health consequences and behavioral decline. Most concerning of all is the extremes to which the psychological and physical effects push many people. “The types of violence people are facing in all of our communities in Samoa can cause a person to lose all hope where they no longer value the gift of life.” Fa’ataua Le Ola, Inquiry public hearings 33% of women who are raped contemplate suicide and 13% actually attempt to take their own lives. 65 When considered in conjunction with the statistic that, 1 in 5 women are raped by a non-family member and almost 1 in 10 by their intimate partner in their lifetime in Samoa, it leads to the startling conclusion that between 7% and 10% of women in Samoa may have considered suicide through rape within the family alone. This does not include rape by a non-family member, nor does it include consideration of suicide related to any other form of family violence, the psychological impacts of which the Inquiry has found to be extensive. This conclusion is supported by the SFHSS 2000 which found that 6.9% of ever abused women had thought about committing suicide and 2.5% had attempted to do so at least once. Ever abused women were twice as likely to have considered suicide and 3 times more likely to have attempted it than women who had never been abused. There is no doubt that family violence is causing 65 Refer to “You should have been more careful: when doctors shame rape survivors.” Guardian. (15 October 2017). Document 55 Inquiry anthology, accessible at www.ombudsman.gov.ws.