Mental Health Tops List of Workplace Injuries

Morgan O'Rourke

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January 20, 2026

According to a survey by Pie Insurance, the most common injuries experienced by workers at U.S. small businesses were mental health-related (22%), followed by slips, trips and falls (20%) and cuts, lacerations and punctures (18%).

Given the prevalence of mental health-related injuries, it is perhaps no surprise that 32% of employees cited mental health as their primary workplace safety worry, surpassing traditional concerns like physical injury (20%), environmental hazards (9%) or equipment safety (4%). However, while 91% of employers were confident in their ability to address mental health issues, only 62% of employees shared that confidence in their employers.

The impact of mental health extends beyond the workplace as 36% of employees reported that workplace stress and safety concerns affect their personal lives, leading to burnout, depression and physical symptoms. Almost three-quarters of employees (73%) said employer support would make a meaningful difference, citing flexible or remote work options, mental health day allowances, counseling services, and mental health awareness and safety training as possible solutions.

Morgan O’Rourke is editor in chief of Risk Management and senior director of content and publications for the Risk & Insurance Management Society, Inc. (RIMS)