What Tops George Blair-West's Most Distressing Events?

In his TED Talks Daily talk, psychiatrist George Blair-West cites the inventory that Thomas Holmes and Richard Rahe built almost 50 years before his TEDxBrisbane talk. Number one is the death of a spouse. Divorce is second, marital separation is third, and imprisonment in an institution is fourth. Marriage itself is also on the list, at number seven, which is why he says those first losses usually require a marriage in the first place. He widens marriage to include de facto relationships, common-law marriages, and same-sex relationships. He then contrasts a divorce rate he puts at 45 percent with the prevention campaigns built for diseases.