How to get help for someone who might be suicidal

Maps showing the suicide rate by state in 2014-2016 and the percent increase between 1999 and 2016. NPR

In Pennsylvania, the suicide rate has jumped more than 34 percent. "So, you really need to trial and error, find out what treatment works best for you".

The CDC's new report came just days after news that designer Kate Spade took her life in her NY apartment.

The 37-year-old actress has revealed she's been dealing with "anxiety and sporadic bouts of depression" for most of her adult life. "I honestly don't know that there's anything that's been passed down to us that would be affecting (suicide rates) one way or the other", Brennan said, adding that the Board of Health does not have any mental health specialists.

This week's CDC report recommends that states take on a comprehensive public health approach to prevent suicide and address the range of contributing factors.

"It's a tragedy for families and communities across the country", said Dr. Anne Schuchat, the agency's principal deputy director. "We don't think we can just leave this to the mental health system to manage".

Experts say there is no single cause for suicide.

Suicide rates have increased in almost every state over the past two decades, and half of the states have seen suicide rates go up more than 30 percent. Many who died by suicide had been struggling with substance abuse, finances, stable housing or personal relationships. That continues a trend that began after 2010 when the number of suicides was 606. Men age 35 to 65 are less likely to seek help when in distress. All such changes would reduce the suffering that leads to suicide.

The CDC study found, too, that suicide increased among all sexes, ages, races and ethnic groups.

According to Saltz, more often than not, people will open up about their feelings when asked.

Also in that map is a clear pattern of high suicide rates in the Plains and Mountain states; this is partly due to lack of access to mental health professionals as well as a stigma about mental illness in rural counties but notably also a lack of access to good jobs and economic success. Still, the researchers found a 10 percent higher risk of suicide among people who had served in the military.

Earlier this year Gov. Ralph Northam signed a new law that requires the Department of Behavioral Health and Developmental Services to report its progress and activity on suicide prevention every year. "We should also be learning what mental health is and what symptoms we can look for in ourselves as well as others". "It's just it's not fair", she said.

"Someone doesn't say, 'Wow, they had everything". Dr. Jeffrey Lieberman, chair of psychiatry at New York-Presbyterian/Columbia University Irving Medical Center, says people may act depressed, become withdrawn or disinterested or make ominous comments before a suicide attempt. "They don't want to enable a tragic outcome". Rates ranged from 6.9 per 100,000 in the District of Columbia to 29.2 in Montana.

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