Suicide rates rise sharply across the United States, new report shows
June 7 at 1:14 PM Email the author
The federal Centers for Disease Control and Prevention in Atlanta. (David Goldman/AP)
Suicide rates rose in all but one state between 1999 and 2016, with increases seen regardless of age, gender, race and ethnicity, according to a report released Thursday by the Centers for Disease Control and Prevention. In more than half of all deaths in 27 states, the people had no known mental health condition when they ended their lives.
In North Dakota, the rate jumped more than 57 percent. In the most recent period studied (2014 to 2016), the rate was highest in Montana, at 29.2 per 100,000 residents, compared with the national average of 13.4 per 100,000.
Only N evada recorded a decline â" of 1 percent â" for the overall period, although its rate remained higher than the national average.
Increasingly, suicide is being viewed as not just a mental health problem but a public health one. Nearly 45,000 suicides occurred in the United States in 2016 â" more than twice the number of homicides â" making it the 10th-leading cause of death. Among people ages 15 to 34, suicide is the second-leading cause of death.
Overall, the most common method used was firearms.
âThe data are disturbing,â said Anne Schuchat, the CDC's principal deputy director. âThe widespread nature of the increase, in every state but one, really suggests that this is a national problem hitting most communities.â
It is hitting many places especially hard. In half of the states, suicide among people age 10 and older increased more than 30 percent.
Percent change in annual suicide rate* by state, from 1999-2001 to 2014-2016 (Centers for Disease Control and Prevention)
âAt what point is it a crisis?â asked Nadine Kaslow, a past president of the American Psychological Association. âSuicide is a public health crisis when you look at the numbers, and they keep going up. Itâs up everywhere. And we know that the rates are actually higher than whatâs reported. But homicides still get more attention.â
High suicide numbers in the United States are not a new phenomenon. In 1999, then-Surgeon General David Satcher issued a report on the state of mental health in the country and called suicide âa significant public health problem.â The latest data at that time showed about 30,000 suicides a year.
Kaslow is particularly concerned about what has emerged with suicide among women.
âHistorically, men had higher death rates than women,â she note d. âThat's equalizing not because men are [taking their lives] less but women are doing it more. That is very, very troublesome.â
Among the stark numbers in the CDC report was the one signaling a high number of suicides among people without a known mental health condition. In the 27 states that use the National Violent Death Reporting System, 54 percent of suicides were by individuals without a known mental illness.
But Joshua Gordon, director of the National Institute of Mental Health, said that statistic must be viewed in context.
âWhen you do a psychological autopsy and go and look carefully at medical records and talk to family members of the victims,â he said, â90 percent will have evidence of a mental health condition.â That indicates a large portion werenât diagnosed, âwhich suggests to me that theyâre not getting the help they need,â he said.
Cultural attitudes may play a part. Those without a known mental health c ondition, according to the report, were more likely to be male and belong to a racial or ethnic minority.
âThe data supports what we know about that notion,â Gordon said. âMen and Hispanics especially are less likely to seek help.â
The problems most frequently associated with suicide, according to the study, are strained relationships; life stressors, often involving work or finances; and recent or impending crises. The most important takeaway, mental health professionals say, is that suicide is an issue not only for the mentally ill but for anyone struggling with serious lifestyle issues.
âI think this gets back to what do we need to be teaching people â" how to manage breakups, job stresses,â said Christine Moutier, medical director of the American Foundation for Suicide Prevention. âWhat are we doing as a nation to help people to manage these things? Because anybody can experience those stresses. Anybody.â
People without known mental health conditions were more likely to be male and to die by firearm. (CDC)
The rates of suicide for all states and the District of Columbia were calculated using data from the National Vital Statistics System. Information about contributing circumstances for those who died by suicide was obtained via the National Violent Death Reporting System, which is relatively new and in place in only 27 states.
âIf you think of [suicide] as other leading causes of death, like AIDS and cancer, with the public health approach mortality rates decline,â Moutier said. âWe know that same approach can work with suicide.â
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