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Suicide is the 10th leading cause of death and one of just three leading causes that are on the rise.

"The reason most suicide decedents don't have a known mental disorder is that they were never diagnosed, not that they didn't have one", said Dr. David Brent, a professor of psychiatry at the University of Pittsburg.

The CDC reports a almost 30 percent rise in suicides across the country since 1999.

MA experienced a 35 percent increase in suicides from 1999 to 2016, but its suicide rate remains comparatively low: 10 per 100,000 people in 2014-2016, compared with 15.4 per 100,000 for the nation as a whole. Among people ages 15 to 34, suicide is the second-leading cause of death. In the USA, to nobody's surprise, firearms are the most commonly used method, accounting for 41 percent of suicides of people with known mental-health conditions, and 55 percent of those without, according to the CDC report.

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The problems most frequently associated with suicide, according to the study, are strained relationships; life stressors, often involving work or finances; substance use problems; physical health conditions; and recent or impending crises.

Suicide decedents without known mental health conditions were more likely to be male and non-Hispanic white than those with known mental health conditions. "We want improved access to care and better diagnostics, but we think that a comprehensive approach to suicide is what is needed". "If we only look at this as a mental health issue, we won't make the progress that we need".

A graphic released by the Centers for Disease Control in June 2018 shows rising suicide rates across the USA between 1999 and 2016. "Over time, I figured out and learned through trial and error what worked for me to get past that feeling", said Mike Bushman of Naperville. "Increases in suicide tend to correlate with economic downturns", she said, and this generation has been hit particularly hard by economic hardship in recent years.

Guns were the most common method used for suicide, accounting for nearly half of the people who died. Rates have risen steadily in most age and ethnic groups, even as rates of psychiatric treatment and diagnosis have also greatly increased.

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Montana had the highest suicide rate, at 29.2 per 100,000 people per year, while the District of Columbia had the lowest, at 6.9 suicides per 100,000 people per year. The report said suicide rate increases ranged from below 6 percent in DE, which had the smallest increase, to a more than 57 percent increase in North Dakota. In Nevada, the only state that saw a decrease, the rate fell by 1 percent.

"The data are disturbing", said Anne Schuchat, the CDC's principal deputy director. "From individuals and communities to employers and healthcare professionals, everyone can play a role in efforts to help save lives and reverse this troubling rise in suicide".

Increasingly, suicide is being viewed not only as a mental health problem but a public health one.

Everyone can help by learning the warning signs for suicide and how to respond. Those with known mental health conditions were mostly men, but they were less likely to use firearms.

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If you or someone you know may be considering suicide, call the 24-hour National Suicide Prevention Lifeline to talk anonymously with a counselor: 800-273-TALK (8255).