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

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

Death by suicide is up 25 percent across the United States between 1999 and 2016, when 45,000 Americans ended their own lives, according to a Centers for Disease Control (CDC) study published today. Montana, Idaho, Utah, Wyoming, North Dakota Kansas, Oklahoma and Minnesota all saw suicide rate increases between 38 and 58 percent. Suicide is now the 10th leading cause of death and one of just three leading causes on the rise.

Other studies have found much higher rates of mental health disorders among people at high risk of suicide, experts noted.

Rates of increase varied. Increases ranged from just under 6 percent in DE to over 57 percent in North Dakota. Only Nevada did not record a rise.

The CDC report found that just over half of the suicide victims did not have a known mental health condition. The costs in terms of medical care and lost work hours associated with suicide and attempted suicide - which was listed as "self-harm" for statistical purposes - amounted to $70bn annually.

But the according to the report, more than half of people who died by suicide did not have a known mental health condition. "Suicide doesn't discriminate", Lyn Morris, LMFT, Senior Vice President of Clinical Operations for Didi Hirsch Mental Health Services.

The CDC report, which was released this week, did not give a reason for the uptick in suicides.

"Frankly, we need to start championing mental health, just like we championed cancer and AIDS years ago", Alice Jordan-Miles from the Indiana Suicide Prevention Coalition explained.

Recommendations include comprehensive public health approach to suicide prevention, which requires coordination from every sector of society from the government to community organizations.

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The Cuyahoga County Board of Health does not have any suicide prevention programming, according to communication officer Kevin Brennan.

The CDC says there were a higher number of suicides in areas hard hit by the economic downturn, especially in rural areas in western states.

More than half of suicides in 2015 in a subgroup of 27 states were among people with no known mental health condition, the Centers for Disease Control and Prevention found. Suicide is rarely caused by any single factor, health officials said, but information from coroners' reports suggest numerous deaths followed relationship problems, substance use and financial crises. The ADAMHS Board operates the county's 24/7 suicide prevention crisis hotline at 216-623-6888.

Dr Stone says the CDC study showed loss, substance abuse, physical health, job and legal problems were all important factors.

Reidenberg understands the complexities of suicides, pointing out there are nearly always multiple causes, including mental illnesses, substance abuse, a life change such as a job loss or a break up. It has to be paired with measures that would make suicidal people less likely to die even if they never went to see a doctor. Be there with them, and listen to them. 4.

"We have to keep working on stigma", Zietlow-DeJesus said.

Note: If you or you're concerned a loved one is having suicidal thoughts, call the National Suicide Prevention Lifeline at 800-273-TALK.

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