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

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

"I can't believe they got cancer.' But we still say that about suicide or depression", said Smith.

Since the year 2000, suicide rates in Louisiana have risen by more than 29 percent among both men and women.

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. And on Friday, "Kitchen Confidential" author Bourdain, 61, was found dead in his French hotel room, which CNN confirmed was also a suicide.

The biggest increase in suicides was in North Dakota, where the rate jumped more than 57 percent. But Dr. Joshua Gordon, director of the National Institute of Mental Health, said that contradicts years of data, suggesting many have "gone undiagnosed and untreated".

Schuchat said the data analyzed revealed a number of factors leading up to death by suicide, including economic woes, relationship issues, substance misuse, physical health problems and others. More than half did not have a known mental health diagnosis.

Recent numbers from the Centers for Disease Control show 49 states including Wisconsin saw an increase in suicide.

The CDC report cites several different approaches, such as working to stabilize housing and teaching coping and problem-solving skills early in life. Nevada, where according to the CDC, the rate actually decreased-if only by less than 1 percent.

Suicide can be prevent through intervention and treatment and that's where McEnroe and his team at Emerge Family Therapy come in.

CDC is very good about aggressive over-diagnosis in some areas, e-cigarettes and pre-diabetes are prominent examples where they defied the science consensus to embrace the precautionary principle, so it is inconsistent to be urging caution about the role of mental health in suicides. The American Foundation for Suicide Prevention has more information on risk factors and warning signs.

Brown said warning signs can include something as simple as talkative people becoming more quiet or the opposite- those who are normally quiet becoming more verbal; or letting their hygiene go as well as verbal cues. CDC also found that access to medications and weapons influenced the upward trend in suicides.

Suicide researchers already know a lot of the information in this new report, says Gebbia, "but the public doesn't".

He points out, for example, that the nation now has no federally funded suicide prevention program for adults.

"The paper makes a clear case, correctly, about the fact that there is no one cause for suicide", he said, adding that "availability of means" makes death possible. Public health professionals say it is largely preventable.

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