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U.S. suicide rates have risen dramatically since 1999, including a 40% jump in Minnesota

CDC

The rate of suicide deaths in the United States increased by 25 percent over the past two decades, and 30 states have seen their suicide rates climb by nearly 30 percent, according to a report released Thursday by the Centers for Disease Control and Prevention (CDC).

In 2016 alone, almost 45,000 Americans aged 10 or older lost their lives to suicide. It is now the 10th-leading cause of death in the U.S., and is one of only three leading causes of death that are on the rise. (The other two are Alzheimer’s disease and drug overdoses.)

Guns are the most common method used for suicides in the U.S., accounting for about half of such deaths in 2016, followed by hanging and then poisoning (including through the use of opioids).

“These findings are disturbing. Suicide is a public health problem that can be prevented,” said Dr. Anne Schuchat, the CDC’s principal deputy director, in a press briefing held earlier this week.

A widespread crisis

Minnesota was one of the states with the biggest suicide-rate increases. Its rate jumped a staggering 40.6 percent between 1999 and 2016, the years covered in the CDC report. Only six states — Idaho, Kansas, North Dakota, South Dakota, Vermont, and Utah — had larger increases.

The state with the lowest rise in its suicide rate was Delaware (5.9 percent). Only one state, Nevada, had a decrease in its rate (1 percent).

In addition to being geographically widespread, U.S. suicide rates rose in both men and women and across all racial and ethnic groups, the study found.

The rates also climbed among all age groups, except for people over the age of 74. Particularly hard-hit were middle-aged adults (those aged 45 to 64). They had the highest number of suicides and particularly high increases in rates, Schuchat said.

Many suicides within this age group may be “deaths of despair” — caused by the lingering economic effects of the Great Recession of 2007 to 2009, Schuchat acknowledged. She also pointed out that middle-aged Americans have higher rates of drug overdoses than other age groups.  

Suicides are rarely caused by a single factor, however.

“Relationship problems or loss, substance misuse; physical health problems; and job, money, legal or housing stress often contributed to risk for suicide,” the CDC report notes. 

The report also found that about half of the Americans who died by suicide had not been diagnosed with a mental health condition at the time of their death.

Everyone needs to be involved

CDC officials stress that preventing suicide requires a broad, community-wide effort:

  • States can help ease unemployment and housing stress by providing temporary support.
  • Health care systems can offer treatment options by phone or online where services are not widely available.
  • Employers can apply policies that create a healthy environment and reduce stigma about seeking help.
  • Communities can offer programs and events to increase a sense of belonging among residents.
  • Schools can teach students skills to manage challenges like relationship and school problems.
  • Media can describe helping resources and avoid headlines or details that increase risk.
  • Everyone can learn the signs of suicide, how to respond, and where to access help.

Those warning signs are the following:

  1. Talking about wanting to die.
  2. Looking for a way to kill oneself.
  3. Talking about feeling hopeless or having no purpose.
  4. Talking about feeling trapped or in unbearable pain.
  5. Talking about being a burden to others.
  6. Increasing the use of alcohol or other drugs.
  7. Acting anxious, agitated or reckless.
  8. Sleeping too little or too much.
  9. Withdrawing or feeling isolated.
  10. Showing rage or talking about seeking revenge.
  11. Displaying extreme mood swings.

If you are concerned about a friend or loved one:

  • Call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Save it in your phone contacts.
  • Do not leave the person alone.
  • Remove firearms, alcohol, drugs or sharp objects that could be used in a suicide attempt.
  • Take the person to an emergency room or seek help from a medical or mental health professional.

FMI: The CDC findings were published in the agency’s Morbidity and Mortality Weekly Report.

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Comments (4)

Is it time yet?

Can we talk about the apparent coincidental increase in the use of anti-depressant, anti-anxiety, anti-psychotic medications with suicides in this country? This CDC report is hardly the first to note a deadly increase in the suicide rate in the US. Documentation of increased medication use is everywhere.

The following quote from a 2014 SAMSHA report is one of many such reports: "The .. majority (96 percent in 2011) of these visits (ER for suicide) involved the non-medical use of prescription drugs and over-the-counter-medications. In 2011, these drugs included anti-anxiety and insomnia medications (48 percent), pain relievers (29 percent) and antidepressants (22 percent)."

The reference in the article that half of the Americans who committed suicide had no mental illness diagnosis is largely irrelevant since many if not most people who use these medications get prescriptions from their GP's to help them control more general anxiety, sleeplessness and the like. Eric Paddock, the Las Vegas shooter, was on benzodiazepines prescribe by his GP on the night he took so many lives (Star Tribune, 2/11/18, p. 3A).

Most of these medications carry black box warnings that they may cause suicidal ideation. Is there any reason that we all choose to ignore these warnings from the companies which produce the medications as well as multiple CDC and SAMSHA reports?

what are the actual numbers?

This article uses words like "staggering" and "crisis", and numbers like "40%" but without meaningful context. If the percentage of deaths by suicide in the general population has increased, then what exactly is that percentage? It doesn't appear in the article.

If one person is killed by a meteor strike in 2016 and 2 are killed in 2017, the rate has doubled.

We'll all die from something. And as some causes of death are addressed, others will move up, statistically. If the leading cause of death is heart disease, and treatments for heart attack improve, the rate of death by cancer will increase "alarmingly".

Not every statistical increase represents a crisis or even significant change in people's behavior. I'm not denying that suicide and 'despair' may be increasing in our society but I'm skeptical when numbers like these are offered without context or history.

The Numbers

Jim,

Nationally, the suicide rate increased from 10.5 per 100,000 people (age 10 and up) in 1999 to 15.6 per 100,000 in 2016.

There were 29,199 suicide deaths across the U.S. in 1999 and 44,965 in 2016.

In Minnesota, the rate increased from 9.0 per 100,000 in 1999 to 13.5 per 100,000 in 2016.

There were 437 suicide deaths in Minnesota in 1999 and 745 in 2016.

I call those increases alarming.

Thanks for those numbers.

Thanks for those numbers. Certainly, any real and sustained increase in suicide rates is significant and worth investigating.