National suicide rates have risen by nearly a third since 1999, according to a report by the Centers for Disease Control and Prevention (CDC).
The CDC says suicides are up in nearly every state and nearly 45,000 Americans age 10 or older died by suicide in 2016.
They say the reasons for the rise are complicated – rarely caused by a single factor.
To look at the circumstances of suicide among those with and without known mental health conditions, CDC researchers examined state trends in suicide rates from 1999 to 2016.
Researchers found that more than half of individuals who died by suicide did not have a diagnosed mental health condition.
They found that the recession, housing stress, money, relationship problems, physical health issues and substance abuse are often contributing factors in suicides.
In addition, firearms were the most common method of suicide by those with and without a diagnosed mental health condition.
The CDC recommends states take a comprehensive public health approach to prevent suicide by addressing the range of factors involved and including every sector of society.
“Everyone can help prevent suicide,” the report reads, noting the role of the government, employers, education and the media.
The CDC encourages learning the warning sides of suicide, reducing access to medications and firearms among people at risk of suicide and sharing stories of hope and healing.
The national suicide prevention lifeline is 1-800-273-talk (or 1-800-273-8255) and more information is online at suicidepreventionlifeline.org. To learn more about the warning signs and responding to those at risk, visit BeThe1To.com.