It shows the growing severity of the issue

US suicide rates increased more than 25% since 1999, CDC says

US suicide rates increased more than 25% since 1999, CDC says

The highest rise was seen in western states, with an over 57 percent increase recorded in North Dakota. "That's equalizing not because men are [committing suicide] less but women are doing it more".

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 CDC, the top USA public health agency, said individual states need to do more to boost suicide prevention "and address the range of factors contributing to suicide".

"American suicide is predominantly a firearm issue".

In a year, millions more consider, plan and attempt to kill themselves.

Suicide is the 10th leading cause of death in the United States, and just one of three leading causes of death that's on the rise, according to the CDC.

Middle-aged adults - age 45 to 64 - had the largest rate increase, rising to 19.2 per 100,000 in 2016 from 13.2 in 1999.

A medical examiner on Thursday determined Spade, 55, died from suicide by hanging.

Women like Spade are considered particularly at risk for depression, which can lead to suicidal ideation and planning, though men are more likely to complete suicide. About 45 percent were dealing with relationship problems or loss, about 51 percent experienced life stressors, and about 33 percent encountered recent crises.

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.

'If we step back from the statistics, mental health does not discriminate, ' said Dr Shainna Ali, a Florida psychologist.

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

But there are other things that could help decrease suicide rates too, like keeping more firearms out of the hands of vulnerable people.

'Conditions like postpartum depression and menopause [may put some women at a higher risk], and, for women in general, stereotypes of being the flawless mom and employee, the stigma associated with a need to "balance" all of that can cause pressure as well, ' said Dr Ali.

It's a myth that talking about suicide might plant the idea in a person's mind, and experts say it's fine to ask someone a question like, "Are you having thoughts of suicide?"

Researchers also found that more than half of people who died by suicide did not have a known diagnosed mental health condition at the time of death.

Among the stark numbers in the CDC report was the one signaling a high number of suicides among people without a known mental health condition.

The high proportion of older people who are white and low rates of religiosity in New Hampshire may also play a role, she said. Overall, almost 45,000 people died by suicide in 2016, which is more than twice the number of deaths from homicide, the CDC said.

In light of its findings, the CDC has also released an accompanying 'technical package, ' which details the agency's recommenced policies and programs.

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The first component it stresses is fostering connectedness.

"Suicide in this country really is a problem that is impacted by so many factors".

The CDC's prevention plan also stresses the need for community financial support for those in need.

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.