CDC report reveals more than 45,000 Americans took their own lives in 2016

The US Centers for Disease Control and Prevention found that suicide rates went up significantly in 44 states, and in 25 of them, including MA, the increases exceeded 30 percent.

Only Nevada recorded a decline - of 1 percent - for the overall period, although its rate remained higher than the national average.

Twenty-five states had suicide-rate increases of more than 30 percent.

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From designers Alexander McQueen and Kate Spade to actor Robin Williams, a look at tragic celebrity hanging deaths. The stigma associated with mental illness or fear of seeking help is indicated by the statistic that more than half of suicide victims didn't have a known mental-health issue, she said.

In fact, researchers found that more than half of people who died by suicide during the study period did not have a known diagnosed mental health condition at the time of death.

"Suicide is a leading cause of death for Americans - and it's a tragedy for families and communities across the country", said CDC principal deputy director Anne Schuchat in a statement.

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

Both states easily exceeded the nation as a whole, with the overall USA suicide rate rising 25.4 percent. Suicide is now the tenth leading cause of death in the country, and one of only three on the rise, in addition to Alzheimer's and drug overdoses. Middle-aged adults - ages 45 to 64 - had the largest rate increase, rising to 19.2 per 100,000 in 2016 from 13.2 per 100,000 in 1999.

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.

Suicide is now the 10th leading cause of death in the USA, and middle-aged adults are especially at risk. "Men and Hispanics especially are less likely to seek help". The state has tried to tackle the problem with a website,, that targets men in this age group.

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A number of states have adopted so-called red flag laws that allow courts and the police to temporarily remove guns from individuals who may be a threat to themselves.

Vermont is home to a high proportion of white people, and whites as a group have higher suicide rates than ethnic groups.

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

Schuchat said that increases correlated with economic downturns, with the most rural states the hardest-hit.

Sources also say the man who was killed after his truck plunged 200 feet from cliff on Maui on Wednesday died by suicide.

Many experts have said that the United States is in the midst of a 'loneliness epidemic, ' with one recent report finding that almost half of Americans sometimes or always feel alone.

The key risk factors include engaging in extremely risky behaviour and refusing to answer questions about suicidal thinking, or its severity, Nock said.

"Most people that either attempt or complete suicide, they aren't so much wanting to die as they want to be out of the pain they are in", Summers said.

"New Hampshire definitely has access to guns", Tilley said.

Nationwide, the suicide rate rose to 15.4 per 100,000 in 2014-2016, up from 12.3 in 1999-2001. Asked whether that was a deliberate omission, because of the political climate surrounding gun control, Stone said that suicide rates have been increasing across all methods. The CDC suggests people learn the warning signs and how to respond, "reduce access to lethal means", including medication and firearms, and keep handy the number for the National Suicide Prevention Lifeline, manned around the clock to talk to those who are considering suicide or know someone who is.

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