Reach out to those who may be struggling

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The highest female suicide rate in 2016 was in women from ages 25 to 64.

Warning signs to consider, particularly in the aftermath of a high-profile suicide, include reckless or anxious behavior, sleeping too much or too little, mood swings, isolation, feelings of hopelessness and an increase in drug or alcohol use.

"It's startling and of tremendous concern that the rates are going up really to such a high rate across the board", Dr. Robert Dicker, associate director of child and adolescent psychiatry at Zucker Hillside Hospital in NY, told Healthline.

A hike in the United States' suicide rates has thrown the spot light on the need for further effective treatments for vital depression, including researchers stating that it's a tricky development space that has widely been departed from the giant pharmaceutical companies.

Suicide is the 10th leading cause of death for adults and the second leading cause of death among teens and adolescents in the United States.

Almost 45,000 people in the USA died by suicide in 2016, more than twice the number of murders, and the most common method was with a gun. North Dakota led the country with a 57.6 percent increase in its suicide rate since 1999.

New Jersey Department of Health Commissioner Dr. Shereef Elnahal says that in New Jersey 26 percent of people who die by suicide in a crisis situation told someone else first that it was their intention. Among those without mental health conditions, a relationship problem, such as a breakup, was a significant contributing factor, occurring in 45.1 percent of cases.

In the wake of the recent suicides of fashion and accessory designer Kate Spade and celebrity chef, author, and award-winning travel documentarian Anthony Bourdain, the Wall Street Journal has reported that the National Suicide Prevention Lifeline has seen an increase in calls during the time span following their deaths.

"We often can be concerned about doing more damage by asking questions, but it is likely that you cannot do more damage", Grier said. I think that is a really big red flag.

"They had known histories of mental health and substance abuse issues, two of the most important risk factors for suicide", Allende says. Information is available in many places, including at

Why are suicide rates increasing?

States with stricter gun laws also have the lowest rates of suicide.

"Whenever a notable person commits suicide, calls to the hotline spike", said John Draper, director of the National Suicide Prevention Hotline. We all kind of function on the notion that tomorrow will be better than today. And so we struggle to reconcile how someone so obviously successful and popular as Anthony Bourdain or Kate Spade could make such a desperate choice.

"People withdraw, people will start to give their possessions away and they will start to feel as if no body wants me around them or my life is meaningless". She is a licensed mental health counselor and oversees statewide efforts to help those affected by suicide.

Gould said reporters can also help minimize the risk of suicide contagion by discussing messages of resilience and hope in their stories and to encourage people to seek help. "Not allowing some of the stigmas related to mental health issues interfere with your looking and seeking help", said Dicker. "When somebody says "I'm thinking about hurting myself" we can't assume that they're not going to take it seriously". Look how much was done with exercise and nutrition in terms of educating the public.

But what has spurred such a steady increase in American suicides?

In the days following Spade's death, the USA suicide prevention hotline - 1-800-273-8255 - saw a 25% spike in calls, the Wall Street Journal reported. If you or a loved one is having suicidal thoughts, call 911.