First, the passing of fashion designer Kate Spade and then the death of celebrity chef, author and TV personality Anthony Bourdain - both suicides - has those working to prevent suicides anxious. Often, warning signs might be disguised and not everyone in that person's life sees them. But Dr. Joshua Gordon, director of the National Institute of Mental Health, said that contradicts years of data, suggesting many have "gone undiagnosed and untreated".
"We do have a high suicide rate", said Egan. Over 1,000 people die by suicide in our state each year, but the norm isn't suicide death.
"We have people calling and saying, 'Hey, what's this about?"
As shown in the map below from the CDC, Nevada is the only state that did not experience an increase in the rate of suicide-though it's still high at an average of 22 per 1,000 during years in the study period.
All these numbers are available 24/7. "Because it's not just the individual's problem because they have had the thought it's a family and a social context", said Dr. Cruz. Guns were the most common method of suicide, the study found. "We are one of the only lines in the country that has a statewide, integrated peer support and crisis line".
They might talk about wanting to die or make plans for taking their life.
States can help ease unemployment and housing stress by providing temporary support. It is available every Monday through Friday between 6 p.m. and midnight in the Central time zone.
Twenty-five states recorded jumps of more than 30 percent.
In May, Rocky Mountain Crisis Partners' handful of support lines received almost 15,200 calls and texts.
"I think remaining steady is something to be recognized, but we can't celebrate that", said Allen.
Perhaps even more startling, in more than half of those suicide deaths, the people had no known mental health condition.
They were rich, famous and unable to go on living.
"We know this is about an illness and as people get sicker and sicker and close to suicide, they can't communicate to everyone very logically, very clearly - 'here's the step I'm going to take at this time and in this way, '" said Reidenberg.
Such pathways are in progress, Brummett said.
If someone indicates that he or she is thinking about suicide or self-harm, it's best to help them connect with a mental health professional - but this may be easier said than done, Lieberman says.