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Roughly 80 percent of Oregonians who die by suicide are male, and rates are highest among men age 75 and older.

The per capita suicide rates in Vermont and New Hampshire place them in the top fifth in the country. North Dakota reported the biggest jump, at 57.6 percent.

Say things like "I noticed you've been looking down, or I've noticed you've said things that seem like you're really not as motivated towards life", he said.

"It has to be consistent over the years to get more and more people involved", Egan said. He added that the alliance is working with more than 250 hospitals to make sure that those treated after a suicide attempt are also connected to long-term mental health care. "Suicide doesn't discriminate", Lyn Morris, LMFT, Senior Vice President of Clinical Operations for Didi Hirsch Mental Health Services.

Dr Jerry Reed of the National Action Alliance for Suicide Prevention told the BBC says that while there is "definitely a relationship between serious mental illness and suicidal behaviour", experts have found it is not just a mental health challenge.

"You don't die by suicide as a result of a divorce or bullying or a job loss".

Suicide is the 10th leading cause of death and one of three leading causes that are on the rise, the CDC said.

National guidelines were implemented on suicide coverage in the media, after which suicide rates plummeted by as much as 81 percent, according to studies.

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The increasing suicide rates are the result of a number of factors. The movie star's death was initially ruled a suicide but later accounts have raised questions about that conclusion. But this journey, like every other one, starts with a single step. What impact might news coverage of a suicide have on other people's trying or committing suicide?

The study also comes a day after Netflix announced plans for a third season of its hit series "13 Reasons Why", which focuses on a high schooler's suicide.

The state is rural, and studies show a connection between suicide and living in rural areas.

In N.J.: New Jersey Suicide Prevention Hopeline: 1-855-654-6735 or visit NJHopeline.com.

Montana had the highest suicide rate of any state during 2014-16, at 29.2, nearly twice as much as Minnesota's.

Family members or friends concerned about someone who is struggling can ask directly about suicide and remove firearms or any other means the person is considering from the home, said Jennifer Stuber, director of Forefront Suicide Prevention at the University of Washington in Seattle.

And finally, Vermont has a lot of military veterans, and veterans as a group are twice as likely to die by suicide than the general population, Delaney said.

Summers said those factors and "general stress about life" can become overwhelming to a person. "It's traumatic. It's nearly always unexpected and there's no pain like it, so we wanted to do something to bring support and resources", Ramirez said. If your teammate is down on themselves, saying things like "I'm never going to be good at this", or "People just roll with me because they feel bad for me", take it at least somewhat seriously.

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