The 'trend' that is troubling the US

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The death of designer Kate Spade by suicide in NY this week shocked the fashion world.

"Our data show that the problem is getting worse", Schuchat said.

Utah, Idaho, South Dakota, Kansas, Oklahoma, Vermont and New Hampshire all saw suicide rate increases between 43 and almost 58 percent. In half of the states, suicide among people age 10 and older increased more than 30 percent.

The report showed a fourfold difference in state suicide rates, ranging from 6.9 per 100,000 residents per year in Washington DC to 29.2 in Montana.

Suicide rates began ticking upward during the great recession, especially in more rural areas of the country. "Opioids were present in 31 percent of individuals who died by poisoning".

The suicides of Kate Spade and Anthony Bourdain this week reflect what federal health officials say is a rising trend nationwide. They also looked at data from its National Violent Death Reporting System which covers 27 states to gain a fuller picture of the circumstances surrounding the suicides.

"Mental health conditions are often seen as the cause of suicide, but suicide is rarely caused by any single factor", the CDC reports. More than half did not have a known mental health diagnosis. In a state-by-state breakdown, the increases were as high as 57.6 percent.

"We don't have all the answers". It also can happen when a close friend or family member commits suicide.

Kaslow is particularly concerned about what has emerged with suicide among women.

Julia Payson says it's important to let people know you're there for them.

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Rates of increase varied. "She made everybody feel welcome", King said Friday night.

For support outside of the United States, a worldwide directory of resources and global hotlines is provided by the global Association for Suicide Prevention.

"People tend to tip-toe around sensitive issues like suicide".

Middle-age adults had the highest increase in suicides.

"This is a very important population right now in terms of national statistics", Schuchat said, noting the high rates of drug overdose in this group as well as "deaths of despair" described in social science literature.

If this story has raised concerns or you need to talk to someone, here's a list where you may be able to find a crisis hotline in your country.

Mental Health First Aid: 8-hour sessions give people a 5-step action plan that includes the skills, resources, and knowledge to recognize if someone needs help and how to get it for them.

Paul Gionfrieddo, who heads Mental Health America, became an advocate for early treatment when his son developed a mental illness.

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