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It shows the growing severity of the issue

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Twenty-five states saw percentage rate increases of more than 30 percent over the 17 years. California had an increase of 14.8 percent - the fifth-smallest, after Delaware, Maryland, Florida and North Carolina. In the East, Vermont, New Hampshire and SC saw dramatic spikes as well.

The increases were considered statistically significant in 44 of the states, with adjustments made for age, state, and sex across the 6 consecutive 3-year time periods observed.

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New York City's Medical Examiner ruled fashion designer icon Kate Spade's death a suicide by hanging. Her husband, Andy Spade, has said she suffered from depression and anxiety for many years.

"Research for many years and across social and health science fields has demonstrated a strong relationship between economic downturns and an increase in deaths due to suicide", Sarah Burgard, an associate professor of sociology at the University of MI, told the Washington Post. More than half of suicides in 2015 in a subgroup of 27 states were among people with no known mental health condition, which is why the CDC is calling for more education and awareness.

Prevention efforts, often focused on mental health, could be broadened to focus on people undergoing life stresses like job losses or divorces, the CDC's Dr. Anne Schuchat said in a media briefing.

The report also offers several strategies to prevent suicide.

Suicide has become the 10th leading cause of death in the USA, and is one of three leading causes that are on the rise, the CDC said. The other two top 10 causes of death that are on the rise are Alzheimer's disease and drug overdoses, she noted. Middle-age adults are among the hardest hit by suicide, the officials found.

Despite this, she said there are studies that show a rise in teen suicide during the time the series began streaming.

The Centers for Disease Control released the latest suicide rates across the United States.

In 2016 alone, about 45,000 lives were lost to suicide.

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

Firearm ownership is common, and Delaney said "the literature is getting pretty strong" that states with easier access to guns have higher suicide rates.

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.

"Many of us have been personally impacted by this unfortunate reality", KDHE Chief Medical Officer said.

The key risk factors include engaging in extremely risky behaviour and refusing to answer questions about suicidal thinking, or its severity, Nock said. It was a shock to her fans and renewed discussions about mental health awareness.

"New Hampshire definitely has access to guns", Tilley said. She said her life was chaotic and she didn't know how to help herself in the situation she was in.

KC and Brooke are hoping that by sharing their story, they will be able to start that conversation and be able to relate to more people.

Rhode Island and CT are among the 10 states with the lowest suicide rates, while ME is in the top quarter.

Overall, the rate rose to 15.4 per 100,000 in 2014-2016 from 12.3 per 100,000 in 1999-2001.

The rates of suicide for all states and the District of Columbia were calculated using data from the National Vital Statistics System. The age range was 13 to 83.

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