Whether or not Spade had a problematic relationship with alcohol at the time of her death, substance abuse was common among 28 percent of those who died by suicide in 2016, according to the CDC's report.
Suicide presents a "growing public health problem", with significant increases in 44 of the 50 states, said the report by the US Centers for Disease Control and Prevention (CDC).
"Many of us have been personally impacted by this unfortunate reality", KDHE Chief Medical Officer said. Overall, there were about 1.5 percent more suicides in 2016 than in 2015.
The state is rural, and studies show a connection between suicide and living in rural areas. Information about contributing circumstances for those who died by suicide was obtained via the National Violent Death Reporting System, which is relatively new and in place in only 27 states.
Suicide is the 10th leading cause of death and one of just three leading causes that are on the rise.
The rate was the highest in Montana with an increase of 38 percent between 1999 and 2016.
The findings were published in the CDC's Morbidity and Mortality Weekly Report.
Among those who committed suicide who did not have a known psychiatric condition, 84 percent were men and 16 percent were women.More news: Jordan's king appoints economist to form new government, calls for tax dialogue
"Our data show that the problem is getting worse", Schuchat said.
"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, explained in an email on Thursday.
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That means any public health effort to reduce suicides can't exclusively focus on those who have reached out for help.
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.
The CDC report cites several different approaches, such as working to stabilize housing and teaching coping and problem-solving skills early in life.
"New Hampshire definitely has access to guns", Tilley said.
In New Orleans, researchers led by Orleans Parish Coroner Dr. Jeffrey Rouse also recently studied the high rates of suicide in the city even a decade after Hurricane Katrina.More news: Valve backs away from curation on Steam
"It's important that we think about this in more broad terms than just as a mental health condition", Schuchat says.
Kaslow is particularly concerned about what has emerged with suicide among women.
But Anestis believes that it's important to not beat around the bush when it comes to guns and to talk about the importance of things like setting waiting periods for purchase, and storing guns locked and unloaded.
Every day, 123 Americans commit suicide. Approximately half of such deaths involve the use of a firearm. "The conversation about firearms and suicide doesn't have to be a debate about the Second Amendment".
"You may be thinking about it over time, but that moment when you actually make an attempt is a very short window", he explains. If you suspect someone of needing immediate help, call 911.
"The data supports what we know about that notion", Gordon said. "And so a report like this really draws attention to the fact that we need to do a whole lot more to prevent suicide, to save lives".
Prevention has been elusive, in part because doctors have not had programs that reliably reduce suicide rates. "We can't expect a major public health problem like this to be addressed unless we see the investment".More news: De Bruyne: Maybe Guardiola thought Toure wasn't fit enough
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