Reach out to those who may be struggling

Fashion designer Kate Spade and chef Anthony Bourdain

The National Alliance on Mental Illness recommends ways to prevent suicide and approach the topic with someone who is showing signs of suicidal thoughts.

"It's startling and of tremendous concern that the rates are going up really to such a high rate across the board", Dr. Robert Dicker, associate director of child and adolescent psychiatry at Zucker Hillside Hospital in NY, told Healthline.

Douglas Flemons, Ph.D., is a professor of family therapy and co-director of Nova Southeastern University's Office of Suicide and Violence Prevention.

The two deaths sparked a public conversation about depression and suicide, leading to a 25% uptick in calls to suicide hotlines.

After Marilyn Monroe died in August 1962, the cause listed as probable suicide, the nation mourned - publicly. Topping the list was North Dakota, where suicides have risen by 57 percent from 1999 levels. Nevada was the only state not to see an increase during this period.

In addition to the dramatic growth of suicide rates across the country, the report also reveals troubling nuances about the problem. The changing rates of different substances that are being used.

"We often can be concerned about doing more damage by asking questions, but it is likely that you cannot do more damage", Grier said. "Because there are certain factors that have not really changed", he said.

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CDC says the rise in suicide is not just a mental health issue and that attention must be payed to circumstances that precede mental health conditions, such as financial or relationship problems. Information is available in many places, including at www.suicidepreventionlifeline.org. But it's not known how multiple risk factors work together. In the month that followed there was sweeping news coverage, public memorials and a 12 percent increase in suicides.

States with stricter gun laws also have the lowest rates of suicide. Some experts worry that young teens are especially susceptible to suicide contagion, a controversial phenomenon in which news of one suicide may prompt more deaths. The answer: if you see something, say something. We all kind of function on the notion that tomorrow will be better than today.

And Moutier says when it comes to warning signs, it's important to look beyond the classic symptoms of depression and hopelessness. "So people might say, 'If their life is so bad, and they had everything, what hope is there for someone like me?'" "That has not always been the case", said Dicker. We learn how research can help us improve our dialogue on mental health.

"I think that some people think that if you talk about suicide that the person is going to be suggestible and they are going to start thinking about it - there's not evidence of that", he said.

Plan B is one of a dozen bars in that area working to raise awareness to mental health and suicide prevention. Tens of millions of us-about one in every five Americans-live among you every day without you knowing that we have a mental illness.

273-8255 - has been widely shared across social media in the last week - with celebrities, news outlets and advocates urging people who have suicidal thoughts to call.

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