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"Cluster of Death" is rising in Minnesota



"It's frustrating and difficult," said Melissa Heinen, suicide epidemiologist at the health department, on the trend. "These are not just individuals who are dying, these are communities that struggle and families that grieve, but we know we can make a change."

Minnesota is far from suffering alone from an increase in what some social scientists have called "deaths of despair". Heinen and colleagues from the health department, who were interviewed by phone on Monday, rejected the label with the term "cluster of death" from.

"Where suicides increase, there is often an increase in overdose deaths and alcohol and so on in the same communities," Heinen said. "There is something about the conditions under which people live to increase those deaths. "

Dr Amy Greminger, an Essentia Health doctor and an assistant professor at the University of Minnesota Medical School's Duluth campus, says she generally sees the community as a missing element.

" I'm personally asking myself … our lack of attachment to each of them and to people in the community when our migration to online and less interpersonal relationships does not destroy what makes us who we are, "she said are social beings. "

We also need to improve people's access to mental health services, Greminger said.

The clusters are not all equally relevant, Nate Wrigh t, senior drug and opioid epidemiologist for the state health department, said the overdose rate for opioids is higher in St. Louis County than in other states. Northeastern Minnesota also has higher rates of suicide and alcohol deaths than in other areas.

There are higher suicide rates in the greater Minnesota area than in the seven-district subway zone. And although Minnesota's suicide rate is lower than the national average, teenage suicide rates are higher than average.

A good sign is that the female suicide rate in Minnesota declined between 201

6 and 2017. Heinen said that might be because more services were provided and women are looking for these services more often than men. However, it is still too early to draw these conclusions on the basis of a one-year improvement, she said.

Some racial groups are more affected than others.

The death rate of white Minnesotans to whites in 2017 was 12.1 per 100,000 people, according to the health department. For African Americans it was 27,6. For Indians in India it was 76.2 – compared with 47.3 in 2015. "Unfortunately, these kinds of inequalities are common throughout India," wrote Jennifer Grabow, a Bois Forte member and pedagogue of the University of Minnesota Extension, who The Indian resource of the state directs and resilience team in an email. "Rural communities that are more rural often have additional barriers to accessing services that address health-related issues."

These problems can not be understood if the historical Native American trauma is not understood, Grabow wrote.

Heinen worked in Gov. Tim Walz's budget proposed to address the problem. These include financing a nationwide suicide prevention network, "Deaths," to understand how overdose deaths occurred, and financing a "zero suicide" initiative to identify individuals at risk of suicide, and prevent people from getting through the cracks They move from one phase of care to the next.

"Our highest risk of suicide is dismissal for suicide attempt," Heinen said.

The initiative "Zero Suicide" demands a "warm handover". so that someone ensures that the person at risk appears for recommendations and calls those who do not show up.

For Help

National Suicide Prevention Lifeline

• (800) 273-8255

Crisis Text Line

• Text MN to 741741

South St Louis, Lake, Cook & Carlton County / Fond du Lac Band

• (218) 623-1800 or (844) 772-4742

North St Louis County / Bois Forte Band

• (218) 288-2100

Itasca County

• (218) 326-8565 or 211 *

Koochiching County

• • (800) 442-8565 or 211 *

* The services of St. Louis County 211 are not crisis-related


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