With a rise of 57.6 percent, the state's suicide rate is "a much steeper rise than the national average," said Alison Traynor, director of the North Dakota Suicide Prevention Program in the State Health Department.
"The Next highest state is Vermont, by 10 points less," she said. "It is very worrying."
Across the country, suicide death has increased 25 percent between 1999 and 2016, according to the CDC. Nearly 45,000 people were killed in the US in 2016
Suicide rates have risen in almost every state in the country – and since 1999, these rates have risen by more than 30 percent in half of the CDC states
Suicide rates in the neighboring states of North Dakota ̵
North Dakota's increasing suicide rate is "quite alarming," Dr. Dakota said. General psychiatrist at Prairie St. Johns, a psychiatric facility in Fargo
"A rate (increase) of nearly 60 percent is a crisis," said Tee. "At every level of government – federal, state, community – something needs to be done to reduce depression and suicide."
In Minnesota, the suicide rate is in the lower half of the United States It is growing faster than all seven states, as CDC numbers show.
In 2000, the annual suicide rate in Minnesota was just 11 per 100,000 people, ages 10 and up, with a suicide rate of 18.3 and a women's rate of 3.6.
Since then, suicide rates for both genders have steadily risen to 23.3 in 2014-2016, an increase of 27 percent, while female suicide rates have doubled to 6.9, representing a combined rate of 15 suicides per 100,000
"A Serious Public Health Problem"
Suicide is one of the top 10 causes of death in North Dakota – a ranking that varies "by year," Traynor said.
"It's the tenth Leading cause of death for all ages, "she said," but considering the cause of death among adolescents, 10- to 24-year-olds or teenagers, this is the second most common cause of death from car accidents. "
National, 55- to 65-year-old age The group has the third-highest rate of suicide, with 18.71 deaths for every 100,000 Americans, the CDC says.
This is the age group of noted designer Kate Spade and celebrity chef Anthony Bourdain, de Suicide was heavily publicized when it only occurred for days
"It's a serious public health issue," Traynor said. And one that "transcends all ethnicities and social classes."
Suicide is particularly problematic "in rural states and communities that primarily affect Native Americans, military veterans, and capable white men," Traynor said.
Kora Dockter of Bismarck, a retired nurse who heads the North Dakota Suicide Coalition, also voiced alarm about suicide in North Dakota
"I think we're in a crisis phase," she said.
She was particularly impressed with a result in the State Risk Behavior Survey
"About 20 to 25 percent of adolescents said they felt hopeless themselves," she said. If you are hopeless as a teenager, how do we deal with it?
Experts say that the causes of suicide vary, including isolation, relationship issues, stress at work, problematic substance use, and financial and physical health problems.
Some suicides can not be accurately reported Traynor said, "The rate of overdose of opioids is on the rise in rural communities," she said, "People in these communities" are reporting less about what it is "(death)." 19659002 Dockter said, "There are several possible reasons why people die by suicide. "I definitely think our long winters matter."
The stigma surrounding poor mental health and "people's unwillingness to accept it as an actual illness" also contribute to the state's increasing suicide rate, Dockter said.
Her son, a threefold married father, died of suicide in 2014 at the age of 33.
"He was afraid to ask for free time at work" to mentally care, she said.
"I encourage employers to take the needs of psychiatric care as seriously as the need for surgery or care after a heart attack."
Statistics show that men are more susceptible to suicide than women. At national level, male suicide occurs three times more frequently than female.
In North Dakota, about four in five suicide victims are male
"Men have more resources to run a plan (for suicide)," said Tee. "Women say they are too scared."
A dislike for men to seek help may be cultural and "maybe something to do with how they were reared," Traynor said.
Inadequate access to care  In the CDC report, Tee said that he found it most interesting that "more than half of the people who committed suicide had no known mental health problems."
The heightened suicide rate in North Dakota may be due to the lack of access to psychiatric care in this rural, sparsely populated state, said Tee, who moved from Chicago to Fargo last year.
"There are not many of us here," he said. "Illinois has 8,000 or 9,000 psychiatrists, North Dakota has about 70 to 80. I think that's a big part of it – it's hard to access psychiatrists here."
"Many of our rural patients travel five or five hours away," he said, "and this is the first time … they see a mental health professional, and they're late in their 50s or 60s . "
National statistics show that 20 veterans die every day due to suicide in this country, Traynor said. "Fourteen of them are not connected to VA services, as research studies show."
Depending on their role in the military, they may not qualify for services, Traynor said. "Or, if they have post-traumatic stress (disorder), that could be the reason why they are not reaching."
What can be done?
Dockter recommended that "we pay more attention to what people say and" There are so many ways to be kind and caring. If we become nice people and mentors, that would make a big difference. "
Tea also recommends choosing a direct approach
" Be more attentive (of others), "he said," when someone is depressed looks or his behavior is strange or "out", ask him about it.
"Many people who come to us say," I'm here because someone asked me, and I told them what's going on. They brought me here. "
" If you have depression or suicidal thoughts, do not be afraid to ask for help or get involved in crises on the Internet, "he said." There are tons of resources to help. "
Suicide Prevention Lifeline: (800) 273-8255 (Answered Locally by FirstLink)
Source: North Dakota Suicide Prevention Program
Nearly 45,000 deaths from suicide Year 2016 in the US
From 1999 to 2016, North Dakota's suicide rate rose 57 percent, the highest in the country.
North Dakota residents (107 men, 27 women) died of suicide in 2016. For every life lost through suicide, 25 people attempted suicide
Minnesota residents died of suicide in 2016.
More than half of the people who died in 1999 b was killed by suicide in 2016, had no known mental health status.
Suicide rates rose by more than 30 percent in half of the states since 1999. Suicide rates have risen in all states except Nevada since 1999.
Suicide is the second most common cause of death for people aged 15-24 and the 10th leading cause of death for people of all ages in the US
U.S. Centers for Disease Control and Prevention, Ministry of Health of North Dakota, Ministry of Health of Minnesota