New KFF Analysis Shows Number of Suicide Deaths at Record Levels

From 2011 to 2022, over half a million lives (539,810) were lost to suicide, with 2022 showing the highest number of deaths on record. Within this period, the adjusted suicide rate increased by 16%. Recognizing the mounting mental health crisis and demand for accessible crisis care, the federal government introduced a new crisis number, 988available nationwide in July 2022. This easy to remember three-digit number connects callers who are suicidal or experiencing a mental health emergency to a crisis counselor at one of 200+ local crisis call centers. There, they may access crisis counseling, resources, referrals, and connections to other crisis services. Though suicide deaths slowed in 2019 and 2020, they began to increase again in 2021 and 2022, but the cause of this recent rise in suicides is unclear.

Key takeaways from an analysis of aggregate provisional data from 2022 and CDC WONDER data from 2011 to 2021, which represents the most recent and comprehensive data available before the mid-2022 launch of 988, include the following:

  • CDC’s provisional data for 2022 show a record high of 49,369 suicide deaths, coming after modest declines in 2019 and 2020.
  • In 2022, provisional data indicates the highest number of gun-related suicides on record; increases in firearm suicides are driving the increases in overall suicide deaths in recent years.
  • Suicide death rates in 2021 were highest among American Indian and Alaska Native people, males, and people who live in rural areas.
  • Suicide deaths are increasing fastest among people of color, younger people, and those who live in rural areas with many groups seeing increases of 30% or more from 2011 to 2021.
  • Suicide death rates varied considerably by state in 2021, as did the rate of change between 2011 and 2021.

Read the full report from KFF.

Suicide Among People with Disabilities

We may make assumptions about people with disabilities’ risk for suicide. A 2021 report published in the American Journal of Preventive Medicine found people with disabilities are more likely to think about, plan or attempt suicide than people without disabilities.

Please click the link below to learn more about:

  • Risk factors.
  • What you can do as a caregiver.
  • What to look for.
  • When to get help.

To see all other Care Provider Bulletins click here.

Suicide Among People with Disabilities

10 Helpful Ways You Can Manage Family Stress During the Holidays

The holiday season is often filled with fun and family, but it can also be stressful. A 2018 survey found that an overwhelming majority (88%) of those surveyed feel stressed when celebrating the holidays.

Family dynamics play a major factor in how much you and your loved ones may enjoy the holidays. Here are 10 ways to manage family-related stress and help you experience more joy with your family.

#1 Talk in advance to set expectations around gift-giving.

When spending on holiday gifts is uneven or gifts are unexpected, it can lead to awkward and even unhappy moments with family. Have a brief conversation up front to set the ground rules and agree on a spending range. For many families, drawing names and giving to just one person offers a way to reduce financial strain while others choose experiences they can do together, like seeing a local theater show, and eliminate gifts altogether.

Conversation starter: “We thought it would be helpful to make a plan for gifts this year, as we need to stick to a budget. Can we agree on a spending limit?” 

#2 Be selective with activities and protect your time to do what matters most to you.

There are so many activities and events this time of year. To keep from running yourself ragged going from commitment to commitment, be selective when deciding what to attend. Are you attending out of obligation or genuine excitement?

Tip: If you are not ready to eliminate a commitment altogether, try alternating. Maybe you host that holiday party every other year or send holiday cards to half your list one year and half the next.

Read the full article from Families for Depression Awareness.

New KFF/CNN Survey on Mental Health Finds Young Adults in Crisis

An overwhelmingly majority (90%) of Americans believe the nation is in the midst of a mental health crisis, and young adults appear to be suffering the most, a new KFF-CNN survey on mental health in America reveals.

A third (34%) of adults under age 30 rate their mental health as “only fair” or “poor,” compared to 19% of those ages 30 and older. Half (52%) say they “always” or “often” felt anxious over the past year (28% for older adults), and about a third say they always or often felt depressed (33%) or lonely (32%) in the past year, also significantly higher than for older adults (18% each among those ages 30 and older).

In addition, about a third (35%) of young adults say they have been unable to work or engage in other activities due to a mental health condition in the past year, a rate significantly higher than older adults.

Read the full article from KFF.

988 Suicide and Crisis Lifeline Launches

988 is the new, nationwide, three-digit dialing code for the Suicide and Crisis Lifeline. The 988 dialing code connects people via call, text, or chat, to the existing National Suicide Prevention Lifeline (NSPL) where compassionate, accessible care and support are available for anyone experiencing mental health-related distress. 988 is the newest addition to the state’s network of crisis center providers and will not replace any crisis call centers in Washington. The current NSPL number, 1-800-273-TALK (8255), will remain active along with the new 988 dialing code.

“Thanks to the many partner organizations and agencies who have made this resource possible,” said Governor Jay Inslee. “In the same way 911 transformed our ability to respond to emergency safety or health situations, 988 will transform our ability to connect people to help in behavioral and mental health crisis situations.”

“Providing an easy-to-remember, three-digit number is an important step to accessing potentially life-saving support,” said Umair A. Shah, MD, MPH, Secretary of Health. “We are dedicated to enhancing and expanding behavioral health crisis response and suicide prevention services for all Washingtonians.”

In addition to activating a new dialing code for anyone experiencing suicidal or mental health-related crisis to call, the 988 Suicide and Crisis Lifeline also allows text messaging as part of increasing access to services for youth and individuals with different abilities. People can also dial or text 988 if they are worried about a loved one who may need crisis support. 988 will be available 24/7 and is free and confidential.

Call services will be available in Spanish, along with interpretation services in over 250 languages. Spanish speakers may reach the Spanish Language Line by pressing 2 after dialing 9-8-8 or 1-800-273-TALK (8255). Text and chat services are available in English only.

Veterans and service members may reach the Veterans Crisis Line by pressing 1 after dialing 9-8-8 or 1-800-273-TALK (8255). Soon, Washington will also be able to launch a Native and Strong Lifeline, dedicated to serving Washington’s American Indian and Alaska Native individuals.

People who are deaf, hard of hearing, and TTY users should use your preferred relay service or dial 711 then 1-800-273-8255.

10 Helpful Ways You Can Manage Family Stress During the Holidays

The holiday season is often filled with fun and family, but it can also be stressful. A 2018 survey found that an overwhelming majority (88%) of those surveyed feel stressed when celebrating the holidays.

Family dynamics play a major factor in how much you and your loved ones may enjoy the holidays. Here are 10 ways to manage family-related stress and help you experience more joy with your family.

#1 Talk in advance to set expectations around gift-giving.

When spending on holiday gifts is uneven or gifts are unexpected, it can lead to awkward and even unhappy moments with family. Have a brief conversation up front to set the ground rules and agree on a spending range. For many families, drawing names and giving to just one person offers a way to reduce financial strain while others choose experiences they can do together, like seeing a local theater show, and eliminate gifts altogether.

Conversation starter: “We thought it would be helpful to make a plan for gifts this year, as we need to stick to a budget. Can we agree on a spending limit?” 

Read the rest of the article from Families for Depression Awareness.

Diagnosis: Mood Disorders

Including Anxiety Disorder, Bipolar Disorder, and Depression

General Mood Disorder Resources

According to the Mayo Clinic:

If you have a mood disorder, your general emotional state or mood is distorted or inconsistent with your circumstances and interferes with your ability to function. You may be extremely sad, empty or irritable (depressed), or you may have periods of depression alternating with being excessively happy (mania).
Anxiety disorders can also affect your mood and often occur along with depression. Mood disorders may increase your risk of suicide.

Downloadable Resources

Getting Started: A Guide for Parents of Children with Mood Disorders
Gizmo’s Pawsome Guide to Mental Health
Helping a Friend or Family Member with Depression or Bipolar Disorder
Mental Health and School Avoidance: What parents need to know

Websites

Anxiety and Depression Association of America (ADAA)
Mental Health America
Mental Health First Aid
National Alliance on Mental Health (NAMI)
Overview of Mood Disorders

Anxiety Disorder

According to the CDC:

Anxiety may present as fear or worry, but can also make children irritable and angry. Anxiety symptoms can also include trouble sleeping, as well as physical symptoms like fatigue, headaches, or stomachaches. Some anxious children keep their worries to themselves and, thus, the symptoms can be missed.

Downloadable Resources

Anxiety Disorders in Children
Crisis Management Plan: Support at Home for Children and Youth with Mental Health Needs
Generalized Anxiety Disorder
Panic Disorder: When Fear Overwhelms
Social Anxiety Disorder
Treating Anxiety Disorders
Understanding Anxiety Disorders for Young Adults
Understanding Anxiety Disorders for Caregivers

Articles

Anxiety in Children
Ideas to Support Children and Families Impacted by Abuse, Trauma and Divorce
What Caused my Social Anxiety
What to Do (and Not Do) When Children Are Anxious

Websites

Anxiety and Depression Association of America (ADAA)
MedLinePlus: Anxiety
My Anxiety Plan (MAP) for Children and Teens
NIMH: Anxiety Disorders

Bipolar Disorder

According to the National Institute of Mental Health:

Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental disorder that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks.
There are three types of bipolar disorder. All three types involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, irritable, or energized behavior (known as manic episodes) to very “down,” sad, indifferent, or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

Downloadable Resources

Bipolar Disorder (Spanish version here)
Bipolar Disorder in Children and Teens (Spanish version here)
Bipolar Disorder in Teens and Young Adults: Know the Signs
Bipolar Disorder: Make the Family Connection
Understanding Bipolar Disorder for Caregivers
Understanding Bipolar Disorder for Young Adults

Articles

Bipolar Disorder in Children: Is it Possible?
Bipolar Disorder in Teens
Living with Depression or Bipolar Disorder?
Mental Health Education and Support at School can be Critical

Websites

Depression and Bipolar Support Alliance
National Alliance on Mental Illness: Bipolar Disorder

Depression

As the Mayo Clinic states:

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living.

More than just a bout of the blues, depression isn’t a weakness and you can’t simply “snap out” of it. Depression may require long-term treatment. But don’t get discouraged. Most people with depression feel better with medication, psychotherapy or both.

Downloadable Resources

Depression Basics (Spanish Version here)
Finding Peace of Mind: Treatment Strategies for Depression
Getting Started: A Guide for Parents of Children with Mood Disorders
Helping a Friend or Family Member with Depression or Bipolar Disorder
Preventing Suicide: A Technical Package of Policy, Programs, and Practices
Questions About Suicide
Suicide & Safe Storage of Firearms
Teen Depression (Spanish Version here)
Understanding Depression for Young Adults
What are the “ROAM” Signs of Depression?

Articles

Common Myths About Teen Suicide
Depression and the Autism Spectrum
Eli Harkness: I Survived a Suicide Attempt
Speaking Up is the First Step to Overcoming Depression
Suicide Prevention Tips

Websites

Anxiety and Depression Association of America (ADAA)
Depression and Bipolar Support Alliance (DBSA)
Families for Depression Awareness
National Institute on Mental Health: Depression
National Suicide Prevention Lifeline