A reminder of celebrities' distance from us

While other problems like relationships, substance use, and money often contribute to suicide, Olson says sometimes it's hard to pinpoint exactly how North Dakota's rates have risen so much. "If we only look at this as a mental health issue, we won't make the progress that we need". Suicide rates were higher among males in Maryland, ranging from about 17 to 18 per 100,000 males. Dan Reidenberg, the executive director of the Suicide Awareness Voices of Education, said that inquiries to crisis lifelines have increased 25-30% in the wake of the two celebrity deaths.

According to the study, the rate of suicide in the US rose almost 30 percent between 1999 and 2016.

One bright spot, Schumer said is the 2017 creation of Zero Suicide, a federal program backed by $9 million that helps healthcare providers treat those with conditions that can lead to suicide ideation. "Anyone contemplating suicide should know that help is available, and that there is no shame in seeking care for your mental health", Dr. Altha Stewart of the American Psychiatric Association said in a statement. "They're still alive", she said. That age group also had the highest rate.

Adults aged 45 to 64 had the largest increase, according to the Centres for Disease Control and Prevention report.

There are many risk factors and warning signs. "I know those feel like harsh questions, but that's the real question that needs to be asked and answered", said Enos about the questions you need to ask.

"How do we break the silence around helping individuals that are struggling?"

The national attention following the suicides of Bourdain and Spade has meant an increase in calls to suicide hotlines like the one here in Philadelphia, which is staffed 24/7 by experts who can help you out in any crisis. "I just want to see how this goes", said counselor Serge Levin.

Little says, "It takes more courage to reach out for help than it does to suffer in silence". It's important to keep in mind to remove access to firearms, medications, or any other potential tools they might use to harm themselves.

If you or someone you know is having thoughts of suicide or self harm, contact the National Suicide Prevention Lifeline at 1-800-273-8255. All calls are confidential.

  • Sylvester Abbott