Though suicide remains more common among men, rates of suicide by women, like Spade, rose at more than double the rate of increase seen in men.
"It's a tragedy for families and communities across the country", said Dr. Anne Schuchat, the agency's principal deputy director.
A range of strategies could help prevent suicides, from expanding access to mental and behavioral health care to improving education around individual coping skills and institutional supports, the report says.
More than half of suicides in 2015 in a subgroup of 27 states were among people with no known mental health condition, the Centers for Disease Control and Prevention found. Suicide is rarely caused by any single factor, health officials said, but information from coroners' reports suggest numerous deaths followed relationship problems, substance use and financial crises.
Schuchat said the data analyzed revealed a number of factors leading up to death by suicide, including economic woes, relationship issues, substance misuse, physical health problems and others.
'But if we look into women from there, understanding that suicide is a problem across all categories.men commit suicide at a higher rate, but it's a greater increase in women'. In the most recent period studied (2014 to 2016), the rate was highest in Montana, at 29.2 per 100,000 residents, compared with the national average of 13.4 per 100,000. Rates have risen steadily in most age and ethnic groups, even as rates of psychiatric treatment and diagnosis have also greatly increased.
Suicides increased in every state except Nevada, which already had a very high suicide rate in 1999.
"Suicide does tend to rise during the holidays or at least that's what some early reports said".
And finally, Vermont has a lot of military veterans, and veterans as a group are twice as likely to die by suicide than the general population, Delaney said. Most cases, Schuchat says, can't be traced back to one single cause or trigger.
Trends in suicides in many ways follow trends in mental health, yet more than half of suicide victims in 2016 had no known mental illness diagnosis at the time of their deaths.
While the study emphasizes the need for more prevention resources, predicting suicides can be hard. The others are Alzheimer's disease and drug overdoses.
"People who attempt suicide are often acutely distressed or in crisis at that particular moment".
She recommended families store guns and drugs in safe places to reduce suicides.
This report contains information from the Associated Press.
"A big problem that has not yet been addressed in practice is that we continue to rely nearly entirely on people themselves to proactively tell us if they are suicidal", said Matthew Nock, a professor of psychology at Harvard University. "We want improved access to care and better diagnostics, but we think that a comprehensive approach to suicide is what is needed". That indicates a large portion weren't diagnosed, "which suggests to me that they're not getting the help they need", he said. You can also call the National Suicide Prevention Lifeline for Kansas at 785-841-2345, or 800-273-8255. However, teens who aren't likely to reach out could be internalizing what they see.