The Commercial Appeal

Society just shrugs as suicide kills 45,000 a year

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If a killer roaming America left 45,000 men, women and children dead each year, you can bet society would be demanding something be done to end the scourge.

Well, such a killer exists. It’s called suicide, and the rate of it has steadily risen. Yet the national response has been little more than a shrug, apart from raised awareness whenever celebritie­s — fashion designer Kate Spade and renowned chef Anthony Bourdain, to name two this year — are tragically found dead by their own hand.

USA TODAY’s comprehens­ive look at this public health crisis and its ripple effect, published Wednesday, includes a daughter’s heart-wrenching narrative of losing a mother to suicide, as told by former Cincinnati Enquirer Managing Editor Laura Trujillo.

Although suicide is the 10th leading cause of death in America, efforts to understand and prevent it fall dismally short. The National Institutes of Health, by far the world’s largest underwrite­r of biomedical study, spent $68 million last year on suicide — a relatively small amount compared with NIH funds devoted to other leading public health killers.

Kidney disease leaves about as many dead, yet it receives nine times the research funding. Indeed, the NIH spent more than twice the suicide research sum to better understand inflammato­ry bowel syndrome and even more on dietary supplement­s.

The NIH says that it spends billions on mental health research and that this indirectly prevents suicide, but that’s misleading: Millions of Americans suffer emotional problems, and relatively few resort to suicide. Society needs to know why this is, and only further study can answer the question.

Federal government priorities often mirror what matters to politician­s and, ultimately, the general public, which for too long has seemed mired in complacenc­y about suicide. There have been no concerted campaigns similar to those targeting killers such as HIV or breast and prostate cancers. This could be changing. A new survey funded by the American Foundation for Suicide Prevention shows that 94 percent of Americans believe that suicide is preventabl­e, and the foundation is advocating an increase in NIH suicide funding, to $150 million.

“The public is starting to get it,” says foundation CEO Robert Gebbia.

Even limited investment­s have borne fruit:

❚ The military and the Department of

Although suicide is the 10th leading cause of death in America, efforts to understand and prevent it fall dismally short.

Veterans Affairs invested hundreds of millions of dollars after suicide rates tripled in the Army during recent wars, then kept climbing among young veterans. The VA has developed an algorithm to identify the most at-risk patients as a way to focus more intensive care. Preliminar­y results have been encouragin­g, with lower mortality rates.

❚ Studies show that reducing access to lethal means saves lives, and states with stronger gun control laws now see reduced rates of suicide. Constructi­on began this year on a massive, steel net slung under the Golden Gate Bridge to end that San Francisco landmark’s dark history as a prime site for suicide.

❚ With proven benefits of interventi­on, President Donald Trump this year signed a bill to examine the feasibilit­y of creating a 911-style, three-digit emergency number for more easy access to the National Suicide Prevention Lifeline (1-800-2738255).

Scientists have establishe­d that the self-destructiv­e urge is often fleeting. Where counseling, better coping skills and reduced access to a lethal means help the distraught to endure this moment, people can survive. It’s one of the reasons why nine out of 10 people who attempt suicide, studies show, do not ultimately kill themselves. Where there is life, there is hope.

— USA Today Editorial Board

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