Suicide in the United States is continuing to increase. Over 44,000 Americans died by suicide in 2015, and both the rate of suicide and the numbers of Americans who have died by suicide has increased annually over the last decade. Overall, suicide rates increased 28 percent from 2000 to 2015 (CDC, WISQARS). In addition, presentations to Emergency Departments because of suicidal ideation have been increasing at a rate of 12 percent annually (Owens et al., 2017). This has occurred despite unprecedented levels of suicide prevention activity.

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