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[Correspondence] The increase of suicide rates: the need for a paradigm shift

Suicide was highlighted as a major public health issue in a recent release of data by the US Centers for Disease Control and Prevention (CDC).1 The CDC reported a 30% increase (1999–2016) in suicide across all age groups up to age 75 years (in half of all US states), and in 2016, 54% of people in 27 US states who died by suicide had no mental health diagnosis.1 Yet most papers and reports on suicide stress that up to 90% of people who die by suicide had a psychiatric disorder. Despite innovative approaches in both psychiatric treatments and suicide prevention, some important shortcomings seem to have a role in impairing effective progress in reducing deaths by suicide.

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