New York City's Medical Examiner ruled fashion designer icon Kate Spade's death a suicide by hanging.
"In general your loved one, you know them way better than other people would and you would know if something was a little bit different", said Zallar.
Staley said although he wasn't surprised by the numbers in the new CDC report, suicide death rates appear to have held steady in most recent years.
The CDC, the top USA public health agency, said individual states need to do more to boost suicide prevention "and address the range of factors contributing to suicide".
"We need to talk about mental illness as a real thing and do not be judgmental, have compassion". In 2016, almost 45,000 people took their lives. We share in the pain that so many are feeling this week. About 3 to 4 females per 100,000 died by suicide in Maryland during that period. "Even people who seem that they're happy, seem that they're functioning, seem that they don't have severe depression evident, or at least diagnosed, may be close to taking these extreme measures".
She said reasons people commit suicide are limitless, and instead of doubting the seriousness of what pushes someone to suicide, people should instead open their hearts.
Firearms were the leading method, accounting for about half of suicides. It was lowest in the USA capital, Washington, with 6.9 suicides per 100,000 residents per year. You can call the Kansas Suicide Prevention Resource Center, which is the the Lifeline Center for Kansas. Due to the value they place on independence, they are unlikely to seek help, United Health Care reports.
If you or someone you know needs help, contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).