"These findings are disturbing".
Suicide ranked as the ninth-leading cause of death in Canada in 2009, the a year ago for which numbers are available, and is the 10th-leading cause of death overall in the U.S.
In 2016 alone, nearly 45,000 Americans aged 10 or older lost their lives to suicide.
North Dakota had the highest increase, at almost 58 percent over the studied time period.
The report also looked at people who died by suicide in 27 states, and found that more than half (54%) did not have a known mental health condition, highlighting the complicated nature of suicide.
Statistically, the rates of suicide in the United States are increasing, meaning that while Bourdain's and Spade's passings can be a shock to millions, they are not as unusual as they may seem. People ages 10-24 had the lowest rate.
Earlier this year Gov. Ralph Northam signed a new law that requires the Department of Behavioral Health and Developmental Services to report its progress and activity on suicide prevention every year.
The rates of suicide for all states and the District of Columbia were calculated using data from the National Vital Statistics System.
Contributing factors to suicideWhile prevention efforts mainly focus on identifying and providing treatment for people with mental illness, experts say suicide is rarely caused by a single factor. Studies have debunked the idea that asking people whether they have thought about harming themselves will increase suicides or suicidal thoughts.
"We don't have all the answers".
"For many of us who have been close to someone or lost someone we know that suicide happens and that we know it's a real risk out there".
Kaslow is particularly concerned about what has emerged with suicide among women. "We are one of the only lines in the country that has a statewide, integrated peer support and crisis line". Historically, the suicide rate tracks with recessions, rising when times are bad and falling when they're better.
"People tend to tip-toe around sensitive issues like suicide".
It is hitting many places especially hard. It may be uncomfortable but make sure your loved one knows you are there for them and there are resources.
"A celebrity's suicide can create a contagion that we want to be aware of and those individuals who are a risk, who might be connected to that celebrity, we want to reach out to them", Egan said. "Anyone contemplating suicide should know that help is available, and that there is no shame in seeking care for your mental health", Dr. Altha Stewart of the American Psychiatric Association said in a statement.