Rural Health
Resources by Topic: Suicide and suicide prevention
Opportunities and Barriers to Engaging Caregivers in Firearm Suicide Prevention: Findings from Focus Groups with Caregivers of Veterans
Examines barriers and facilitators of conversations related to lethal means safety (LMS) among family members and significant others (caregivers) who live with or provide support to veterans, veterans at risk of suicide, and healthcare providers. Identifies themes from discussions with 32 caregivers, including discussion of rural attitudes toward firearm ownership and safety.
Author(s): Katherine MacWilliams, John Marmion, Dee Blascyk, et al.
Citation: Injury Epidemiology, 12, 59
Date: 09/2025
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Examines barriers and facilitators of conversations related to lethal means safety (LMS) among family members and significant others (caregivers) who live with or provide support to veterans, veterans at risk of suicide, and healthcare providers. Identifies themes from discussions with 32 caregivers, including discussion of rural attitudes toward firearm ownership and safety.
Author(s): Katherine MacWilliams, John Marmion, Dee Blascyk, et al.
Citation: Injury Epidemiology, 12, 59
Date: 09/2025
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Vermont Suicide Data Linkage Project: 2022-2023 Data Analysis
Identifies risk factors for suicide, populations at disproportionate risk for suicide, and patterns in how Vermonters who died by suicide interacted with various state, community systems, and services prior to death. Features statistics with breakdowns including suicides by rural or urban residence and suicides of rural veterans and elderly people.
Date: 09/2025
Sponsoring organization: Vermont Department of Health
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Identifies risk factors for suicide, populations at disproportionate risk for suicide, and patterns in how Vermonters who died by suicide interacted with various state, community systems, and services prior to death. Features statistics with breakdowns including suicides by rural or urban residence and suicides of rural veterans and elderly people.
Date: 09/2025
Sponsoring organization: Vermont Department of Health
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Variation in Extreme Risk Protection Order Use Among Urban, Suburban, and Rural ZIP Codes in Maryland: A Descriptive Study
Analyzes the use of extreme risk protection orders (ERPOs) in rural, suburban, and urban Maryland between October 2018 and June 2020. Includes rural and urban analysis of various demographic characteristics, type of threat, target of threat, type of ERPO petitioner, and court outcomes. Discusses a variety of violence types include interpersonal violence, mass shootings, and suicide as well as ERPO uptake in rural areas.
Author(s): Mia Aassar, Elise Omaki, Lisa Geller, April M. Zeoli, Shannon Frattaroli
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 09/2025
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Analyzes the use of extreme risk protection orders (ERPOs) in rural, suburban, and urban Maryland between October 2018 and June 2020. Includes rural and urban analysis of various demographic characteristics, type of threat, target of threat, type of ERPO petitioner, and court outcomes. Discusses a variety of violence types include interpersonal violence, mass shootings, and suicide as well as ERPO uptake in rural areas.
Author(s): Mia Aassar, Elise Omaki, Lisa Geller, April M. Zeoli, Shannon Frattaroli
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 09/2025
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Trends in Firearm Death among Middle and High-School Aged Rural and Urban Adolescents from 2001 to 2022
Examines changes over time in firearm mortality among middle and high school-aged adolescents in metropolitan and nonmetropolitan settings, utilizing 2001-2022 CDC Web-based Injury Statistics Query and Reporting System (WISQARS) data. Includes breakdowns of firearm-related homicides, suicides, and unintentional deaths by year, with comparisons to other leading non-firearm related causes of death.
Author(s): Elizabeth H. Weybright, Heather F. Terral, Kelsey M. Conrick, Patrick M. Carter, Ali Rowhani-Rahbar
Citation: Injury Epidemiology, 12, 53
Date: 09/2025
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Examines changes over time in firearm mortality among middle and high school-aged adolescents in metropolitan and nonmetropolitan settings, utilizing 2001-2022 CDC Web-based Injury Statistics Query and Reporting System (WISQARS) data. Includes breakdowns of firearm-related homicides, suicides, and unintentional deaths by year, with comparisons to other leading non-firearm related causes of death.
Author(s): Elizabeth H. Weybright, Heather F. Terral, Kelsey M. Conrick, Patrick M. Carter, Ali Rowhani-Rahbar
Citation: Injury Epidemiology, 12, 53
Date: 09/2025
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Suicide Surveillance Report, South Dakota
Illustrates South Dakota's current suicide rates and trends, and compares this data with national rates. Includes county data, method of suicide or self-injury by age and sex, and suicidal ideation by high school students.
Date: 08/2025
Sponsoring organization: South Dakota Department of Health
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Illustrates South Dakota's current suicide rates and trends, and compares this data with national rates. Includes county data, method of suicide or self-injury by age and sex, and suicidal ideation by high school students.
Date: 08/2025
Sponsoring organization: South Dakota Department of Health
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Illegally Made Fentanyl Use in the United States: 2022 and 2023
Report highlights findings from the 2022 and 2023 National Survey on Drug Use and Health (NSDUH) on the use of illegally made fentanyl across the U.S. Explores co-usage with other drugs, emergency room visits/hospitalizations, and breaks down user characteristics by age, poverty level, and rurality, among other measures.
Citation: NSDUH Data Brief, 2(2)
Date: 07/2025
Sponsoring organizations: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration
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Report highlights findings from the 2022 and 2023 National Survey on Drug Use and Health (NSDUH) on the use of illegally made fentanyl across the U.S. Explores co-usage with other drugs, emergency room visits/hospitalizations, and breaks down user characteristics by age, poverty level, and rurality, among other measures.
Citation: NSDUH Data Brief, 2(2)
Date: 07/2025
Sponsoring organizations: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration
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Rural Veterans' Thoughts on High Suicide Rates in Their Communities—and on What to Do About It
Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Highlights a study on the perspective of rural veterans on methods for suicide prevention in their communities. Bases findings on a survey of veterans in rural counties in Oregon and explores perceptions around socioeconomic resources, person-centered healthcare, and having a strong sense of community.
Author(s): Lauren M. Denneson
Date: 07/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Health Care Use Preceding Suicide by Firearm Compared with Suicide by Other Means — Alaska, Colorado, and Washington, 2020–2022
Discusses use of healthcare services, including mental health services, in the year prior to suicide for those who died by firearm versus other means, based on data from three healthcare organizations in Alaska, Colorado, and Washington. Includes the number of suicides by location of residence for rural, suburban, and urban areas.
Author(s): Julie E. Angerhofer, Maricela Cruz, Jennifer Shaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(21), 365-371
Date: 06/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Discusses use of healthcare services, including mental health services, in the year prior to suicide for those who died by firearm versus other means, based on data from three healthcare organizations in Alaska, Colorado, and Washington. Includes the number of suicides by location of residence for rural, suburban, and urban areas.
Author(s): Julie E. Angerhofer, Maricela Cruz, Jennifer Shaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(21), 365-371
Date: 06/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Care Packages to Promote Universal Suicide Prevention for Remote Alaska Native Communities: What Worked?
Presents a study on the efficacy of a suicide prevention intervention aimed at teens in remote Alaska Native communities. Details the distribution of mental health and safety promotion care packages sent to participants through the mail and highlights the results of a survey of participants on the perceived success of the intervention.
Author(s): Joshua Kennedy, Lisa Wexler, Tara Schmidt, et al.
Citation: Journal of Rural Health, 41(2), e70032
Date: 05/2025
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Presents a study on the efficacy of a suicide prevention intervention aimed at teens in remote Alaska Native communities. Details the distribution of mental health and safety promotion care packages sent to participants through the mail and highlights the results of a survey of participants on the perceived success of the intervention.
Author(s): Joshua Kennedy, Lisa Wexler, Tara Schmidt, et al.
Citation: Journal of Rural Health, 41(2), e70032
Date: 05/2025
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Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Date: 05/2025
Sponsoring organization: Trust for America's Health
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Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Date: 05/2025
Sponsoring organization: Trust for America's Health
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