TY - CHAP M1 - Book, Section TI - The Epidemiology and Prevention of Self-directed Violence A1 - Holland, Kristin M. A1 - Crosby, Alex E. A2 - Boulton, Matthew L. A2 - Wallace, Robert B. PY - 2022 T2 - Maxcy-Rosenau-Last Public Health & Preventive Medicine, 16e AB - Suicide is a significant public health problem affecting countries worldwide. Globally, approximately 800,000 suicides occur every year, making it the 17th leading cause of death in the world. In 2016, the international annual age-adjusted suicide rate was 11.2 per 100,000 population.1 In the United States, suicide resulted in over 48,000 deaths in 2018, and it has been one of the top ten leading causes of death for the country since 2008.2 While suicide rates have been declining globally, rates in the United States have been rising since the late 1990s (Fig. 175-1).3–5 In fact, the overall decrease in Americans’ average life expectancy in 2015–17 has been attributed in part to increasing suicide rates, which rose by 33% from 1999 to 2017,2,6,7 underlining the public health significance of the growing problem. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1182670074 ER -