Researchers from the Centers for Disease Control and Prevention released results this week to document that suicide rates have increased by 24% since 1999. The increase has been especially rapidly among women and among middle-aged people of both genders between the ages of 45 and 64. This is just a huge problem. Quite properly, the story has gotten much play. This morningâ€™s New York Times includes a front-page story: â€œU.S. Suicide rate surges to a 30-year high.â€
Iâ€™m glad that the story has gotten so much attention. Yet the generalized calls to action seem oddly divorced from the actual policy levers through which we might reduce this problem. Here for example is my friend (and Twitter sparring partner) Ron Fournier:
Is this an epidemic? When do we start taking mental health policy seriously in DC and state capitals? https://t.co/37bOQBmOui
— Ron Fournier (@ron_fournier) April 22, 2016
Ron asked the right question, but left things oddly hanging when the most obvious answer was staring him in the face: States could adopt the ACA’s Medicaid expansion, which expands access to mental health services, supports the ecology of safety-net mental health care, and protects many people against burdensome medical debt, which is often referred to collection agencies. All of these issues plausibly matter for people at risk of self-harm and suicide.
More here, at healthinsurance.org.
PS–Yeah, guns matter, too. An essay for another day.