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Rural States See Spike in Suicides Following Medicaid Cuts

Jupiterimages/Thinkstock(SALT LAKE CITY) -- Suicide is on the rise in rural America -- nowhere so much as in Western Mountain states like Idaho, Wyoming and New Mexico.  Mental health professionals attribute it in part to cutbacks in Medicaid funding, the recession and the culture of the rural West.

In Idaho, somebody kills him or herself every 35 hours, according to a 2009 report to Idaho's governor by the state's Council on Suicide Prevention. Their report calls suicide "a major public health issue" having a "devastating effect" on Idaho's families, churches, businesses and even schools: 65 students aged 10 and 18 killed themselves in a recent five-year period.

Last week, a county sheriff in Bonneville told the Idaho Falls Post Register that his department was getting more suicide calls than in 2010 -- a year in which 290 Idahoans took their own lives.

Historically, the suicide rate in rural states has been higher than in urban ones.  According to the most recent national data available, Alaska has the highest rate, at 24.6 suicides per 100,000 people.  Next comes Wyoming (23.3), followed by New Mexico (21.1), Montana (21.0) and Nevada (20.2).  Idaho ranks sixth, at 16.5.

Suicide is the second-leading cause of death for Idahoans aged 15-34. Only accidents rank higher.

Kathie Garrett, co-chairman of the Idaho Council on Suicide Prevention, says the problem has gotten only worse since the recession.

"The poor economy and unemployment -- those put a lot of stress on people's lives," she explains.

To save money, people skip doctor visits and cut back on taking prescribed medications.  Cuts in Medicaid have also reduced the services available to the mentally ill.

"I personally know people who lost Medicaid who've attempted suicide," says Garrett.

Kim Kane, executive director of Idaho's Suicide Prevention Action Network in Idaho says other factors explain the high rate of suicide in Western Mountain states. One is the greater prevalence of guns: In 2010, 63 percent of Idaho suicides involved a firearm, compared with the national average of 50 percent.

She and Garrett also say the West's pride in rugged individualism can prevent people from seeking help.  Their feeling, says Kane, is that they ought to be able to pull themselves up by their mental bootstraps.  Idaho is the only state not to have a suicide-prevention hotline.

Copyright 2011 ABC News Radio

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