The findings were published in the CDC's Morbidity and Mortality Weekly Report.
The report says Montana's suicide rate grew by 38 percent between 1999 and 2016. And while those numbers are low compared to the per capita numbers in other states with looser gun laws and more spread-out emergency medical care, they don't measure the effect a suicide can have on the person's family and community, Duarte said.
A new study on suicide trends in 27 states found that many victims acted after relationship problems or loss; substance misuse; physical health problems; or job, money, legal or housing stress.
"Comprehensive statewide suicide prevention activities are needed to address the full range of factors contributing to suicide", the report said.
Suicide rates have increased in almost every state over the past two decades, and half of the states have seen suicide rates go up more than 30 percent.
"In general they are being used and they're being used increasingly which is very encouraging because we know suicide is a problem growing nationally and in Vermont", Delaney 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.
Research shows suicides are up in nearly every state across the country. "We have to ask people who are at risk if they have a firearm, and while they're in recovery or treatment, recommend safe storage of that firearm", he said.
"Death by suicide is the ultimate Stage 4 event in the progression of many mental health conditions, whether or not they have ever been recognized and labeled". While suicide is more common in men than women, there has been a rise in female suicides.
"So it's not just about firearms, it's also about other methods of suicide such as hanging, suffocation, poisoning and the like", she said.
The CDC found that suicides had increased in every state except Nevada, where they decreased by 1 percent.
The increases have been greatest in people ages 45 to 64. "There are many different circumstances and factors that contribute to suicide".
For clinical trainings on best practices for suicide prevention contact the Center for Practice Innovations here. "What are we doing as a nation to help people to manage these things?"
But Joshua Gordon, director of the National Institute of Mental Health, said that that statistic must be viewed in context.