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Suicide Prevention Lifeline

World Suicide Prevention During COVID-19 Pandemic Requires Empathy and Outreach

September 10th 2020 is World Suicide Prevention Day.

CDC data indicates that suicide and suicidal ideation is higher in men aged 18-24, essential workers, blacks, and Hispanics who never graduated high school or serve as unpaid adult caregivers.

According to the Morbidity and Mortality weekly report published by the CDC, 40.9% of survey respondents reported at least one adverse mental or behavioral health condition, including symptoms of anxiety disorder or depressive disorder (30.9%), symptoms of trauma- and stressor-related disorder (TSRD) related to the pandemic.

This compares to less than 178 COVID-19 infections per 100,000 Americans that were severe enough to require hospitalization.  The overall cumulative COVID-19 hospitalization rate was 178.2 per 100,000, with the highest rates in people aged 65 years and older (481.5 per 100,000) and 50–64 years (266.3 per 100,000).  (See CDC published statistics.)

If you need help:

  1. Contact your physician, a therapist, or other behavioral health professional for a confidential discussion and assessment to discuss how you’re feeling
  2. There is a national U.S. suicide prevention hotline at 800-273-8255, go to or see the Lifeline chat

CDC data: suicidal ideation is higher in men 18-24 and essential workers

Suicidal ideation is higher in men aged 18-24, essential workers, black and Hispanic, who never graduated high school or who serve as unpaid adult caregivers

According to the U.S. Centers for Disease Prevention and Control (CDC):

  1. In 2003, suicide was the 11th overall leading cause of death in the United States and was responsible for 31,484 deaths, which equated to one suicide every 17 minutes.
  2. In 2018, suicide is the 10th leading cause of death in the United States. It was responsible for more than 48,000
  3. During June 24–30, 2020, U.S. adults reported considerably elevated adverse mental health conditions associated with COVID-19. Younger adults, racial/ethnic minorities, essential workers, and unpaid adult caregivers reported having experienced disproportionately worse mental health outcomes, increased substance use and elevated suicidal ideation.

Suicide attempts and other acts of self-harm that result in nonfatal injuries affect the health of many persons and families. In 2004, approximately 535,000 visits to U.S. emergency departments were made after attempted suicides or because of other self-inflicted injuries.

These statistics aren’t just numbers; they are friends, members of a family, partners, parents, sons, and daughters.

Male Behavioral Health and Suicide

According to the UK based my GP, there are significant differences between genders. The number of suicides is much higher among males than females across all age groups in the world. In the UK, men are three times more likely to die by suicide than women.

When asked why they don’t get routine medical care such as an annual physical, men often report vague issues like a busy schedule.

Avoid trivializing men’s mental health.

Probably one of the most essential and significant points to consider. Avoid saying things that invalidate a man’s feelings—for example, “man up,” and “why are you so emotional?”. Instead, acknowledge the person’s feelings, show empathy, and provide support. If you find that you don’t know what to say, even listening without judgment is the best thing you can do.

CDC Data from June 2020 indicates males age 18 to 24 have had higher ideations of suicide, mental health symptoms, and substance abuse.

CDC data June 2020 on suicidal ideation by age and genderCDC data June 2020 on suicidal ideation by age and gender as well as the incidence of substance abuse

Prevent Suicide by Encouraging men to  express emotions

Expressing emotion and crying are normal reactions for all people, regardless of gender. Don’t associate crying or stereotypically feminine traits with being weak. Processing emotions make us human—encourage the men in your life to acknowledge this.

Prevent Suicide by Checking in with your friends and family

Dropping in, whether it is by their house or in their texts, shows that you’re there for them, and they can rely on you for support. Feeling alone is a massive symptom of depression, so let them know they’re not.

Essential workers are at significantly higher risk of suicide and have experienced greater adverse mental or behavioral health symptoms.

CDC data on suicide ideations and substance abuse by employment type
CDC data on suicidal ideations and substance abuse by employment type indicates that essential workers are more at risk

Unpaid adult caregivers are also at higher risk with higher ideations of suicide

CDC data regarding suicidal ideation among unpaid adult caregivers
CDC data regarding suicidal ideation among unpaid adult caregivers
CDC June 2020 data on suicideal ideation and substance abuse by race and ethnicity
CDC June 2020 data on suicidal ideation and substance abuse by race and ethnicity

Hoyert DL, Heron MP, Murphy SL, Kung H. Deaths: final data for 2003. Natl Vital Stat Rep 2006;54

McCaig LF, Nawar EN. National hospital ambulatory medical care survey: 2004 emergency department summary. Advance data from vital and health statistics; no 372. Hyattsville, MD: National Center for Health Statistics; 2006


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Michael F. Arrigo

Michael is Managing Partner & CEO of No World Borders, a leading healthcare management and IT consulting firm. He serves as an expert witness in Federal and State Court and was recently ruled as an expert by a 9th Circuit Federal Judge. He serves as a patent expert witness on intellectual property disputes, both as a Technical Expert and a Damages expert. His vision for the firm is to continue acquisition of skills and technology that support the intersection of clinical data and administrative health data where the eligibility for medically necessary care is determined. He leads a team that provides litigation consulting as well as advisory regarding medical coding, medical billing, medical bill review and HIPAA Privacy and Security best practices for healthcare clients, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, physician compensation, Insurance bad faith, payor-provider disputes, ERISA plan-third-party administrator disputes, third-party liability, and the Medicare Secondary Payer Act (MSPA) MMSEA Section 111 reporting. He uses these skills in disputes regarding the valuation of pharmaceuticals and drug costs and in the review and audit of pain management and opioid prescribers under state Standards and the Controlled Substances Act. He consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises ERISA self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $8 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, studies at Stanford Medical School - Biomedical Informatics, studies at Harvard Medical School - Bioethics. Trained in over 10 medical specialties in medical billing and coding. Trained by U.S. Patent and Trademark Office (USPTO) and PTAB Judges on patent statutes, rules and case law (as a non-attorney to better advise clients on Technical and Damages aspects of patent construction and claims). Mr. Arrigo has been interviewed quoted in the Wall Street Journal, New York Times, and National Public Radio, Fortune, KNX 1070 Radio, Kaiser Health News, NBC Television News, The Capitol Forum and other media outlets. See and for more about the company.

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