The most extreme increase from 1999 to 2016 was in North Dakota, with a 57.6 percent rise.
Vermont is home to a high proportion of white people, and whites as a group have higher suicide rates than ethnic groups.
The high suicide rate is also a concern in New Hampshire, said Patricia Tilley, deputy director of New Hampshire's division of public health services.
Yet research has shown that almost 80 per cent of people who die by suicide explicitly deny suicidal thoughts or intentions in their last communications, he added.
While the study emphasizes the need for more prevention resources, predicting suicides can be hard.
The dramatic rise in opioid addiction also can't be overlooked, experts say, though untangling accidental from intentional deaths by overdose can be hard. In that time stretch, guns were used in 53 percent of suicides.
High suicide numbers in the United States are not a new phenomenon.
"The reason most suicide decedents don't have a known mental disorder is that they were never diagnosed, not that they didn't have one", said Dr. David Brent, a professor of psychiatry at the University of Pittsburgh.
"In addition to making sure Missouri's farmers and ranchers have a strong safety net and access to trade, we need to ensure they have access to the mental health resources that are often lacking in rural areas", McCaskill said in a statement.
The timing of the new data is not lost on the Kim Foundation in Omaha.
Kaslow is particularly concerned about what has emerged with suicide among women.
If you are having thoughts of harming yourself or thinking about suicide, talk to someone who can help, such as a trusted loved one, your doctor, your licensed mental health professional if you already have one, or go to the nearest hospital emergency department.
The study released Thursday looked at trends in suicide rates from 1999 to 2016 and data from the National Violent Death Reporting System that includes data from 27 states.
Brooke Plantega, KC's mother, says there is not enough work on prevention. "Men and Hispanics especially are less likely to seek help".
"Our data show that the problem is getting worse", Schuchat said. It was a shock to her fans and renewed discussions about mental health awareness. They found that relationship problems or loss (45.1% versus 39.6%), life stressors (50.5% versus 47.2%), and recent or impeding crises (32.9% versus 26%) were significantly more common among those without known mental health conditions than those with.
However, he said, better records are being kept on suicide statistics. "What are we doing as a nation to help people to manage these things? And so a report like this really draws attention to the fact that we need to do a whole lot more to prevent suicide, to save lives". However, the fact that so many other factors appeared to contribute to suicide is an important finding. "We think that a comprehensive approach to suicide is what's needed".