The 988 Colorado Mental Health Line is available for free, immediate, human support at any time. If you or someone you know is struggling with an emotional, mental health, or substance use concern, call, text, or live chat with 988 today or go to 988colorado.com.

In the event of a life-threatening mental health emergency, call 911 or get to the nearest emergency room.

Statistically, rural suicide rates continue to remain higher than rates for urban/suburban (https://pmc.ncbi.nlm.nih.gov/articles/PMC12940470/), especially in western states. Additionally, suicide rates tend to be higher among working age men, with elevated rates in the agriculture, construction, and extraction industries (https://www.cdc.gov/mmwr/volumes/72/wr/mm7250a2.htm).

Men complete suicide at much higher rates than women, but rates for rural women are significantly higher than for women in urban areas. Veterans, tribal communities, and farmers/farmworkers are groups with the highest rates of death by suicide in rural areas. Untreated mental illnesses are included among risk factors for suicide but are not a determinant. Suicidal thoughts or actions can be the result of a crisis event in someone without a history of mental illness.

These findings highlight the importance of increasing awareness, reducing stigma, and improving access to behavioral health resources in our communities. Continued collaboration among public health agencies, healthcare providers, community organizations, and local partners is essential to supporting mental well-being, preventing suicide, and ensuring residents can access the care and support they need.

Additional state and national resources that specialize in rural mental health and support:

Crisis Center Availability

Crisis can appear under many disguises. Some common ones include relationship problems, depression, anxiety, bullying, substance abuse, and suicidal thoughts. If you or a loved one are navigating any of these or other challenges, it may be time to find someone to talk to. 24/7/365 mental health and addiction services are available at 988 or you can walk into any crisis center during business hours:

Common Risk Factors for Suicide include:

  • Family history of suicide
  • Family history of child maltreatment
  • Previous suicide attempt(s)
  • History of mental disorders, particularly clinical depression
  • History of alcohol and substance abuse
  • Feelings of hopelessness
  • Impulsive or aggressive tendencies
  • Local epidemics of suicide
  • Isolation, a feeling of being cut off from other people
  • Barriers to accessing mental health treatment
  • Loss (relational, social, work, or financial)
  • Physical illness
  • Cultural and religious beliefs (e.g., belief that suicide is noble resolution of a personal dilemma)
  • Easy access to lethal methods
  • Unwillingness to seek help because of the stigma attached to mental health and substance abuse disorders or to suicidal thoughts

​A common response to suicide is to oversimplify the cause of the suicide. Usually suicide is more complex. Our culture is often uncomfortable talking about suicide.

Some factors that protect individuals from suicidal thoughts and actions are:

  • Effective clinical care for mental, physical, and substance abuse disorders
  • Easy access to a variety of clinical interventions and support for help seeking
  • Family and community support (connectedness)
  • Support from ongoing medical and mental health care relationships
  • Skills in problem solving, conflict resolution, and nonviolent ways of handling disputes
  • Cultural and religious beliefs that discourage suicide and support instincts for self-preservation

Community Outreach and Evidence-Based Suicide Prevention Training Opportunities

The Northeast Colorado Health Department in partnership with Centennial Mental Health Center will provide community outreach and evidence-based suicide prevention training opportunities to the communities of northeast Colorado. Training opportunities are available for all community members several times throughout the year. These include Mental Health First Aid (MHFA) for Adults, Teens or Youth, Applied Suicide Intervention Skills Training (ASIST), QPR (Question, Persuade and Refer) Community Helper Training, and several others.

For more information or to sign up, please contact:

Maranda Miller
970-522-4392
MarandaM@CentennialMHC.org