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Rural suicide rate in state at crisis level

Technology, counselors needed

RENO -- Officials hope technology, newly licensed counselors, partnerships with higher education and community education about suicide will reduce deaths and improve the quality of life for rural Nevadans.

Nevadans in the 15 rural counties, excluding Washoe and Clark, commit suicide at a rate more than double the national rate. In 2004, the most recent year for which data are available, 27 out of every 100,000 people in the state's rural counties killed themselves. The rate for the state and Washoe County was 19 per 100,000. The national rate was 11 per 100,000.


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  • Officials said a precise reason for the high rate is unknown, but lack of mental health professionals, distance between communities, and the stigma of seeking treatment all contribute to the problem.

    As the state faces its worst budget crisis in decades, health officials are hoping rural mental health clinics can be spared drastic cuts.

    Rural clinics already are understaffed and cannot recruit for vacant positions, creating a waiting list of up to a year for patients who need to see a mental health counselor, officials said.

    Nevada is trying to address mental health needs in rural areas with an Internet-based program called telemedicine, which connects patients to a psychiatrist through a Web camera, the Reno Gazette-Journal reported.

    Last year legislators enacted a law to license new mental health counselors and partnered with state colleges and universities to create academic programs specific to rural mental health.

    Officials said the problems of rural mental health extend throughout the country, and other states have addressed them in a variety of ways.

    The Sowing the Seeds of Hope program established in 1999 in seven Midwest states works to make citizens comfortable seeking help in privacy. In Iowa, Kansas, Nebraska, Wisconsin, Minnesota and North and South Dakota, statewide hot lines are staffed by mental health professionals trained on agricultural issues faced by the citizens. The professionals then direct callers to resources.

    Sowing the Seeds of Hope includes outreach workers who go to homes, assess needs and refer residents to services, coordinator Michael Rosmann said.

    "Historically, the problem with behavioral health in rural areas has been attributed to its few providers, but the culture is one of reluctance to reach out," Rosmann said. "They think if they ask for help, it's a sign of weakness or their neighbor will find out.

    "What we've done is try to present behavior health treatment in a way that people are comfortable with accessing help."

    Alaska, the national leader in suicides, is mostly rural communities. Many parts of Alaska are accessible only by boat or aircraft.

    Ron Adler, chief executive officer and executive director of the Alaska Psychiatric Institute, said the state also has a shortage of professionals, especially to treat children.

    Adler said the state has used telemedicine for about 20 years. In the last five years, video-conferencing was added for assessments and patient sessions with psychiatrists at eight rural clinic hubs throughout the state.

    "We find that children and adolescents are adaptable to the technology while adults are initially apprehensive, but are grateful after the services are rendered," Adler said. "Without a question this is the next step in providing greater access to treatment to people in rural and frontier communities."

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    joe wrote on July 16, 2008 01:01 AM: Most Mormons I know are great people. I don't hate Mormons, I just hate what their church does to them.


    DJ2 wrote on July 15, 2008 09:02 PM: Well, now, let's see...

    Could it be that farmers/ranchers whose livelihoods depend on water, gas, and decent prices for their products have reached a point where there is no chance to even break even? How about the cumulative hits of drought, relentless increases in gas prices, plus perpetual governmental interference in the markets, interference that favors agri-business over small, private farmers/ranchers?

    And, how about the myopic, self-righteous, nausiatingly moral superiority of those who want to force their idea of "conserving the planet" by pressuring the poor to use less gas with punitive gas price increases? Perhaps farmers are having a hard time reconciling the notions of putting millions of dollars into a "bike path" for the morally superior to pedal on while they, themselves, are watching their small to non-existant profit margins being eaten up?

    It could be that the farmers are unable to come up with an eco-friendly way to plow and harvest their crops. After all, how many bicyclists would one need harnessed to a plow to break up the parched ground in a large field? How many bicyclists in tandem would it require to pedal a load of hay bales into town?

    Consider this, water and gas enable farmers to grow and harvest the food for the rest of the nation, and enough left over to export to the hungry of the world, and yes, even for those "organic" veggies so required by the delicate systems of the "healthy". If the farmers are not supported by this nation, they will be unable to feed the nation. You cannot muzzle the ox that treads the corn.

    And joe, gee, so you despise Mormons...


    joe wrote on July 15, 2008 02:09 PM: It's because of the large Mormon population up north. Utah has the highest depression and suicide rates in the entire country (check out ABCNews.com) and it's residnets have the highest use of anti-depressant medications as well. So it would only make sense that the rates of depression are much higher considering in northern Nevada is nothing more than western Utah. The Mormon lifestyle puts so much pressure and guilt on people that they resort to pills or suicide. In the Mormon church you're taught bad things don't just happen, they happen because the people were bad. You lost your job? Oh, you must have sinned, it's all your fault. Your wife left you? You must be behind in your tithing payments, ect. ect. Mormons will try and deny this, but deep down inside they know it to be true, that's why their so depressed.


    Judy wrote on July 15, 2008 12:31 PM: Shannon - you are right. But by the rurals putting this asshat into office has only made it worse. It seems the rurals just don't get it in Nevada.


    Please consider this wrote on July 15, 2008 11:27 AM: Although, I believe a percentage of deaths regarding mental health issues can be attributed to suicide due to desperation and depression, I'm convinced most deaths should be attributed to the pharmaceutical schedules patients struggle to maintain.

    For instance, a friend diagnosed with bi-polar was sent home to take 7 zanax a day, in addition, to 3 or 4 other meds (w/multiple doses daily), just coherently managing that med schedule "under the influence" is mind boggling. The meds came in a three month supply.

    Then, two months later, this patients med prescription (new choices in medication) was changed, new prescriptions were ordered. These new instructions on top of 2 months of 7 zanax a day,plus others, introducing new side effects. None of the old scripts were addressed(throw them out or give them back), not a word.

    I am convinced some of these deaths are unintentional by the patient. Heck, some of us can't remember if we took our vitamin pill this morning, much less multiple drugs that alter our minds.





    dotcom wrote on July 15, 2008 08:44 AM: The gambling,drugs, sex entertainment and corrupt govt. only takes a person so far then they have nothing to live for when the thrill is gone. And George is right about the M.H. Facilities they give people jobs, no one is properly cared for except maybe they legally prescribe the patients more drugs and they od or get more depressed.


    Gossip wrote on July 15, 2008 08:39 AM: The biggest problem in rural areas in the Freaking Gossip that goes on out there.

    No one seems able to mind their business.


    Justice wrote on July 15, 2008 07:42 AM: Has anyone been to those outlying rural communities in the middle of nowhere? I'd kill myself too from extreme boredom and no Taco Bell.


    jl wrote on July 15, 2008 07:32 AM: The underlying cause of all of this is, the excessive heat, compounded by police shootings, abuse and harassment.
    Oh we must not forget the constant losses from Casino gaming too.

    Nevada is just an overall bad State to live or visit. Just too much corruption.
    Too much abuse. Too much stress.
    Too much mental illness.

    The real question is, whats being done to fix the underlying cause's?


    Shannon wrote on July 15, 2008 07:29 AM: Frank and Jim:

    I'm sure that severely depressed people don't vote. Your jokes aren't funny and neither is the fact that Nevada's mental health monies have been cut repeatedly ever since Governor Miller and continue to be cut to this day while the population in Nevada continues to climb. Once again, Nevada fails to care.


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