Addressing Suicide in Montana

We were both teenagers when my cousin, Steve, decided to end his life, sending the family down a dark and painful path. Devastating his family was not his intention, of course. Steve – like too many others – simply did not understand another way to stop his anguish. 

Montana has high rates of suicide, especially among teenagers. The reasons for this are complex, and include lack of access to mental health care, an attitude of rugged individualism, and easy access to firearms, which are a particularly lethal method of suicide.

Organizations, communities, professionals, and family members are among those working together across Montana to prevent suicide. The University of Montana and Montana State University, for example, both having federally funded projects underway to increase the mental health workforce in rural Montana. School districts in Montana are training teachers and staff to be better recognize and respond to mental health crises in students.

Stigma associated with help-seeking in Montana contributes to our high rates of suicide. We can all play a role in eliminating this stigma. Asking for – and receiving — mental health care needs to be as acceptable as seeking medical care for a physical problem. A “tough it out alone” attitude is not what people need when experiencing emotional suffering.

Bereaved families are also impacted by the stigma around suicide. Suicide has too often been viewed as something shameful, and a reflection that the family did something wrong that caused the suicide. This is not accurate or fair, and it compounds a family’s grief. 

I worked with Missoula educator and parent, Amanda Maughan, to create a podcast that addresses suicide myths and stigma; Amanda’s teenage son, Harrison, died by suicide in November 2015. Through conversations and stories, listeners of the Love Lived Here podcast are invited to better understand suicide and grief, and offered ideas and support for navigating their own loss and grief journeys – past, present, and future.
 
We can all be part of preventing suicide in Montana.


Dr. Mary-Ann Sontag Bowman, a faculty member in the School of Social Work at the University of Montana, holds a Ph.D. and an MSW from the University of California at Berkeley; she is also a Licensed Clinical Social Worker. Mary-Ann has worked in end-of-life care and grief for over two decades.

We encourage you to listen to her podcast and visit her grief website.
Increased Suicide Risk: Farmers

Farmers are disproportionately at-risk for suicide because of the additional stressors they often face. These may including financial struggles, adverse weather events that negatively affect farm production, possible stigma regarding mental health within the farming community, and pressure to keep a longstanding family farm operating.
Increased Suicide Risk: LGTQ+ Youth

LGBTQ+ youth are disproportionately at-risk for suicidal feelings and other mental health struggles because of the discrimination and prejudice they often face, particularly in more rural communities. 

Two online resources for LGBTQ+ youth (click the images to visit the sites)

Increased Suicide Risk: American Indians

American Indian/Alaska Natives (AI/AN) have the highest rates of suicide of any racial/ethnic group in the United States. Higher suicide rates among AI/AN people are linked to historical trauma and discrimination, higher rates of alcohol and drug use, and higher rates of poverty. They are also more likely to live in rural areas. In addition to a shortage of mental health providers in many rural areas, there are even fewer mental health providers who are AI/AN, which may future deter people from seeking mental health services.

Our Work Reviewing Montana Programs
The Center reviewed more than 400 articles on suicide and suicide prevention and created a chart that provides an overview of existing research. We invite you to view the complete chart of evidence-based and promising programs (Note: This Google doc includes multiple pages, highlighting programs for different demographic groups.)

Some of the information in this newsletter came from the Rural Health Information Hub.
Be sure to check out their huge, resource-filled website.
The Center for Children, Families & Workforce Development partners with the child protection, health, educational, and judicial systems to develop and deliver educational and training resources to professionals and caregivers statewide. We also conduct research that focuses on solving problems that impact children and families. Support comes from the University of Montana's College of Health and School of Social Work.