Stephen Rodrick writing for Rolling Stone:

The Centers for Disease Control recorded 47,173 suicides in 2017, and there were an estimated 1.4 million total attempts. Many of society’s plagues strike heavier at women and minorities, but suicide in America is dominated by white men, who account for 70 percent of all cases. Middle-aged men walk the point. Men in the United States average 22 suicides per 100,000 people, with those ages 45 to 64 representing the fastest-growing group, up from 20.8 per 100,000 in 1999 to 30.1 in 2017. The states with the highest rates are Montana, with 28.9 per 100,000 people; Alaska, at 27 per 100,000; and Wyoming, at 26.9 per 100,000 — all roughly double the national rate. New Mexico, Idaho and Utah round out the top six states. All but Alaska fall in the Mountain time zone.

Last summer, I began a 2,000-mile drive through the American West, a place of endless mythology and one unalterable fact: The region has become a self-immolation center for middle-aged American men. The image of the Western man and his bootstraps ethos is still there, but the cliché has a dark turn — when they can no longer help themselves, they end themselves. I found men who sought help and were placed on a 72-hour hold in a hospital ward, and say they were sent home at the end of their stay without any help, collapsing back into the fetal position — the only thing accomplished was everyone in the small town now knew they were ill. I found men on both sides of the Trump divide: One whose anger toward his abusive parents was exacerbated by hours in his basement watching Fox News and Trump while drinking vodka; the other was a Buddhist mortician whose cries for help were met by scorn in a cowboy county that went 70 percent for Trump.

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