The increase was substantial among middle-aged Americans, sending a signal of deep anguish from a group whose suicide rates had been stable or falling since the 1950s. The rise was particularly steep for women, including an alarming increase among girls 10 to 14, whose suicide rate, while still very low, had tripled. The data analysis also provided fresh evidence of suffering among white Americans, showing surges in deaths from drug overdoses, suicides, liver disease and alcohol poisoning.
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