Suicide and Suicidal Attempts in the United States: Costs and Policy Implications

The national cost of suicides and suicide attempts in the United States in 2013 was 58. 4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97. 1%) of this cost. Adjustment for under-reporting increased the total cost to 93. 5 billion or 298 per capita, 2. 1-2. 8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit-cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients.