If you or someone you know is contemplating suicide, please contact the Suicide Prevention Hotline at 988. If you are a veteran, dial 988 and then 1.
A new suicide prevention coalition is being formed in Worth County. The first meeting was held Wednesday and attended by around 12 people. It was moderated by Sarah Baker, Community Engagement and Partnership Coordinator for Suicide Prevention at the VA. She presented facts and figures about Worth County and suicide in general.
A large study about the area recently done in 2024 provided facts and figures. Worth County is at around 1973 people according to the 2020 Census and has a net migration rate of –.28.41%, meaning that many young adults are not staying in the community. That means that the county has an older population. However, youth suicide is on the rise to the point that more youths now die by suicide than by car accidents.
Worth County is one of the most disadvantaged counties in the state. It is in the 88th state percentile in the Area Depravation Indes, meaning it is more disadvantaged than 88% of the state.
The average family makes around $43,536 a year. Nearly 30% of residents have bills or debts they struggle to pay. Nearly all civil court cases filed in Worth County involve unpaid rent, credit card bills, or medical debt. Around one in three children in the county live in poverty. When families struggle with money, it can make them feel stressed, sad, or hopeless.
Only 1% of people in Worth County live close to a park or place to exercise and 29% of adults said they don’t do any physical activity for fun. When we student taught at Worth County in 2005, we once had elementary students run a mile in preparation for the Elementary Track Meet. Only around 10% of them were able to run a mile. Around 22.30% of adults in the county smoke. Vaping is not any safer than smoking, and studies show that it can be worse. It is an infraction in Missouri for a minor to be in possession of a vaping device. A few years ago, the school attempted to pass a bond issue that would have included building a second gym that would have doubled as a community recreational center, but it failed.
Around 13.1% of the county is food insecure, meaning they worry about having enough money to buy food. Around 24% of people in the county have been told they have depression. Around 18% of adults report having many “bad days,” a clear sign of mental health issues. There are no doctors in the county who specialize in helping people with drug or alcohol problems. It is also very difficult to find a local mental health doctor. People facing food insecurity are nine times more likely to commit suicide.
Suicide rates have been accelerating more in rural areas than they have been in urban areas. From 1999 to 2019, suicide rates have gone up by 31% in urban areas and 50% in rural areas.
Worth County has 116 veterans, of which 52% are enrolled in the VA. For every death by suicide in the county, around 135 individuals are affected.
Protective factors include tight-knit communities, neighbor relationships, multigenerational families, coping and problem solving skills, volunteer opportunities, community improvement projects, and family cohesion. These are factors which help prevent suicide.
But the same factors which can help prevent suicide in some people can help increase the risk in others. One example is that the very factor which helps create tight-knit communities can create social stigma and lack of anonymity. Rural farmers are more likely to experience financial concerns due to the fact that farming is an inherently risky investment. Substance use is higher in rural communities, as is access to firearms.
Veterans are more likely to understand gun safety; nearly half own a firearm. However, veterans are also more likely to attempt suicide with a firearm. Around 90% of suicides attempted with a firearm are fatal.
Focused priority areas for the prevention of suicide include identifying service members, veterans, and family members at risk of suicide, promoting connectedness, and promoting gun safety. Ms. Baker said that the time between the time someone decides to commit suicide and the time they actually attempt it is one hour, meaning that any gun safety measures, like safety locks, help decrease the risk of suicide.
While the 988 emergency line is important, suicide prevention has become more than just helping people in an immediate crisis. It is also about fixing the “root causes” of stress in a community. Worth County has specific challenges that can make life feel heavy for neighbors. By working to improve these things, the goal is to build a community where everyone is supported. The goal is to build a better “fence” where everyone is supported before they are in immediate crisis.
One possible solution is to train people on how to screen for suicide risk. Ms. Baker said that one does not have to be a clinician to do so. She said that in her experience, some people respond when asked directly if they plan to commit suicide. One does not have to be in immediate crisis in order to call 988. “It’s OK not to be OK,” said Ms. Baker. She said one of the most effective ways to combat suicide can be a simple coffee group.
While there are cases of suicide where even people close to them didn’t realize that there was anything wrong, Ms. Baker said that the majority of people show warning signs, and they can be spotted by the people closest to them. Caring contacts, handwritten messages, and even texts to someone helps reduce the risk of suicide.
The Family Guidance Center, 4906 Frederick Avenue, St. Joseph, provides behavioral health urgent care. It is open from 7 am to 7 pm Monday through Friday, and their number is (816) 676-7222. The VA has several self-help apps on their website that people can download and use even if they are not a veteran.
The event was organized by Jeremy Dale Baker (no relation to Sarah Baker of the VA), who successfully completed an online course at the University of Missouri-St. Louis and got a certificate in Neighborhood Leadership in November. The group agreed to meet again at a later date to decide what they wanted to do.