he has the best memory so how to explain this des krep iscrepanc. the president has known everyone until it becomes inconvenient and if they don't like it, tough luck. they can take it up with him or john miller or john baron on the ridiculist. i'm going to hand it over to chris cuomo. >> thank you, my friend. welcome to a special primetime report. if you have some political fatigue and you're not going to watch the debate, give me an hour of your time, please. we're going to confront something that is wildly important, the most ignored kind of illness in our society is also the most prevalent, and it is mental illness. one in four of us have it.

some sort of depression. maybe a loved one, maybe you, could be both. no one is immune, no kind or face or place. someone takes their life every 12 minutes in this country because of it. it's five lives lost in this hour. maybe tonight we can come together, we can give it some attention, some information, maybe there can be one less. this problem presents the most pernicious paradox for us because unlike other diseases, we know we can treat it and beat it. almost every other disease we too often won't admit we have it or seek treatment. only mental illness has that stigma. the need to take it out of the shadows, that's the point of tonight, erase the stigma. there is hope, there is help. let me show you the problem and the solution. please, come with me.

let's get after it. here is the fact -- the u.s. suicide rate is up 33% over the last two decades. it's the highest level since world war ii. on average 123 americans die by suicide each day. it's especially devastating on our most valued citizens, our veterans. 20 vets take their own lives every day. we're so lost in this country on how to deal with the reality. think about it. we actually criminalize the effects of this illness. suicide is illegal. addiction is illegal. and that seems to be the best this society can do to relate and yet there is no illness that touches more of us and in more ways. think about it. we're going to have the national suicide lifeline number on throughout the hour. if you need it, use it. that is strength, not weakness.

if you know someone who is in trouble, reach out. tonight is about shining a light with the help of one of the best people i've met in this business. chief medical correspondent dr. sanjay gupta. >> angela glass, she's a mother, a wife and a nurse from victoria, texas. >> here we go. >> not the type you might think would battle thoughts of suicide, but she is emblematic of a terrifying story now unfolding in the united states. >> i took pain medication, hy o hydrocodon. and then i took xanax for the anxiety. >> she'd be acting different. it got worse after we lost a child and has steadily gotten worse since then. >> it's come to where i take way

more than i'm supposed to. even the other night i was sitting there thinking maybe i should just take all of these and just go to sleep. >> it's hard to see that sort of pain, that relentless stress with hardly any resiliency. it's also the prescription for what has become a unique american form of despair. in the united states suicide rates have been steadily climbing since 1999. today they are 33% higher since world war ii. no one is immune, regardless of age, gender and geography. in 2017, more than 47,000 people died by suicide. but the other number is the number of people who wish to die. attempted suicide, 1,400,000, and that's just adults.

>> if i knew i was going to be here right now, i wouldn't have ever started taking medication. i don't wish this on anybody. and i don't deserve to live like this, my kids don't deserve it, my husband doesn't. >> women like angela are more likely to have suicidal thoughts, yet in 2017, men died by suicide nearly four times more often than women. and when we looked a little more deeply at what was happening, a larger, more frightening picture started to emerge. suicides, along with drug overdoses and alcohol-related deaths, have all shot up. they are aptly called the deaths of despair. >> enough people have died to make it of the same magnitude of all the people who have died of aids in the u.s.

those mortality changes are large enough to cause life expe expectancy to fall first for whites and then the entire population and that's a really unusual event. >> you heard that right. in the united states, one of the wealthiest nations in the world, a nation that spends $3.5 trillion on health care, life expectancy is going backwards, now three years in a row. if the disease is despair, as the princeton economists believe, then what is the treatment? it's complicated and different for everyone. but for angela, as close as she got to ending it all, her turn around was even more remarkable. when you decided to go to rehab, how difficult a decision was that? >> it was -- it was hard. i consider everything that i learned there a coping skill. they taught me to talk and i thousand it was silly when the instructor came in and was

telling us just sit back in your chair, relax, take ten deep breaths. halfway through i was like, wait, this is working. i just felt so much better. that day was the best day that i have had in years, just knowing that i can make it through a day without that medication, it's amazing. >> i mean, the story typically is, as you know, tens of thousands of people die every year from these overdoses, but you came out the other side. >> i definitely feel if there was a lot more people like my husband and my mom, how supportive they were, that a lot of people would get help earlier. >> you were so good. i'm really happy that you're doing well. i really am. >> thank you. >> wow. 80% who get treatment for those types of mall a e dis, they can come out of it. despair, my concern with the word is that it takes us to an

emotion or a mood. despair gives us desperate, desperation. how do you keep it clear it's an illness, not a feeling? >> that's a good point, you know, that depression is the biggest disease associated with suicide i think is a point that should not get lost in all this. i think what these economists and others, the point they were trying to really go for is fundamentally, though, if you have a country that where suicides are going up, as well as drug overdoses and liver sir owes is from alcoholism, is there a more underlying sort of issue here? there's other countries around the world that have had similar economic challenges to the united states, similar challenges politically, whatever it might be, so why is it different in the united states? that's what they were driving at. >> and the who. it is somewhat special with us. white people. why? >> primarily white and white working class. if you look at african-americans, their

mortality rates are higher than whites' but they've been steadily going down. hispani hispanics' mortality rates are lower than whites and they've been steadily going down but the whites and primarily white working class, their mortality rates have been going up so significantly, that it has lowered life expectancy now for the whole country. the why is a complicated question. i think there's two primary things. one is the idea that we're talking about the sons and daughters of the greatest generation or grandsons and granddaughte granddaughters. in some way they were supposed to inherit the earth or the united states. they see jobs leaving, wages dropping and see themselves dying at a faster rate that nn i their similar cohorts than anywhere around the world. it's almost underlying existential sort of stress. and the idea of when you live in a place of tremendous glaring

economic inequality. let me show you this experiment. you're looking at two monkeys. for 25 times they've been doing a task. they get a piece of cue kcumber each time they do this. you give the monkey on the right a grape instead, watch ho he w reacts to this. he looks at the cucumber, test it is out a little bit and throw it is back at the examiner. very upset, this monkey on the left was totally fine 25 times in a row getting this piece of cucumber, sees the other guy getting a grape and now the stress levels have soared in this monkey on the left. >> so stress expectation versus reality and the idea that your thoughts become things, that what starts as a feeling can become an illness. >> i think that's right. and the idea ultimately that

what's driving it is this idea that it's far worse to have expected certainly and not received it versus simply not receiving it. can that then spiral into manifestations of these various problems that we're talking about? i think so. that's what these economists believe. can take the form of suicide, drug overdoses, alcoholism. in some ways these are all self-inflicted. >> even this wisdom sheds light on an ignorance. we're getting this information from economists because we don't study mental health the way that they do. >> even when economists pointed it out to the medical community, at first they were ridiculed, like you can't be serious, how is this possible? how is it we are one of the wealthiest nations and we seeing this? but it's true. >> let's do this -- when you have somebody as valuable as you, you keep him around. stay with me in the show, help me ask the right questions in

this situation and let's try to do some good. it's great to have dr. sanjay gupta always. something else that will be very helpful. let's get a conversation going. you know how to get me on twitter, we all know that. but tonight let's keep it positive and productive and i will then later in the show show where people's heads are, what you accept, what you don't accept. what do you make of this theory we just revealed to you? do you buy it? when we come back, we have a very special guest, the widow of lincoln park singer chester bennington. what is it like to live through this, to come out the other side with the pain that you hold of loss, what do do you with it, next. ( ♪ )

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introducing febreze one. it eliminates odors with no heavy perfumes, so you can feel good about using it in your home. for a light, natural-smelling freshness, try new febreze one. as the good doctor told you, men are nearly four times more likely to die by suicide, but reality isn't as simple as a statistic. in fact, we see women are diagnosed with depression at high are rater rates. instead men tend to self-medicate, drugs, alcohol. men are nearly twice as likely to meet the criteria for alcohol dependence but alcoholle is is known risk factor for suicide. our goal is to see how these fit together. depression, addiction, suicide, it all fits together and looks like the life of chester

bennington, lead singer of the rock band lincoln park, so talented, so special to so many, but he took his own life almost two years ago. his wife, talinda, has channelled her pain into purpose. not easy, beautiful to observe and so helpful to her tonight. to linda, thank you for taking this opportunity. >> thank you so much for shedding light on such a necessary topic. >> let's start with what you want people to know because what you have lived. >> well, i want people to know that you're not alone, no matter what. i'm living this in the public eye, but there are millions of people all across the world that are living it privately and in shame. you don't need to be in shame because you're not alone, whether you're suffering from depression or you love somebody that is, you're not alone. so that's really what i want people to understand. we're all -- at the end of the

day, we're all people, we're all humans. >> and there is nothing to hide from. this is not weakness. it is illness. you can help by doing the simplest things of reaching out to others. those are beautiful but also powerful messages, something else that you lived as a reality. the idea of how men deal with this appreciation of mental illness. what did you see in your husband? >> oh, i saw a wide range of things. a lot of it is what i didn't see as well. but i did -- there was alcoholism, there was drug addiction, but he wasn't off the rails all the time. most of the time, very rarely actually. it was when he'd isolate, when he wouldn't reach out to hang out with his friends. that's when looking back i now know those were some of the biggest signs that were out there. >> it's interesting, our culture has evolved in some ways and

others not enough. your husband was one of many, not just in the entertainment world but say, look, i got my ups and down, some problems with substances. they're not going to say that about their mental health. it's very rare to hear somebody say i think i'm in a struggle here, my chemicals are upside down, i'm battling with a depression. we do not see men getting treated at the same rate as women, though women are diagnosed more often as men. >> it goes back to our culture, telling our boys to suck it up and deal. with the death of chesse cheste wanted to use the platform he spent his life creating to let those fans and the world know, his death is not in vain, you're not alone, there are others ot the

-- out there suffering. let's talk about it. chester would go to treatment, he would go to therapy, but i'll be very honest, he was never open about being okay with struggling with depression. he did speak about it and white songs about it, that was his outlet. but i'll tell you, at home it want like i'm having a hard day today, let's talk. and that's really what i want to do what i can to change in our homes. >> people aren't aphrase fraid they have diabetes or, god forbid, they even have cancer. they say it. they deal with it with strength, not like with mental health. what was the hardest thing for you in all of this emotionally and how did you deal with that? >> telling my children, that was obviously the hardest thing for me, but with having to tell them, our twins were only five when he passed away so it was

one thing to say that daddy's gone, but i knew there was going to come a day where i had to explain how he died before social media did. and that's -- i just kind of dove into the mental health space and i saw that there was so many amazing organizations working to try to reduce the stig stigma, to try to help people, but it's not very steamlined. it's kind of where do you go? there's a suicide lifeline you have posted up there. there are also different organizations all across the nation that help family members, that help friends, that even help people when you're not in that heightened state of emergency because it is health, you know. if we don't take care of our health, we will become ill period. so we need to have support, even when we're feeling well. >> you are 100% right. i know now it's second nature to you. it's so common senseical once

you lived it. so many of us are blind to every aspect of life. i know this is a conversation you never wish you had to have. having lived through it, thank you to using your experience to help others tonight. we're privileged to give you the platform tonight. our best to the kids. >> thank you. >> two decades, we have seen something that really should bother you. we all say we care about the veterans, right? yet there has been an unrelenting tide of suv side. not that all veterans are vulnerable, not that they're weak. get past that. so many struggle with in but they have twice the rate of suicide than those who don't serve. what is our v.a. doing to help our heros? sanjay and i are going to put our minds to the matter as part

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you know, we say we support the troops all the time but do we? the men and women who protect

and defend this nation, they're taking their lives at record numbers. 321 active duty members of the military died by suicide in the year 2018. it ties the worst year since the armed forces started keeping close track of this. 20 vets every day take their own lives. it's been pretty consistent for a decade. matt mill ser is with us, direcr of the military medical line. >> thank you for giving the v.a. an opportunity to join in this important discussion. >> we have our best on it. i'm joined here with dr. sanjay gupta. i need him to make sure we're asking the right questions. let me bring him into the conversation. what do we need to know to sar

start? >> it's interesting, we think of vets having much higher suicide rates. in the past, it's been lower. this number, 20, 2 people dying every day by their own hands, veterans, the big question, why is that happening, why does that continue to happen over a decade now? do we have any insights into what's going on and how to curb those numbers a bit? >> why is the question to start with is the question that's on all of our minds and it's the question that comes to mind i think first when we experience this. it's the question that came to my mind first when a friend and colleague, united states marines, died by suicide when we were stationed together back in 2004 and 2005. it's a complex answer. it's a very individually-based

answer. it's a combination, and a complicated combination, of risk factors and protective factors. veterans are extremely resilient as a group and as a population. veterans also face unique challenges and unique risk factors within the suicide and suicide prevention fight. >> there's also unique resistance, is there not, matt? within of t one of the things that we've learned in the community, ptsd -- we dropped the d because of the stigma of disorder. many in your community don't want to admit thinks because they see this as weakness and they are warriors. how do you combat that? >> i have a little different perspective on that as a veteran as well. >> please. >> i think there are very real

questions veterans face in seeking assistance but veterans are uniquely trained and uniquely learned when to charge and go forward and go it alone, if need be, versus when to call in for help. i think that some of the challenge is that we're working hard within the v.a. to address o our converting some of the things you've talked about with other guests already, converting this awareness into increasing help seeking, how to seek help, how to get help, what does help look like, when do i need help and educating veterans in that way. and that is going to be a broad community effort, including the v.a. and beyond the v.a. >> i'm curious, you know, the resources available at the v.a.,

there's been studies shown that veterans who interact with the v.a. get health services there are then less likely to die by suicide and you also hear on the news lately, headlines the last few months that there have been veterans who have taken their own lives right outside a v.a. a. hospital, right at the entrance to a v.a. hospital. are there enough resources? is there a concern about the resources available for veterans? >> you raise several good points, dr. gupta. one is the number 20. if we take a look at the 20 per day of veterans, first, one is too many. within that 20, 14 have not had care within the v.a., six have. veteran is veteran to us, however, in the v.a. and we are looking to design and implement

suicide prevention programs and services that reach all veterans, the 14 and the six. talking about the on-campus suicides, actually on-campus rates on the v.a. are lower than on-campus rates at non-v.a. facilities and on campus suicides have decreased by 40% from one year to the next recently. so good news overall. nonetheless, coming back to the main point, one is too many. therefore, we are working on and have developed a national suicide prevention plan and road map and are working closely with communities through the mayoral challenge, the governor's challenge to combine resources across treatment and prevention. >> we will put the information out. we appreciate the work that you are doing and you raise a point

that whether it's veterans or non-veterans, matt, if you get treatment, your chances of survival just skyrocket. we have to see it as a show of strength, not weakness. thank you so much. matt miller, god bless and good luck with the work going forward. so here's the number that we're showing if you need it, use it. if you know someone who you think could benefit from it, reach out. 1-800-273-8255. now, press 1 if you're a veteran when you're calling. then you'll be transferred to a v.a. staffer. we'll keep putting up the number. it's tweeted out. it's there if you need it. use it. our next guest knows how to stop this tragic loss of life. think about that. something so pervasive in our society. it's not like cancer where we haven't figured out exactly what -- we have something here. she's the lead scientist of the severity rating scale called the

columbia protocol. this thing has dramatically helped lower suicide rates when it is implemented, even in the military. what are the solutions? next. when did you see the sign? when i needed to jumpstart sales. build attendance for an event. help people find their way. fastsigns designed new directional signage. ...and got them back on track. get started at fastsigns.com.

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the columbia protocol. the found aer and director of t columbia lighthouse project developed the protocol. she joins us now. i love you, i love you work. i'm joined by two people i respect and admire. that is a gift. what is it, how does it work? >> i want to step back and start with the good news, as you're saying, that there is hope, there is help, suicide is preventable and people don't have to suffer in silence. one of the things that we've known, why we haven't been able to touch the needle very much is that 50% of suicides see their primary care doctor the month before they die. weep should be asking questions the way we monitor for blood pressure. we know that many adolescents who try to take their own lives that show up the emergency department are not there for psychiatric reasons. if we're not asking like we do

vision or blood pressure, we won't find the people suffering in silence. but even that is not if you hen. they had an urgent recognition that we must go beyond the doctor's office, find people where they live, work and thrive. many people won't have the will to come to you. so when we start to ask everybody put it in their hands, many people won't ever get to the doctor's office. so coach, peer, spouse, janitor even. so what's happened -- the columbia protocol is a simple set of questions that help us for the first time identify who's actually at risk, who to worry about, what the questions are to ask, what to do with the answers but also breaking down those barriers of stigma that people want to be asked and they need to be asked. when people are suffering, they actually want help. and there's in myth that if you ask somebody, it's going to cause them to be suicidal when it's actually the opposite. they feel -- they feel relief

and they feel grateful when you ask. and it's quite an empowering feeling. and the other thing is forget about that it's the right questions. when you're asking and when we have a language, it builds connectedness. the cdc has told us feelings of isolation and loneliness is one of our greatest risk factors. having loneliness is equal to having 15 cigarettes a day. amazing. when you actually connect that caring and that asking can be medicine. >> i think that's such an important point, and anybody, not skru tjust the doctors, any can potentially have the role here. is this a screening test or have i already identified something in somebody and now i'm concerned. a lot of people may not have symptoms, right? >> exactly. so we must ask like blood

pressure. at the doctor's office, it's not who are you worrying about, you're asking everybody. the parents, the guy that goes up to the gun counter to buy that gun to kill himself does not want to die and does not know there's help. we've seen dramatically public health, how well that works. the air force, for example, every airman, every spouse, dentist, they were the only service this year to reduce suicide. the marines were the first ones to test that. every legal assistant, clergy, they reduced suicide 22% that year. we talked about people taking their own lives in the parking lots of v.a.s. we're going to give it to the parking lot attendants. i just did a training with the lawyers and community workers. >> the recognition that you got for the work was the highest. you're the only person who hides

the highest civilian honor behind your hair. >> i was awarded the secretary of defense defense medal because the work with the military really showing -- it was so empowering to show that we can -- we can combat this, you know, shared humanitarian crisis that we have with suicide. they were the first ones to show and partner we must put it in everybody's hands by breaking down these barriers by not identifying the people who suffer. so i just want to say we know we need to identify and find people who need help, but the other thing is the biggest cause of suicide is this treatable medical illness called depression but we don't think of depression like we think of cancer. you would never hear the word choice when it comes to cancer. that means because of that stigma and misunderstanding, 50 to 75% of people who need treatment don't get it. let me just say how much people are touched.

it's the number one cause of global disability. number one. costs humanity more than anything but incredibly treatable once we break down that barrier. >> is there enough resources available, though? we talk about the fact if i identify somebody and i say i want to get them into a hospital or get them care, because of the stigma and at an institutional level, there may not be enough doctors, enough beds or resources overall. >> i think that's one of the benefits of having the right questions to identify who is at risk. only 1% on the columbia actually need a next step. when we think about the simplicity of some treatments, anti-depressants that anybody can prescribe. so we of course have to address the -- >> what we'll do on social media tonight, we'll point out how people can go to the site, understand if they're a manager, they're responsible, they can bring this information in and

spread the awareness. my friend, thank you for the work that you're doing. >> thank you, chris. >> you deserve the award. >> grateful to be here. >> we asked you, what do you think? let's talk, what are you worried about? what do you want to know? we'll go through some of the biggest, most popular comments next. that's right. t-mobile will match your discount. ♪ behr presents: tough as walls. that's some great paint. ♪ that's some great paint. ♪ that's some great paint. behr. ranked #1 in customer satisfaction with interior paints. paint, prime, protect - all in one. now that's some great paint! find it exclusively at the home depot.

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good news. even with the debate going on right now, the reaction to this special edition of "primetime" about mental illness has been overwhelming. so many of you reached out on social media to join the conversation. let's give you a few buckets of comments. here's one about people who confused about what they saw in their own lives. my 23-year-old son died by suicide. one day he was laughing, living life and the next day was gone. i don't understand how someone who loved life would just leave. first of all, we are sorry for your loss, jacqueline. thank you for sharing. >> she was so surprised, he seemed happy. 54% of people who die by suicide

had no diagnosed mental illness. does that mean they didn't have depression? probably not. it means they have not been diagnosed as of yet. this was the first time they outwardly displayed something that people took notice of. there were probably warning signs earlier, but sometimes they're hard to find -- >> may have been masking, may have been trying to cope. many have shown social media contribute to rates of depression. this is the most toxic places where people are preying on weakness. >> i have three preteen girls at home, and the social media part of it, i got to tell you, chris, is probably my biggest concern. i feel like they're physically safer than they used to be because they don't go out as much, they don't do those sorts of things, but they're on the devices, they're on social media and i worry about the mental health toll this is going to

take. i think we should all worry about it. we are seeing something we've never seen before. i read this thing the other day with the smartphone and social media, we've seen the single biggest behavioral shift ever recorded in human history because of this device and bass -- because of the way we're i know it's more self-inflicted than anything else. thank you to all who reached out and shared. listen to this. it's not self-inflicted. all right? we have perspective on what's happening to us as opposed to what we're doing to ourselves. you didn't make yourself sick with mental illness than you did with cancer. it's not what you control. i have a closing about what i learned in my life and what we need to be more aware of. next. with moderate to severe crohn's disease,

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so think about this. when a virus spreads and becomes a pandemic the tragedy is compounded by inability to do more. that's the most frustrating part about mental illness. it's hurting us more than any virus. there's so much more we can do. to treat and cure. the illness is real. it's the stigma and the shame that are manufactured. suicide kills more impeachment than car accidents every year. kills more firefighters than fire. more police officers than criminals. all of us have heard or lived a tragedy. we can do so much better. the key, break the stigma. access to care. ask the right questions. let the right information get out like the fact that with something like depression up to 90% of those who do seek treatment get better. and being honest.

when i told people we were toing this special they were like great. and i'll talk about me. they were concerned. look, i get it. i love the people around me. my concern was being at my best for my family and friends. not faceless haters or ignorant people. i came home many years ago fl one tragedy too many. weeks of bad dreams and days with flash backs and emotional confusion. i realize over time with people telling me that it was affecting me. and my relationships in ways i thought it would pass. it was phase. i'm a jerk. some is true. finally someone told me if you had a click in your knee. go see one. true. i went to see one. they prescribed medicine. and that i had to talk through this. i had to go through a therapy process and understand where i wasn't processing things that were haunting me. it helped. a lot. maybe more than any other treatment i have ever had on my body. i made therapy part of my

routine to this day. it helps to this day. it is better than the gym. okay? i wish wint more often. i should. in fact, maybe i don't go more often, it's expensive. but also because there's part of me that doesn't want to say i rely on it. everybody goes to the gym fife days a week. you go to therapy, what it betrays a weakness? like i care what you think? or how i take care of myself and those around me. too much do what i did and worse. many don't consider it illness. yet none is as daunting as mental illness in terms of it robs us of. it kills too many. depression is not a mood. it's a medical, treatable illness. yet we hide from it. the number one cause global

disability. it cost more than anything it in terms of productivity. $23 billion the cost for work productivity lost alone. forget about family and friends. half get treatment. if you get it it works. that's the 90% number. think about if we had that in another major illness. the dark inverse. same idea. men account for the 79% of death by suicide. only 11% are found to have antidepressants in their system. they don't gt treatment. it includes addiction. very often. the reach is worse than the stat. there's one suicide for every 25 attempts. 47,000 americans died of opioid over dose in 2017. two decades ago, the number was 8,000. am i overwhming you with statistics and suggestions of

how big a problem it is? and how the shame is in our hiding from a reality. we can actually improve, good. this hour was worth it. thank you to my good friend and doctor. and all of you for watching. i hope it made a difference. >> thanks for sharing that. it will make a difference. >> if we get the information out. and take away it's a weakness. it's an illness. it puts us in a better place. >> we can all reach out. to each other. see something. mental we turn away. we need to change that. >> stst it's a stigma. shame. i'm huge into self-improvement. i have never had anything help me in my life other than my kids and my wife. my family. as therapy. >> i think you sharing that like you did. i'm just hearing this for the first time. that's makes a difference. people it helps erase the

stigma. you're a strong body and mind. it's great you shared that. >> listen, anything i can do to help. starting with myself. good doctor. always a pleasure. thank you for watching. "cnn tonight" with d. lemon starts now. [ applause ] >> golf clap. >> i'm glad you shared that. i have shared my story a bit before. i'll share more. this is about you. i commend you for that. >> it's about all of us. >> i was dealing with racial profiling event in 2000. in the state of depression. went to a therapist, she prescribed zo loft. and i started feeling better. why didn't i do this before. there was another incident. after my sister died i need to go more. after you deal with