we'll help you out with up to a $500 credit for your early termination fee. go to getfios.com. this is "news 4 your sunday." good morning. i'm pat lawson muse. the recent death by suicide of katede and celebrity chef anthony bourdain have raised ths consciou of the issue. it's the tenth leading cause of death in the u.s. joining us to talk about this important topic and the help available here in the area is rachel larkin for the organization kwn as every mind which is based in montgomery county. thank you for being here, rachel. >> thank you for having me. >> you said to me afterle ity deaths by suicide as we've seen with the spade and bourdain cases, you see a spike. what kind of spike do you see? >> calls to the nional suicide

prevention life line, people reaching out for help, peopl realizing they're more in crisis than they realized and reaching out because they're concerned about somebody else which is great.ce when you're ced about a family member or friend, reach out for help. ere's a lot you can do. >> what do you think might bebu contng to what seems to be now a national crisis? >> well, the biggest loss of life we're i seeing 45 to 64-year-old ksmiddle-aged f struggling with financial issues, relationship issues. it's thege you're taking care of your parents, your kids and working one or two jobs. you can get quickly overwhelmed and need help. >> the centers for disease control reports increases, up more than 30% since 1999. what about the numbers here in the washington area? >> ourumbers aren't quite as

high. it's the second leading cause of death for young people. we have seen up to a 10% increase and that's also the ones we know for re. there are a lot of deaths we don't know. opioid overdoses. were they ientional or unintentional? it might be the tip of the iceberg we kno about. >> any particular demographic group at higher risk? >> men die women do.de more than the top ten leading death for women, the top for men and second for young people. >> the report recently released by thecdc also says 50% of the people who were studied to produce the report had no known mental health conditions. how much tougher does that make it to recognize the warning signs in someone else or even

themselves? >> you don't have to have a diagnosis. that's what you will look for in someone else, do they seem different? do they feel hopeless? do they feel worthless? do they not get out of bed in the morning? are they eing differently? are they isolating themutlves? it's a change in a person's mental health. more than a specific diagnosis. >> and often you can live with someone or go to school with someone who exhibits those symptoms and you're oblivious to the fact they are warning signs. >> it' sometimes hard to recognize. everyone has bad days. when people are feeling suicidal they turn inward and might not reach out for help. that's why it's important to have the conversation. there is a campaign called is awkward, having that awkward conversation like, hey, i notice you're just not yourself. what's going on? it might be they're having a bad day.

they may be struggling with something important. that's why it's there and to help people connect. >> it can be awkward. >> it can be. it's so important. it's the same thing, you might offer help. >> can i help? you try to help. both kate spade and anthony bourdain left behind young people. 7,000 to 12,000 children in the u.s. lose a parent to suide. how much more difficult is it for a young child to lose a parent that w as opposed to another way, natural causes? >>e don't wan to blame them for taking their life in this way, but it does put an additional burden on the children. a they're higher risk for suicide. not just their kids but the spouses, any of their loved ones are at higher risk of suicide iemselves, being exposed

there's specific grief groups that cater to that and that's why i recommend f anybody who has lost a loved one even if it's been ten years. check out the groups. it's a very different kind of grief. >> can you name some of them? >>ure. there's compassionate friends in potomac. call your local hotline and they'll be able to find one osest to you. it is difficult grief and children really struggle with that, understanding. it'sard for adults to understand. >> sure. >>e're going to continue our talk after we take a break. stay with us. whoooo.

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welcome back. we'r continuing our discussion this morning.

rachel larkin, you offer resources located in montgomery county but you serve the entire region. were talking about children. the children of parents who have -- who have lost parents to death by suicide. how do you help those children deal with a loss at every mind and what about adults who are dealing with the loss of a loved one? >> we have a hotline, the national suicide pvention hotline. you can call 24 hours a day, seven days a week. you can chat. the most important thing to do is talk about it. we have programs in the school system. there's the grief group. anybody who is at loss needs to speak about it. they need to work through it. the hotline is free and confidenti g. reallyting to see somebody face-to-face makes a difference as we >> it's the national hotli

number. people would get you directly? >> there are great hotlines. there are different parts of maryland, d.c. and so what it does it routes you to your local center. ever ody has the same traini and background. we can all help you. >> the text line is important. that's the way young people communicate. >> the only person i talk to on the phone these days is my 80-year-old father. everyone else i talk to via chat and text. communicating electronically isi easier becaus hard to say out loud, i'm hurting, i want to take my life. >> there's a lot to talk about preventing death by suicide and dealing and coping with loss.

nine out of ten people who attempt suicide live. what are their needs? are they different? are the more intense than those who may be conteitlating >> it's different. there are not enoughervices for survivors. we're showing a film on july 11th and it's a story, an award winning documentary of an attempt survivor trying to reach out to other attempt survivors and raising the awareness. researchers hav ignored thi group of people for a long time. and there's a lot to learn.ee people support. just because you've attempted and survived doesn't mean the bullies are gone or you're suddenly not having financial issues. the problems are still there and dou still need support. so those folks n the whole community to support them and help them on their ph to wellness. >> so often people are stunned

when this s happens toeone they know. what do you do to help prevent it? tell us again the warning sign >> look out for anyone hopeless. worthless, no feel reason to go on. anybody who is isolating themselves. a lot of times people talk about physicalma complaints, s aches, headaches, not feeling right. and there are emoons behind those as well. just reach out. talk to your buddies and say, y, you don'teem like yourself. how are you doing? it's a conversation to check in. and then, you know, be thereen d li the conversation is often awkward. the resource, a tline, a local crisis ,cent the hospital. we would take care of our friends and family if they were having a physical crisis. mental health is the same thing. >> i recently tald to someone about, a teenager, who seemed te all the time, the pattern had changed a lot. teenagers sleep, towy they

stay up late. i guess it's a combination of changes that you need to pay tention to. >> anything that seems different, the person seems to be going more and more and more. when people areci sl they do the opposite. they get themselves out of their funk and they go about their buness, they might sleep less or eat less and that's a big warning signll as anytime you feel somebody is different, they're either going wnhill or there's been a drastic change in their mood, you want t reach out. >> you want to reach out. and you mentioned earlier about the middle-aged survivors, middle-aged people who are at higher risk, i should say. what is it about the middle-age ? >> it's my generation. gen-un is ed, taking care of your parents, your kids, you

have a lot of b financialdens as well. and you're not taking care of se yo. you're so busy taking care of other people you may forget i need time for. myse i need mental wellness time or i don't deserve to take the time i need to see a therapist because have to take care of everybody else. self-care is important. >> all very,ery important information. such an important topic. rachel larkin, thank you so much. every mind. we'll have that contact information, those phone numbers, on the nbc washington website. in the antime, coming back another important topic, taking care of man in your life. we'll be right back.

if you're like me you know a man who isn't crazy about going to the doctor.

encourage early detection and treatment ofse among men and boys. the mission of men's health network is ten reach and boys where they live and work and slay and pray. joining now is anna who is vice president of the men's health network. thank you so much for being with us. >> thank you for having me. >> tell us what -- what is meant by a silentis ? what's going on with our men and their health? >> the fact men don't talk a hut theilth is part of the silent crisis. women have a great opportunity to help by talking to their men. when we see them go to a pediatrician. men go into the general practitioner. there is no real doctor specific to men's health issues. so wom field.avigate that

they take them to the doctor. there are men who attend these appointments but more likely it's the mom that's doing it. men are not being educated about why they need to go to the doctor. we need to change that. >> weon hear men like going to see a doctor. i've been married a long time and my husnd is better now than he was years ago. now he' go and get the annual checkup. he'll go when he experiences symptoms. i have to force him. u have a cough, you need to go doctor. is it myth or is it fact men hate doctors? so i would say that it's a fact for a lot of people. no one wants to go t a doctor and hear bad news. for men especially they have this stigma around going mo a doctor f. they think it's not manly.

it means they're admitting something is wrong with them. >> they don't want to know if there is. >> that affects men, younger men. they think that they are perfectly helpy. i'm in my perfect weight group. i'm fit. i exerci. i e healthy. i'm perfectly fine. there's nothing wrong with me. you don't know if there's something inside of you if you don't go to the doctor or know your family's history, if there'sarovascular or diabetes, if you, yourself, have something. there are vegans who have high cholesterol because it's hereditary. >> is it the woman's role as a wife to advocate to make sure i take care of his health? women are nurturers and we do it for the children but is it our responsibility? >> it is not a woman's role, her it.onsibility, to do however, we always fall into that role.

the men are typically the providers for the family and we're the into your tourers. for men, we say take this time to man up and make your doctor's appointment. don't put it all on your or the other women in your life. your mother could be pushing you to go. what's important is that a guy recognized that you need to take care of yourself in order to take care of the family. if a woman is taking care of the children and that is her top priority and taking care of you and that's a toppriority, she's putting herself on the back burner. she will put off her appointment beuse her child needs to go or push her husband to go, make sure her dad makes and attends thatnt appnt with him. it's important that a guy understands that he needs to do that for himself. >> we talked about suicide prevention and your lastlu newsletter id an article

with a headline that said not talking about mental health is literally killing men. anyone.ffects if you don't feel comfortable talking about it, it's going to fester inside of you. as we know more men -- so more women attempt suicide but more menssre sucl at suicide. some people may consume pills or something like that that can be reversed. if you're taking it to an extreme, that's where men are we need to be able to talk about that, to have open conversations. our tecommendations aret you talk to your partner. talk to yous, pare any friends or even professionals about it because the most important thing to do is tal >> we're going to take a break and continue our talk about men's health month right after this. stronger is rebuilding a newborn's heart...

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welcome back. we have the well woman visit. do we need a well man's visit? >> we do. we have the woman's visit that cludes a lot of std testing, breast-feeding info mental health screening for depression. but the same thing is not offered for men. men see thiss a teshey have to pay for and they're not included. they have to physically ask their docr can i havhis test done? so we want to encourage a well mavisit. w >> do not have it already because men don't bear children? is tha the reason? the economiclook a side of men's health, they don't

utilize the stem and because there's no doctor specifically for th, the ob/gyn for women, there are so many things in between they justl don't f they should be going to the doctor. they're healthy, right? ey're fit.th 's what they think. >> for older menmedicare? >> anyone entering the medicare program there is a welcome to medicare physical. those folks that gon for the first annual visit get all their screenings done, their baseline results. they get to update that. for men and women to know where you stand. and do you have high cholestel? are you o the verge of high cholesterol, diabetes, prediabetes? >> to get around the issue of the lack of a well man visit, you call up the doctor, do you go to yournd employer say i need to know my numbers, i need

to go to the doctor, participate in employer sponsored plans? how do men getse things checked without having to pay more. your employer may have a program that oe a yearhey may have screenings come through so it's something to check in with your employer. the bt thing to set an appointment with your doctor, find a health care provider for yourself and make that visit and say i need my annual exam done. >> most insurance plans will pay for annnual exam? >> the annual exam is something that you should make an appointment for on your own. we need tong check t annually. >> and that's covered for a man? >> it should be covered, yes. there are certain tests that may not be covered. blood pressure, cholesterol, glucose would be covered. if a man wanted to get his psa

or stdest that is separate from those visits. >> four steps men need to take? >> i would start in the beginning. the men start their foappointmes their future kids. start small and find a partner to work with whether it's your loved one, yoor spouse, cor or friend. be encouraging. >> thank you. the men's health network. take care of the man in your life. thank you for really good information. to see any "news 4 your sunday" program click on community. i'm pat lawson museu thank or joining us. we'll see you next time.

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stokiefest. 6:00 this sunday morning. here is what we are following for you. aty bachelorette p quickly went off the railshen a transgender woman says a restaurant worker tried to stop her from using the restroom. and the president of the confederacy name will not be on one of the busiest roads in alexandria. we are spent by beautiful sunrises. >>