Suicide rates in the United States have increased by 25-30 percent since 1999. This is particularly true for youth ages 12-24, with increases of approximately 30 percent over the same period. In Alachua County, Florida, where I teach and practice at the University of Florida, the base rate for suicides among youth ages 12-17 had been about five per 100,000 for many years, below the base national rate of 13 per 100,000. However, in the year 2017 that rate of completed suicides increased to 27 per 100,000, and for 2018 we are at a pace that will likely equal 2017.