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. 2020 Apr 25;20:188. doi: 10.1186/s12888-020-02607-y

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 1 — Trend of Mental Health Facilities Supply and Suicide Mortality in the United States 2014–2017. NOTE Data were from 2014 to 2017 National Mental Health Services Survey (N-MHSS) to identify state-level community mental health center status during 2014–2017 and from Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) data for suicide rates, identified as intentional self-harm by ICD-10-CM diagnosis codes U03, X60-X71, X72-X74, X75-X84, Y87.0. A Community Mental Health Center was defined as a facility that provided any of the following services: 1) outpatient services, 2) 24-h emergency care services, 3) day treatment or other partial hospitalization services, or psychosocial rehabilitation services, and 4) screening for inpatient services to state mental health facilities, and that met applicable licensing or certification requirements for community mental health centers in a state where it is located [7]. Mental health care facilities self-identified as a partial hospitalization or day treatment facility were also categorized as a community mental health center