[Congressional Record Volume 168, Number 119 (Tuesday, July 19, 2022)]
[Senate]
[Pages S3359-S3360]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]



                           Suicide Prevention

  Mr. REED. Mr. President, I would like to talk today about a health 
epidemic that is claiming the lives of tens of thousands of Americans 
each year. I am speaking about the epidemic of suicide.
  I will talk more about this in detail in a moment, but if there is 
one thing I would like those listening to my remarks to remember is the 
number 9-8-8--9-8-8, because 9-8-8 is a three-digit number for the 
National Suicide Prevention Lifeline.
  If you need help, please dial 9-8-8.
  Over the last several years, we have all observed the increasing 
mental health needs in our country. Indeed, the isolation of the COVID-
19 pandemic made those needs more pronounced, particularly among 
children, adolescents, and young adults.
  In October 2021, the American Academy of Pediatrics, the American 
Academy of Child and Adolescent Psychiatry, and the Children's Hospital 
Association--organizations representing experts in children's mental 
health--declared a national emergency in child and adolescent mental 
health. According to these organizations, ``Rates of childhood mental 
health concerns and suicide rose steadily between 2010 and 2020 and by 
2018 suicide was the second leading cause of death for youth ages 10-
24. The pandemic has intensified this crisis: across the country we 
have witnessed dramatic increases in Emergency Department visits for 
all mental health emergencies including suspected suicide attempts.''
  According to the National Alliance on Mental Illness, nearly 20 
percent of high school students report serious thoughts of suicide, and 
about 9 percent have tried to take their own lives.
  During the pandemic, children faced challenges we couldn't have 
imagined just a few years ago. Children isolated from their friends and 
family members to limit the spread of COVID-19. But this meant that 
many children were separated from loved ones and other trusted adults 
like teachers who can help keep kids safe. And kids were isolated from 
their peers, impeding social learning and development. And in these 
tough times, rates of domestic violence and child abuse tend to 
increase. On top of all these challenges, more than 140,000 children in 
the United States lost a caregiver to COVID-19. And it is no wonder 
that so many of our children and young adults are in crisis.
  These hardships are not unique to young people. Adults are feeling 
them as well. Regrettably, suicide remains the leading cause of death 
in the United States. In 2020, suicide claimed the lives of 45,979 
Americans, according to the latest data from the CDC. This is about one 
death every 11 minutes. More people died by suicide in 2020 than in 
motor vehicle accidents. The number of people who think about or 
attempt suicide is even higher. In 2020, an estimated 12.2 million 
American adults seriously thought about suicide, 3.2 million planned a 
suicide attempt, and 1.2 million attempted suicide.

  Now, there are no easy solutions, but there are things we can do to 
prevent suicide and improve access to mental health treatment. And we 
have made some progress. Almost two decades ago, we passed legislation 
to ensure parity in insurance coverage for mental and behavioral 
health. We have more work to do to enforce the law, but it was an 
important first step. And one of the most significant investments we 
have made in mental healthcare was in passing the Affordable Care Act. 
We expanded health insurance coverage for millions of Americans and 
made sure that coverage included mental and behavioral care, which was 
often excluded from health insurance before the ACA.
  We need to do more though. More and more people need mental and 
behavioral healthcare and do not have the resources to get such care. 
And those with the resources find that there aren't enough providers to 
see them, even with good healthcare insurance. There simply aren't 
enough clinicians for the need. And lastly, we need to better help 
people in crisis. We can't get people into effective care for the long 
term if we haven't stopped the immediate crisis. That is why suicidal 
prevention efforts are so critical.
  As I alluded to earlier, last weekend, the National Suicide 
Prevention Lifeline made the switch from its longstanding 10-digit 
number to an easy-to-remember 3-digit number, 9-8-8.
  In 2019, I joined my colleagues Senators Tammy Baldwin and Jerry 
Moran and former Senator Cory Gardner in introducing legislation 
requiring this switch. Our bill was signed into law the next year, and 
we have been working since then to make sure that 9-8-8 has the funding 
to be able to handle the influx of new callers. It is estimated that 
the Lifeline will receive millions more calls with the new number, so 
we need trained people on the other end of the line ready to get people 
the help that they need.
  When we started this effort, the Lifeline only received about $7 
million in Federal funding each year. Last year, with the help of 
President Biden, Chair Murray and Chairman Leahy, we were able to 
secure nearly $300 million for the Lifeline, and we are working to get 
the number up to $700 million next year. This level of funding will 
help ensure that calls are answered quickly and locally so that people 
calling can talk to someone from their State who will know exactly 
where to find nearby resources. We are also working toward a system in 
which mobile response teams can respond in real time and be deployed to 
help people in crisis who call.
  While the switch to 9-8-8 over the weekend was a huge step forward, 
we are just beginning to build a much broader system to help people in 
crisis across the country. I introduced the National Suicide Prevention 
Lifeline Improvement Act with Senator Moran last year to help move the 
Lifeline toward a more comprehensive system. The Health, Education, 
Labor, and

[[Page S3360]]

Pensions Committee passed this bipartisan bill unanimously almost a 
year ago. It is time for the full Senate to take it up and pass it.
  Senator Moran, I must point out, has been a true leader in these 
efforts. Recently, we have teamed up in introducing the Suicide 
Prevention Act to try and intervene with those who may be in crisis but 
may not know to call 9-8-8 or reach out otherwise. The Suicide 
Prevention Act would fund prevention programs in hospital emergency 
departments to better screen for suicide or mental health crises. This 
is important because over 90 percent of people who attempt suicide have 
seen a healthcare provider--often a visit to a hospital, particularly 
an emergency room--in the weeks and days prior to their attempt. As 
these people are accessing the healthcare system, the mental health 
issues that really are driving them to seek medical attention are often 
overlooked. There are evidence-based strategies that healthcare 
professionals can employ to intervene before it is too late, but they 
need the training and the resources in order to do so. The bill would 
also strengthen data collection on suicide so we can better direct 
resources where they are needed most.
  We also need to respond to the challenges facing young people. Back 
in 2004, I joined my former colleague Senator Gordon Smith in 
introducing the Garrett Lee Smith Memorial Act, which was named for his 
son Garrett, who tragically lost his life to suicide the day before his 
22nd birthday. This tragedy drove home the realization that suicide and 
mental health crises are so common among young people.
  Our legislation authorized new funding for youth suicide prevention 
programs in States and on college campuses. Since it was first enacted, 
the Garrett Lee Smith Memorial Act has delivered roughly $750 million 
in suicide prevention funding nationally. And I am pleased that Senator 
Lisa Murkowski, another longstanding partner and champion on this 
issue, joined me in introducing the reauthorization of this law so we 
can continue funding programs to support youth and young adults.
  Mental health and suicide have for too long been subjects that have 
been difficult to talk about, much less confront. In meeting the 
challenge of this mental health crisis, we must be relentless. We 
cannot just do one thing or even a few things because there is no 
single solution.
  A few days ago, President Biden signed the Bipartisan Safer 
Communities Act, which included new resources for mental healthcare, 
including an additional $150 million for implementation of 9-8-8 and 
billions of dollars for other mental health services such as the 
nationwide expansion of the Certified Community Behavioral Health 
Clinic model. But that cannot be the end of our work.
  Each of the efforts and bills I have mentioned represent our 
continuing and unfinished work. They would add another layer to help 
prevent suicide and strengthen our mental healthcare system.
  So I urge my colleagues to work with me and my colleagues like 
Senator Moran and Senator Murkowski to pass the Suicide Prevention Act, 
the National Suicide Prevention Lifeline Improvement Act, the Garrett 
Lee Smith Memorial Act reauthorization, and to undertake many other 
efforts spearheaded by my colleagues. We should move forward with these 
measures without delay to prevent another 45,000 Americans from falling 
victim to suicide.
  I yield the floor.
  I suggest the absence of a quorum.
  The PRESIDING OFFICER. The clerk will call the roll.
  The legislative clerk proceeded to call the roll.
  Ms. CANTWELL. Mr. President, I ask unanimous consent that the order 
for the quorum call be rescinded.
  The PRESIDING OFFICER. Without objection, it is so ordered.