Prevalence of mechanisms of suicide changed from 1999 to 2010. Whereas firearm and poisoning suicide rates increased significantly, suffocation (predominantly hanging) suicide rates increased the most among men and women aged 35–64 years. This increasing trend is particularly troubling because a large proportion of suicide attempts by suffocation result in death, suggesting a need for increased public awareness of suicide risk factors and research of potential suicide prevention strategies to reduce suffocation deaths (2).