Our estimates incorporate several methodological refinements over previous studies (CDC, 2015b; Corso et al., 2007; Yang & Lester, 2007). We updated findings, adjusted for under‐reporting of suicides in official reports due to stigma and other factors, and incorporated state‐to‐state variation in medical and indirect costs. Our $93.5 billion estimate of 2013 national cost of suicide and suicide attempts, adjusted for underreporting, is 2.1 times the latest previous study—the CDC's estimate for 2010 of $44.7 billion (CDC, 2014, 2015b). Our 2013 estimate is 2.8 times the latest comprehensive peer‐reviewed publication of $33.3 billion for 2000 (Corso et al., 2007).