The issue of suicide on Guam is serious and affects many people across all ages. It is often linked to challenges like mental health struggles and substance abuse. Despite some people not having a known history of mental illness, they may still face emotional or life challenges that lead to suicide. The community and its leaders need to continue to help those in need by offering support and emergency help to prevent these tragedies. On an island that as small as Guam, problems are magnified and solutions are hard to come by.

The high suicide rate in Guam is a complex issue influenced by various factors. In 2022, the crude suicide rate was 16.6 per 100,000, with age-adjustment raising it to 21.9 per 100,000. This rate is higher than the overall US rate and has been attributed to several factors, including:

• Socioeconomic and cultural changes: Rapid economic development, westernization, and high unemployment among youth have created an environment conducive to suicide.
• Mental health and substance use: Only 14% of the suicide deaths in 2022 had a history of mental illness, but 32% had a history of drug use.
• Demographics: A significant portion of the suicides involved individuals younger than 30 years old, with the highest rates among ethnicities from the Federated States of Micronesia, followed by “white” and “Chamorro” populations.
• Suicide methods: Hanging was the most common method, accounting for 82% of the suicides.

Efforts to address this issue include the launch of the Mobile Crisis Response Team and the transition to the 988 Lifeline to assist those in mental health crises. Understanding and addressing the underlying causes is crucial for effective prevention and support.