While many associate stress and tension with living in a big city, the rate of suicides among young people is significantly higher in rural communities.

A new review discovers that the adolescent and young-adult suicide rate in the U.S. was almost twice as high in rural settings as compared to urban environs between 1996 and 2010. Ominously, the gap appears to be widening.

Investigators analyzed nearly 67,000 suicides and found the rate of suicide for both males and females living in rural areas was about double the rate in cities. The study has been published in JAMA Pediatrics.

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