I think it's part of the trend of "despair deaths": https://www.npr.org/sections/health-shots/2017/03/23/521083335/the-forces-driving-middle-aged-white-peoples-

I think it's part of the trend of "despair deaths": https://www.npr.org/sections/health-shots/2017/03/23/521083335/the-forces-driving-middle-aged-white-peoples-deaths-of-despair https://www.npr.org/sections/health-shots/2017/03/23/5210833... https://www.buzzfeed.com/carolinekee/maps-despair-deaths-drugs-alcohol-homicide-suicide?utm_term=.clLwqbqnE#.gwyD060op https://www.buzzfeed.com/carolinekee/maps-despair-deaths-dru...