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On July 16, 2022, the National Suicide Prevention Lifeline becomes a 3-digit number: 988. This switch means that many local call centers across the country are preparing for a higher volume of calls. And for someone in crisis, it means a lot to hear someone on the line who knows the community they're calling from.

In Wyoming, that sort of knowledge can be helpful, and also a deterrent to accessing mental health services. "We’re very rural. Everybody knows your business," Karen Sylvester told me. She's the director of training and fundraising for the Wyoming Lifeline, one of two new call centers in the state that began operating in 2020. "And so when it comes to somebody struggling, the last place that they want to have their car parked is outside the mental health office. So that everybody in town can whisper or try to decide what they think is going on with so-and-so."

Wyoming had the highest suicide rate per capita in the US in 2020, and while that impacts people across all demographics, white men 25 and older account for most of the deaths by suicide in the state. I talk to suicide prevention advocates, as well as a suicide attempt survivor, about the changes ahead in the state.