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The magnitude and escalation of economic costs of self-injury mortality (SIM) over the past two decades have been monumental when viewed both through the lens of the nation and states. Given the burgeoning suicide and drug overdose epidemics during the study period [8], estimated SIM costs escalated markedly for the US as a whole and by state and region: total costs in 2019 dollars more than doubled from $0.46 trillion to $1.12 trillion.
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