Beyond crisis lines: How broader suicide prevention helps people in need

HealthWatch A broad approach to suicide prevention helped a farmer in need. Here's how it went beyond crisis hotlines. .chip { background-image: url('/fly/bundles/cbsnewscore/images/chip-bgd/chip-bgd-healthwatch.jpg'); } By Aneri Pattani April 28, 2026 / 5:00 AM EDT / KFF Health News Add CBS News on Google If you or someone you know may be experiencing a mental health crisis, contact the 988 Suicide & Crisis Lifeline by dialing or texting "988."Someone in America dies by suicide every 11 minutes. It's that common. But not normal.Humans have evolved over centuries to survive. So when people try to kill themselves, something has gone wrong. Typically, the assumption is that something happened in the person's mind — a mental illness.But in recent decades, there's been a growing movement to ask a different question: What went wrong in the world around that person?For Chris Pawelski, it was a torrent of factors. His dad — one of his best friends, whom he worked with daily for decades — was diagnosed with renal cancer and died six months later. Pawelski was left as the primary caregiver for his mom, who had dementia.His family's multigenerational onion farm in New York's Orange County — where he first worked as a 5-year-old, collecting onions that fell out of crates — was hemorrhaging money. Pawelski said he was growing roughly $200,000 worth of crops some years but took home only about $20,000, unable to negotiate higher prices with wholesale buyers that dominated the market.Debt to suppliers and equipment vendors piled up, and the burden strained his marriage. He had little time for friends, working sunup to sundown seven days a week, desperately trying to preserve his family's legacy. "It's all stuff collapsing down upon you," he said. "It's weeks, months, years of dealing with all sorts of pressures that you can't alleviate." Chris Pawelski is a fourth-generation farmer in New York's Orange County. Jeffrey Basinger for KFF Health News...