In 2017, more than 151,000 Americans died of suicide or causes related to drugs or alcohol — the highest rate in U.S. history, according to a new study by Trust for America's Health and Well Being Trust.

Why it matters: The study projects that the three epidemics are on track to kill 1.6 million Americans by 2025. Life expectancy has already fallen in the U.S. three years in a row largely due to these trends, while the global average life expectancy continues to rise.

Montana had the highest rate in suicide in 2017 at 29.6 deaths per 100,000.

had the highest rate in suicide in 2017 at 29.6 deaths per 100,000. West Virginia — which was hard hit by the opioid crisis — had the highest rate of drug-related deaths at 56.3 of every 100,000.

— which was hard hit by the opioid crisis — had the highest rate of drug-related deaths at 56.3 of every 100,000. New Mexico had the highest alcohol-related death rate at 31.6 out of every 100,000 .

The big picture: The drug and suicide epidemics have hit rural America hardest, at the same time that blue collar jobs are disappearing and technology and automation is transforming the workforce.