New numbers from the Tennessee Suicide Prevention Network show suicide has increased 13 percent in Tennessee in one year. Those most at risk are white, middle-aged, men.

While those numbers are the most current available, they're still one year behind, making it difficult to track trends and take action.

"Tennessee is one state that does not have real time tracking numbers for suicide," said Scott Ridgway, executive director of TSPN.

Rigeway said Tennessee has made strides in suicide prevention, moving from the 13th worst state in the U.S. down to 22nd, but a stigma still exists.

Annette Lakes is a Nolensville mother who lost both her 17-year-old son and her father to suicide. Now, she shares her story at every opportunity, hoping to keep the conversation alive.

"The best thing is to listen; to talk to each other and listen," Lakes said. "Listen for things people might say to indicate they are in pain."

Warning signs include withdrawing from normal activities, a loss of appetite, loss of interest in personal appearance, and unwillingness to connect with people who want to help.

If you or someone you know is contemplating suicide, help is available all the time at 1-800-237-TALK.