Suicides and drug- and alcohol-related deaths are rising and together hit an all-time high in 2017, according to a new report published Tuesday that concludes that people struggling with mental illness lack mental healthcare and related resources.

The Trust for America’s Health and the Well Being Trust, two nonprofit groups, found that between 2016 and 2017, the rate of deaths due to alcohol, drugs, and suicide increased about 6 percent from 43.9 to 46.6 deaths per 100,000, based on 2018 mortality data from the Centers for Disease Control and Prevention.