The U.S. has the highest suicide rates among wealthy nations, according to a new report that looked at how health and care in the U.S. stacks up globally. In 2016, the suicide rate here was 13.9 suicide deaths per 100,000 people — while the U.K. had the lowest rate of the 11 high-income countries in the report, at 7.3 suicides per 100,000 people.

At the same time, another new report from the Well Being Trust highlights 4% of insurance payments went to mental health care in 2017 and that Americans continue to have to go out of network to find treatment.