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I would be very, very careful about this stat. Medical examiners/doctors have considerable degrees of freedom in coding causes of death/attempts.
I once read that Beachyhead, in Britain, halved its suicide rate in a single year ... by hiring a new ME who was more likely to rule that a fall from the famous local cliffs was an accident.
This may be picking up a real trend, but with a dramatic rise like that, I tend to suspect "statistical artifact", such as a tendency to code suicide attempts as opioid ODs, or vice versa.
Or more localities reporting attempted suicide data. Or broader availability of opioids making it easier to choose poison over another method.
