US Counties With the Highest Firearm Fatalities

2,013 US counties ranked by firearm fatalities, from highest to lowest. First are Phillips County, AR (79.5), Leflore County, MS (70.5) and Wilcox County, AL (63.8). The middle one of the 2,013 has 16.6.

What this measures

Deaths involving a gun per 100,000 people. Most are suicides and homicides, counted together. Source: County Health Rankings.

For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.

The 100 highest counties

Rank	County	deaths per 100,000
1	Phillips County, AR	79.5
2	Leflore County, MS	70.5
3	Wilcox County, AL	63.8
4	Kusilvak Census Area, AK	62.5
5	Lowndes County, AL	61.1
6	Petersburg city, VA	60.6
7	Washington County, MS	58.3
8	St. Louis city, MO	57.1
9	Hinds County, MS	55.4
10	Holmes County, MS	51.2
11	Wilkinson County, MS	49.7
12	Dallas County, AL	48.4
13	Macon County, AL	46.8
14	Orleans Parish, LA	46.4
15	Boise County, ID	45
16	Baltimore city, MD	44.9
17	Dillon County, SC	44.8
18	Jefferson County, AR	43.9
19	Morehouse Parish, LA	43.6
20	Montgomery County, MS	43.1
21	Hughes County, OK	42.1
22	Leslie County, KY	42
23	Rosebud County, MT	41.8
24	Pemiscot County, MO	41.2
25	Colleton County, SC	41.1
26	Adams County, MS	40.9
27	Aransas County, TX	40.6
28	Todd County, SD	40.6
29	Quay County, NM	40.6
30	Gila County, AZ	40.4
31	Latimer County, OK	40.4
32	Southeast Fairbanks Census Area, AK	40.3
33	St. Helena Parish, LA	40.2
34	Bolivar County, MS	40.2
35	Stone County, AR	39.9
36	Humboldt County, NV	39.8
37	Sunflower County, MS	39.7
38	La Paz County, AZ	39.3
39	Coahoma County, MS	39.1
40	Clay County, WV	38.8
41	Allendale County, SC	38.7
42	Madison Parish, LA	38.4
43	Humphreys County, MS	38.4
44	Big Horn County, MT	38.2
45	Claiborne County, MS	38.1
46	Bethel Census Area, AK	38.1
47	Howard County, MO	37.6
48	Panola County, TX	37.4
49	Lee County, SC	37.3
50	Copiah County, MS	37.1
51	Northwest Arctic Borough, AK	36.9
52	Caldwell Parish, LA	36.9
53	McCurtain County, OK	36.8
54	Sanders County, MT	36.8
55	Hale County, AL	36.8
56	Carroll County, MS	36.6
57	Teller County, CO	36.6
58	Pushmataha County, OK	36.5
59	Nome Census Area, AK	36.3
60	Shelby County, TN	36.3
61	Clearwater County, ID	36.1
62	Custer County, SD	36.1
63	Lincoln County, NM	36
64	Sierra County, NM	36
65	Sumter County, AL	35.9
66	Barnwell County, SC	35.7
67	Ozark County, MO	35.6
68	Jackson County, MO	35.3
69	Jefferson County, AL	35.1
70	Bibb County, GA	35.1
71	Platte County, WY	35
72	Yazoo County, MS	35
73	Torrance County, NM	34.9
74	Mississippi County, AR	34.9
75	Jackson County, KY	34.8
76	Crittenden County, AR	34.8
77	Russell County, AL	34.7
78	Montgomery County, AL	34.7
79	Caddo Parish, LA	34.7
80	Portsmouth city, VA	34.7
81	Lemhi County, ID	34.6
82	Pend Oreille County, WA	34.5
83	East Feliciana Parish, LA	34.4
84	Hopewell city, VA	34.3
85	Yalobusha County, MS	34.3
86	Webster County, WV	34.3
87	Baxter County, AR	34.2
88	Elko County, NV	34.2
89	Conecuh County, AL	34.1
90	Bienville Parish, LA	33.9
91	Nye County, NV	33.9
92	Chicot County, AR	33.7
93	Fremont County, CO	33.7
94	Park County, CO	33.7
95	Curry County, OR	33.5
96	Grenada County, MS	33.4
97	Calhoun County, SC	33.3
98	Meriwether County, GA	33.3
99	Tunica County, MS	33.2
100	St. Francis County, AR	33.2

Every state, highest first

Each state’s own published figure, not an average of its counties.

Rank	State	deaths per 100,000
1	Mississippi	27.1
2	Louisiana	24.9
3	New Mexico	24.1
4	Wyoming	23.8
5	Alabama	23.7
6	Alaska	23.3
7	Missouri	22.4
8	District of Columbia	22.3
9	Montana	21.8
10	Arkansas	21.1
11	South Carolina	20.4
12	Tennessee	20.3
13	Oklahoma	19.4
14	Kentucky	18.4
15	Nevada	18.2
16	Georgia	18
17	West Virginia	17.9
18	Arizona	17.7
19	Idaho	16.5
20	Colorado	16.5
21	Indiana	16.4
22	Kansas	15.9
23	North Carolina	15.5
24	Ohio	14.7
25	Oregon	14.2
26	Michigan	14.1
27	Texas	14
28	Florida	14
29	North Dakota	13.9
30	South Dakota	13.9
31	Pennsylvania	13.7
32	Virginia	13.5
33	Maryland	13.1
34	Illinois	13.1
35	Utah	13
36	Delaware	12.5
37	Vermont	12.4
38	Maine	12.3
39	Wisconsin	12.1
40	Washington	11.6
41	Nebraska	10.6
42	New Hampshire	10.5
43	Iowa	10.4
44	Minnesota	9
45	California	8.38
46	Connecticut	6.11
47	New York	4.9
48	New Jersey	4.81
49	Rhode Island	4.47
50	Hawaii	4.32
51	Massachusetts	3.7

More on firearm fatalities

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.