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US Counties With the Highest Firearm Suicide Rates

2,220 US counties ranked by firearm suicide rate, from highest to lowest. First are Catron County, NM (58.8), Musselshell County, MT (47.7) and Hot Springs County, WY (44.1). The middle one of the 2,220 has 11.4.

What this measures

Suicides by gun per 100,000 residents a year, 2018-2023. Source: CDC WONDER mortality; RAND firearm ownership database.

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

RankCountyper 100,000 a year
1Catron County, NM58.8
2Musselshell County, MT47.7
3Hot Springs County, WY44.1
4Custer County, ID41.8
5Boise County, ID41.3
6Dunn County, ND39.5
7Lander County, NV35.3
8Park County, CO34.5
9Nome Census Area, AK33.7
10Clearwater County, ID33.7
11Aransas County, TX32.9
12Garfield County, UT32.4
13Yukon-Koyukuk Census Area, AK32
14Sierra County, NM31.3
15Nye County, NV30.9
16La Paz County, AZ30.9
17Galax city, VA30.6
18Stone County, AR30.5
19Deer Lodge County, MT30.3
20Custer County, SD29.9
21Teller County, CO29.9
22Cotton County, OK29.8
23Howard County, MO29.7
24Carbon County, WY29.5
25Curry County, OR29.4
26Gila County, AZ29.3
27Teton County, MT29.2
28King and Queen County, VA29.2
29Harney County, OR29.1
30Johnson County, WY29.1
31Latimer County, OK28.8
32Ferry County, WA28.7
33Northwest Arctic Borough, AK28.7
34Lemhi County, ID28.6
35Bethel Census Area, AK28.2
36Pendleton County, WV28.1
37Clarke County, IA28
38Moore County, TN27.9
39Sullivan County, MO27.8
40Caldwell County, MO27.8
41Elko County, NV27.8
42Izard County, AR27.7
43Baxter County, AR27.6
44Sanders County, MT27.6
45Lincoln County, NM27.5
46Hughes County, OK27.5
47Searcy County, AR27.5
48Pushmataha County, OK27.4
49Essex County, VT27.4
50Rosebud County, MT27.3
51Humboldt County, NV27.3
52Platte County, WY27.2
53Park County, MT27.1
54Fremont County, CO26.9
55Mohave County, AZ26.6
56Macon County, MO26.4
57Southeast Fairbanks Census Area, AK26.3
58Worth County, GA26.3
59Harrison County, MO26.2
60Dickenson County, VA26.2
61Kit Carson County, CO26
62Ozark County, MO25.9
63Johnson County, TN25.9
64Carbon County, MT25.8
65Quay County, NM25.8
66McNairy County, TN25.8
67Yavapai County, AZ25.7
68Ravalli County, MT25.6
69Big Horn County, MT25.6
70Panola County, TX25.4
71Sweetwater County, WY25.4
72Las Animas County, CO25.4
73Hardy County, WV25.1
74Pend Oreille County, WA25
75Brewster County, TX25
76Shoshone County, ID24.9
77Delaware County, OK24.9
78Scott County, VA24.8
79Blaine County, MT24.5
80Crook County, WY24.5
81Sevier County, UT24.4
82Caldwell Parish, LA24
83Alcona County, MI24
84Marion County, TX23.9
85Montrose County, CO23.9
86Iron County, MO23.9
87Marshall County, KS23.7
88Fall River County, SD23.7
89Grant County, NM23.7
90White Pine County, NV23.6
91Alleghany County, VA23.6
92Silver Bow County, MT23.5
93Trimble County, KY23.5
94Colfax County, NM23.3
95Caribou County, ID23.3
96Montgomery County, MO23.3
97Middlesex County, VA23.2
98Jasper County, GA23.2
99Roseau County, MN23
100Lyon County, NV23

Every state, highest first

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

RankStateper 100,000 a year
1Wyoming20.3
2Montana18.1
3Alaska16.7
4Idaho14.3
5New Mexico13.9
6Oklahoma13.1
7West Virginia12.8
8Nevada12.5
9Arizona12
10Arkansas12
11Missouri11.9
12Colorado11.8
13Alabama11.7
14Kentucky11.4
15Tennessee11.4
16North Dakota11.3
17Oregon11.1
18Utah11
19Maine10.9
20Kansas10.9
21Vermont10.7
22South Dakota10.5
23Mississippi10.5
24South Carolina10.3
25Louisiana9.93
26Indiana9.61
27Georgia9.54
28New Hampshire9.09
29Florida8.71
30North Carolina8.56
31Ohio8.41
32Washington8.3
33Texas8.27
34Iowa8.24
35Virginia8.12
36Michigan7.99
37Wisconsin7.97
38Nebraska7.97
39Pennsylvania7.82
40Minnesota6.56
41Delaware6.47
42Illinois4.85
43Maryland4.49
44California4.11
45Connecticut3.34
46Rhode Island2.83
47Hawaii2.79
48New York2.37
49New Jersey2.17
50Massachusetts2.05
51District of Columbia1.55

More on firearm suicide rate

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