US Counties With the Highest Suicide Rates

2,049 US counties ranked by suicide rate, from highest to lowest. First are Kusilvak Census Area, AK (107), Nome Census Area, AK (87.9) and Northwest Arctic Borough, AK (87.8). The middle one of the 2,049 has 18.

What this measures

Suicides per 100,000 people, adjusted so places with older or younger populations can be compared fairly. 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	Kusilvak Census Area, AK	107
2	Nome Census Area, AK	87.9
3	Northwest Arctic Borough, AK	87.8
4	Benson County, ND	73.4
5	Todd County, SD	70.5
6	Bethel Census Area, AK	67
7	Blaine County, MT	59.8
8	Oglala Lakota County, SD	55.8
9	Powell County, MT	54.4
10	Sierra County, NM	51
11	Gila County, AZ	51
12	Harney County, OR	49.2
13	Rosebud County, MT	48.7
14	Kit Carson County, CO	48.4
15	Boise County, ID	46.5
16	Apache County, AZ	45.1
17	Major County, OK	44.5
18	Sanders County, MT	43.6
19	Carbon County, MT	43
20	Lee County, AR	43
21	Park County, CO	42.9
22	Navajo County, AZ	42.3
23	Quay County, NM	40.9
24	Winkler County, TX	40.3
25	Park County, MT	39.7
26	Chaffee County, CO	39.6
27	Clarke County, IA	39.5
28	Teller County, CO	39.4
29	Glacier County, MT	39.4
30	Baker County, OR	39.1
31	Colfax County, NM	38.9
32	Big Horn County, MT	38.8
33	Duchesne County, UT	38.8
34	Pushmataha County, OK	38.7
35	Montrose County, CO	38.7
36	Jefferson County, MT	38.6
37	Shoshone County, ID	38.5
38	Charles Mix County, SD	38
39	Fremont County, CO	37.9
40	Greenlee County, AZ	37.3
41	Montgomery County, MO	37.3
42	Elko County, NV	37.1
43	Las Animas County, CO	37
44	Silver Bow County, MT	36.8
45	Pend Oreille County, WA	36.7
46	Johnson County, TN	36.7
47	Cibola County, NM	36.6
48	Carbon County, WY	36.6
49	Doddridge County, WV	36.4
50	Roosevelt County, MT	36.3
51	La Paz County, AZ	36.1
52	Aransas County, TX	36.1
53	Caldwell County, MO	36
54	Montezuma County, CO	35.9
55	Seminole County, OK	35.7
56	Humboldt County, NV	35.5
57	Carson City, NV	35.3
58	Mohave County, AZ	35
59	Latimer County, OK	35
60	Lake County, MT	34.8
61	Sweetwater County, WY	34.6
62	Choctaw County, OK	34.5
63	Alamosa County, CO	34.5
64	Sevier County, UT	34.5
65	San Juan County, NM	34.4
66	Polk County, AR	34.3
67	Hughes County, OK	34.2
68	Howard County, MO	34
69	Stone County, AR	33.9
70	Grant County, NM	33.7
71	Jefferson County, WA	33.7
72	Vinton County, OH	33.7
73	McKinley County, NM	33.7
74	Benton County, MO	33.5
75	Carroll County, KY	33.5
76	Brewster County, TX	33.5
77	Baxter County, AR	33.3
78	Dickenson County, VA	33.3
79	Bayfield County, WI	33.2
80	Fremont County, WY	33.2
81	Archuleta County, CO	33.2
82	Josephine County, OR	33.2
83	Ravalli County, MT	33.2
84	Nye County, NV	33.1
85	Terry County, TX	33.1
86	McDowell County, WV	33.1
87	Uintah County, UT	32.9
88	Patrick County, VA	32.8
89	Anderson County, TX	32.8
90	Jackson County, KY	32.7
91	Madison County, AR	32.6
92	Moffat County, CO	32.5
93	Geary County, KS	32.2
94	Clay County, TX	32.2
95	Rio Grande County, CO	32.1
96	Ogemaw County, MI	32.1
97	Brown County, IN	32.1
98	Marshall County, KS	32.1
99	Koochiching County, MN	32
100	Bannock County, ID	31.9

Every state, highest first

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

Rank	State	deaths per 100,000
1	Wyoming	28.6
2	Alaska	27.8
3	Montana	27.6
4	New Mexico	24.5
5	Idaho	22
6	Colorado	21.8
7	Utah	21.3
8	Oklahoma	21.2
9	South Dakota	21.2
10	Nevada	20.2
11	North Dakota	19.8
12	West Virginia	19.6
13	Oregon	19.3
14	Kansas	19.1
15	Arizona	19.1
16	Arkansas	18.8
17	Missouri	18.7
18	Maine	18.3
19	Vermont	18.2
20	Kentucky	17.5
21	Iowa	17.2
22	New Hampshire	17
23	Tennessee	16.9
24	Alabama	16.1
25	South Carolina	15.7
26	Indiana	15.6
27	Washington	15.4
28	Nebraska	15
29	Louisiana	14.8
30	Ohio	14.7
31	Wisconsin	14.7
32	Georgia	14.6
33	Michigan	14.4
34	Mississippi	14.4
35	Florida	14.2
36	Hawaii	14.1
37	Pennsylvania	13.9
38	Minnesota	13.9
39	Texas	13.8
40	North Carolina	13.4
41	Virginia	13.3
42	Delaware	12
43	Illinois	11.1
44	California	10.4
45	Connecticut	10.4
46	Rhode Island	9.91
47	Maryland	9.78
48	Massachusetts	8.64
49	New York	8.2
50	New Jersey	7.63
51	District of Columbia	6.24

More on 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.