Suicide Rates in the South

Roger Moore

In June 2018, the Centers for Disease Control and Prevention (CDC) released a report documenting the high – and growing – number of suicides across the United States. In 2016, the last year for which the CDC has comprehensive data, 45,000 people died by suicide, an increase of 25.4 percent over 1999 levels. Nevada, where deaths by suicide were down 1 percent between 1999-2016, was the only state that did not experience an increase during this period.

Seven of the 15 states in the South, including Arkansas, Kentucky, Louisiana, Missouri, Oklahoma, South Carolina and West Virginia, experienced increases in suicide rates between 1999-2016 that were higher than the national average of 25.4 percent. The remaining seven states in the region were below the average, from a high of 24.2 percent in Tennessee, to a low of 10.6 percent in Florida.

Among Southern states, Oklahoma had the highest number of deaths by suicide per capita in 2016, with 21 per 100,000, followed by West Virginia, Missouri and Arkansas, all of which were among the top 15 nationally in this category. Meanwhile, North Carolina, Mississippi and Texas had the fewest number of suicides per 100,000 in the South, with rates of 13.0, 12.7 and 12.6, respectively. The national average was 13.5 deaths by suicide per 100,000, a number surpassed by 10 states in the SLC region.

There are many factors that can cause a person to consider suicide, including relationship problems, substance abuse disorders, financial difficulties, deterioration in physical health, personal crises, legal problems and loss of housing. Additionally, approximately 46 percent of suicide cases in 2016 included individuals with known mental health conditions.

State and local leaders have multiple options at their disposal to mitigate the rise in suicides, including expanding temporary assistance to those struggling financially due to job loss or other hardship, providing mental health access in all communities, ensuring as many individuals as possible have accessible healthcare options, and encouraging schools to promote education that can help students address the many challenges they might encounter now and in the future.

Deaths by Suicide 2016
RankingStateTotal Number of Suicides 2016Suicide Rate per 100,000 People 2016Suicide Rate Percent Change 1999-2016
1North Dakota14019.057.6
2Vermont11817.348.6
3New Hampshire24417.248.3
4Utah62021.846.5
5Kansas51417.945.0
6South Dakota16320.244.5
7Idaho35121.443.2
8Minnesota74513.240.6
9Wyoming14425.239.0
10South Carolina81515.738.3
11Montana26725.938.0
12Oklahoma82221.037.6
13Alaska19325.837.4
14West Virginia36219.337.1
15Arkansas55518.236.8
16Kentucky75616.836.6
17Missouri1,13318.436.4
18Iowa45114.636.2
19Ohio1,70714.236.0
20Massachusetts6318.835.3
21Pennsylvania1,97014.734.3
22Colorado1,16820.534.1
23Rhode Island12611.234.1
24Michigan1,36413.332.9
25Indiana1,03415.431.9
26Louisiana67714.229.3
27New York1,6798.128.8
28Oregon77217.828.2
29Maine22615.927.4
30Wisconsin86614.725.8
31Tennessee1,11116.324.2
32Illinois1,41510.722.8
33Alabama78815.721.9
34Connecticut39710.119.2
35New Jersey6877.219.2
36Texas3,48812.618.9
37Washington1,14114.918.8
39New Mexico47122.518.3
38Hawaii17412.118.3
40Mississippi38312.717.8
41Virginia1,16613.217.4
42Arizona1,27117.717.3
43Georgia1,40913.316.2
44Nebraska24613.116.2
45California4,29410.514.8
46North Carolina1,37313.012.7
47Florida3,14314.010.6
48Maryland5869.48.5
49Delaware11911.55.9
50Nevada65021.4-1.0

Sources: Centers for Disease Control and Prevention, Suicide Mortality by State;
Centers for Disease Control and Prevention, Suicide Rates Across the U.S., 1999-2016