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. 2022 Jan 7;71(1):1–19. doi: 10.15585/mmwr.ss7101a1

TABLE 2. Annual average estimated number* and percentage of adults aged ≥18 years who had suicidal thoughts, made any suicide plans, or attempted suicide during the previous year, by state and geographic region — National Survey on Drug Use and Health, United States, 2015–2019.

Region/State Suicidal thought§
Suicide plan
Suicide attempt
No. % (95% CI) p value (national vs state/region) No. % (95% CI) p value (national vs state/region) No. % (95% CI) p value (national vs state/region)
Geographic region
Northeast
1,750
4.0 (3.8–4.3)
0.014**
442
1.0 (0.9–1.1)
0**
220
0.5 (0.4–0.6)
0.143
Midwest
2,340
4.5 (4.3–4.8)
0.019**
741
1.4 (1.3–1.6)
0.001**
317
0.6 (0.5–0.7)
0.125
South
3,704
4.0 (3.9–4.2)
0**
1,084
1.2 (1.1–1.3)
0.013**
521
0.6 (0.5–0.6)
0.977
West
2,792
4.8 (4.6–5.1)
0**
818
1.4 (1.3–1.5)
0.003**
326
0.6 (0.5–0.6)
0.960
State

Alabama
146
4.0 (3.3–4.8)
0.350
41
1.1 (0.8–1.6)
0.470
19
0.5 (0.3–0.8)
0.646
Alaska
32
6.1 (5.4–7.0)
0**
12
2.4 (1.9–2.9)
0**
4
0.8 (0.5–1.2)
0.151
Arizona
239
4.5 (3.9–5.3)
0.541
81
1.5 (1.2–1.9)
0.118
40
0.8 (0.5–1.0)
0.131
Arkansas
106
4.8 (3.9–5.8)
0.352
31
1.4 (1.0–1.9)
0.531
15
0.6 (0.4–1.0)
0.569
California
1,259
4.2 (3.9–4.6)
0.679
358
1.2 (1.0–1.4)
0.544
148
0.5 (0.4–0.6)
0.227
Colorado
259
6.1 (5.1–7.3)
0.002**
72
1.7 (1.3–2.2)
0.074
24
0.6 (0.4–0.9)
0.949
Connecticut
100
3.6 (3.0–4.4)
0.059
22
0.8 (0.5–1.2)
0.005**
7
0.3 (0.2–0.4)
0**
Delaware
39
5.3 (4.4–6.3)
0.047**
10
1.4 (1.0–1.9)
0.611
4
0.6 (0.3–1.0)
0.856
District of Columbia
21
3.7 (3.0–4.6)
0.130
6
1.0 (0.7–1.5)
0.228
3
0.6 (0.4–1.0)
0.762
Florida
588
3.6 (3.2–4.1)
0.001**
153
0.9 (0.8–1.1)
0.001**
74
0.5 (0.4–0.6)
0.069
Georgia
296
3.9 (3.3–4.5)
0.152
93
1.2 (0.9–1.6)
0.805
50
0.7 (0.4–1.0)
0.504
Hawaii
46
4.4 (3.5–5.4)
0.910
13
1.3 (0.9–1.8)
0.974
6
0.6 (0.4–0.9)
0.816
Idaho
70
5.6 (4.8–6.5)
0.007**
25
2.0 (1.6–2.4)
0.001**
7
0.5 (0.3–0.8)
0.748
Illinois
351
3.6 (3.2–4.1)
0.004**
115
1.2 (0.9–1.5)
0.644
51
0.5 (0.4–0.7)
0.694
Indiana
275
5.5 (4.7–6.5)
0.008**
98
2.0 (1.5–2.6)
0.008**
43
0.9 (0.6–1.3)
0.074
Iowa
111
4.7 (3.9–5.7)
0.425
42
1.8 (1.3–2.4)
0.053
20
0.9 (0.6–1.3)
0.105
Kansas
112
5.3 (4.4–6.3)
0.061
35
1.6 (1.2–2.2)
0.135
15
0.7 (0.4–1.1)
0.407
Kentucky
171
5.1 (4.3–6.0)
0.071
56
1.7 (1.2–2.2)
0.108
25
0.8 (0.5–1.1)
0.192
Louisiana
153
4.4 (3.8–5.2)
0.739
55
1.6 (1.2–2.1)
0.160
31
0.9 (0.6–1.3)
0.033**
Maine
48
4.5 (3.9–5.3)
0.587
13
1.2 (0.9–1.7)
0.890
4
0.4 (0.3–0.6)
0.059
Maryland
187
4.1 (3.4–4.8)
0.499
47
1.0 (0.7–1.4)
0.176
19
0.4 (0.3–0.7)
0.151
Massachusetts
241
4.5 (3.6–5.6)
0.741
55
1.0 (0.7–1.4)
0.187
27
0.5 (0.3–0.8)
0.578
Michigan
312
4.1 (3.6–4.6)
0.327
86
1.1 (0.9–1.4)
0.261
42
0.5 (0.4–0.7)
0.813
Minnesota
188
4.5 (3.7–5.3)
0.715
55
1.3 (0.9–1.9)
0.811
17
0.4 (0.3–0.7)
0.127
Mississippi
98
4.5 (3.6–5.5)
0.751
34
1.6 (1.1–2.1)
0.233
15
0.7 (0.5–1.0)
0.339
Missouri
189
4.1 (3.4–5.0)
0.597
57
1.2 (0.9–1.7)
0.935
27
0.6 (0.4–1.0)
0.854
Montana
43
5.3 (4.7–6.1)
0.004**
13
1.6 (1.2–2.1)
0.159
4
0.5 (0.4–0.8)
0.857
Nebraska
62
4.4 (3.7–5.3)
0.774
23
1.6 (1.2–2.1)
0.136
7
0.5 (0.3–0.9)
0.753
Nevada
116
5.2 (4.3–6.2)
0.090
43
1.9 (1.3–2.7)
0.060
17
0.8 (0.5–1.2)
0.255
New Hampshire
56
5.2 (4.5–6.1)
0.028**
17
1.6 (1.1–2.3)
0.231
4
0.4 (0.3–0.5)
0.006**
New Jersey
221
3.3 (2.7–3.9)
0.001**
53
0.8 (0.6–1.1)
0**
28
0.4 (0.3–0.7)
0.117
New Mexico
73
4.7 (3.8–5.7)
0.456
17
1.1 (0.8–1.4)
0.248
7
0.4 (0.3–0.6)
0.159
New York
565
3.7 (3.3–4.2)
0.005**
150
1.0 (0.8–1.2)
0.009**
83
0.5 (0.4–0.7)
0.842
North Carolina
329
4.3 (3.7–4.9)
0.842
101
1.3 (1.0–1.7)
0.752
50
0.6 (0.4–0.9)
0.487
North Dakota
25
4.5 (3.8–5.4)
0.638
8
1.5 (1.0.-2.0)
0.397
3
0.6 (0.4–0.8)
0.995
Ohio
480
5.4 (4.9–6.0)
0**
138
1.6 (1.3–1.9)
0.028**
52
0.6 (0.5–0.7)
0.690
Oklahoma
118
4.1 (3.3–5.0)
0.605
38
1.3 (1.0–1.7)
0.723
17
0.6 (0.4–1.0)
0.841
Oregon
182
5.7 (4.9–6.5)
0.001**
50
1.6 (1.2–2.1)
0.149
18
0.6 (0.4–0.8)
0.990
Pennsylvania
448
4.5 (4.0–5.2)
0.453
111
1.1 (0.9–1.4)
0.308
59
0.6 (0.4–0.8)
0.776
Rhode Island
41
4.9 (4.1–5.8)
0.186
12
1.5 (1.0–2.0)
0.426
5
0.6 (0.4–1.0)
0.662
South Carolina
164
4.3 (3.5–5.3)
0.989
56
1.5 (1.0–2.2)
0.478
20
0.5 (0.3–1.0)
0.786
South Dakota
24
3.8 (3.2–4.7)
0.211
8
1.2 (0.9–1.7)
0.874
4
0.6 (0.4–0.9)
0.727
Tennessee
236
4.6 (4.0–5.5)
0.387
69
1.4 (1.0–1.9)
0.674
35
0.7 (0.5–1.0)
0.355
Texas
726
3.6 (3.2–4.0)
0**
196
1.0 (0.8–1.1)
0**
95
0.5 (0.4–0.6)
0.103
Utah
149
6.9 (5.8–8.3)
0**
44
2.0 (1.5–2.7)
0.013**
17
0.8 (0.6–1.1)
0.096
Vermont
31
6.1 (5.2–7.2)
0.001**
8
1.7 (1.2–2.3)
0.156
3
0.5 (0.3–0.9)
0.685
Virginia
258
4.0 (3.5–4.6)
0.331
72
1.1 (0.9–1.5)
0.387
35
0.6 (0.4–0.8)
0.921
Washington
300
5.3 (4.6–6.2)
0.015**
85
1.5 (1.1–2.0)
0.247
31
0.6 (0.3–1.0)
0.939
West Virginia
70
5.0 (4.3–5.8)
0.100
27
1.9 (1.4–2.5)
0.022**
13
0.9 (0.5–1.6)
0.167
Wisconsin
212
4.8 (4.1–5.6)
0.239
75
1.7 (1.3–2.2)
0.062
35
0.8 (0.5–1.2)
0.185
Wyoming
24
5.4 (4.5–6.4)
0.028**
6
1.4 (1.1–1.8)
0.535
3
0.6 (0.4–0.8)
0.849
Total 10,586 4.3 (4.2–4.4) NA 3,084 1.3 (1.2–1.3) NA 1,385 0.6 (0.5–0.6) NA

Abbreviation: NA = not applicable.

* In thousands.

Estimates are based only on responses to suicide items in the Mental Health module. Respondents with unknown suicide information were excluded. Only respondents who reported suicide ideation were asked about suicide plans and attempts.

§ Respondents who answered “yes” to the question, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" were categorized as having serious thoughts of suicide in the past year.

Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. Midwest: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. South: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia. West: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.

** Statistical significance at the p<0.05 level.