Middle-aged men walk the point. Men in the United States average 22 suicides per 100,000 people, with those ages 45 to 64 representing the fastest-growing group, up from 20.8 per 100,000 in 1999 to 30.1 in 2017. The states with the highest rates are Montana, with 28.9 per 100,000 people; Alaska, at 27 per 100,000; and Wyoming, at 26.9 per 100,000 — all roughly double the national rate. New Mexico, Idaho and Utah round out the top six states. All but Alaska fall in the Mountain time zone.
Suicide in America is dominated by white men, who account for 70 percent of all cases.
“I have no one,” a man told me quietly over coffee. Outside, an unforgiving wind whipped through the tall grass. “The winters here are killing me.”
A review of the federal data, however, shows that it's rural America that is sustaining the largest increases. The aggregate suicide rate for counties outside of metropolitan areas climbed about 14 percent over the five-year period ending in 2016. By comparison, the rate within metro areas also increased -- but only by 8 percent. The largest metro areas, in particular, experienced relatively small increases compared to everywhere else.