[tokenadult]

Availability of means to take one's life surely matters too in those states with higher suicide rates. The intermountain west is a place where everyone has access to firearms. In fact, I remember from a few months ago that there was a National Public Radio report about just that issue in connection with youth suicide in Wyoming.

http://www.npr.org/2013/03/19/174761612/a-turning-point-for-...

Most of the intermountain west is very arid, so rather than "farming" as that is usually understood, the occupation tends to be ranching (keeping cattle).

About the leading causes of death, they tend to correlate strongly with poverty, and it's not surprising to find high rates in poorer rather than richer states.

[dubfan]

Access to firearms may play some part, but the rates of death due to firearm injury is high in the South which has relatively low suicide rates.

Perhaps religious/cultural attitudes play a part? That wouldn't account for Utah though.

[ekianjo]

Interestingly Alaska has the highest death rate by Firearms. Anyone can propose a rationale for that?

[dubfan]

Guns are pretty useful in remote areas inhabited by large, aggressive animals.

[ekianjo]

Are you saying it's more likely to commit suicide just because you own a gun ?

[matthewisabel]

According to the Harvard Injury Control Research Center, there is some risk, particularly when considering younger demographics.

"The preponderance of current evidence indicates that gun availability is a risk factor for youth suicide in the United States. The evidence that gun availability increases the suicide rates of adults is credible, but is currently less compelling." [1]

There's a lot of good additional data in the original report. According to the table on page 40 [2], self-harm by firearm represented 19,392 of 38,364 suicides. This dwarfed the number of gun-related homicides which was 11,078.

Page 83 explores death by intent. Interestingly, there's also a category for legal intervention/war which represented 344 of all firearm deaths.

[1] http://www.hsph.harvard.edu/hicrc/firearms-research/gun-owne...

[2] http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_04.pdf

[GabrielF00]

Suicide by firearm is more likely to succeed than suicide by other methods (for instance poisoning). Per the American Association of Suicidology, "if a gun is used to attempt suicide, a fatal outcome will result 78% to 90% of the time."[1] Suffocation is also very likely to succeed but poisoning results in death less than 5% of the time and falls about 25% of the time.[2] One can make an impulsive decision to commit suicide with a gun while other methods (for instance hanging) may take considerably more thought and preparation. Suicide by firearm seems to be particularly problematic for youth.

[1] - [http://www.suicidology.org/c/document_library/get_file?folde...]

[2] - http://www.cdc.gov/violenceprevention/suicide/statistics/cas...

[ekianjo]

Good point, thank you. Is there any data on suicide attempts per state, then, available anywhere online ? Are suicide attempts even recorded officially ?

[thaumasiotes]

in addition to your other replies, I think it's worth pointing out that in Canada the native populations have an elevated suicide rate. It wouldn't be at all surprising for that to be true in Alaska too.