Rural Communities at Greater Vulnerability for Suicide Risk

While suicide affects people everywhere, rural communities face an even greater risk. Understanding these challenges can help us better support our neighbors, families, and friends.

According to the Rural Health Information Hub, the suicide rate is nearly twice as high in the most rural areas of the U.S. compared to the most urban areas. From 1999 to 2019, rural suicide rates increased by 50%, while urban areas saw a 31% increase. In some states, urban areas have seen no increase at all, while rural communities continue to face rising rates.

Certain groups in rural areas carry even greater risk:

• Age: Suicide risk is highest among rural men ages 85+, while rural youth (ages 15–19) face a suicide rate 54% higher than their urban peers.

• American Indian/Alaska Native (AI/AN) populations: Rates are higher due to social and historical factors, compounded by limited access to culturally competent care.

• Farmers: Financial stress, physical demands, and isolation contribute to higher suicide rates, worsened by stigma around seeking help.

• Veterans: An average of 22 Veterans die by suicide each day, and rural Veterans often face additional barriers to accessing care and support.

By understanding these risk factors, we can better support our neighbors, family, and friends. Suicide prevention starts with awareness, connection, and compassion.

If you or someone you know is in crisis, call or text 988 to connect with the Suicide & Crisis Lifeline.