The leading causes of death among Black residents in the United States in 2022 included diseases of the heart, cancer, unintentional injuries, and stroke. The leading causes of death for African Americans generally reflects the leading causes of death for the entire United States population. However, a major exception is that death from assault or homicide is the seventh leading cause of death among African Americans, but is not among the ten leading causes for the general population. Homicide among African Americans The homicide rate among African Americans has been higher than that of other races and ethnicities for many years. In 2023, around 9,284 Black people were murdered in the United States, compared to 7,289 white people. A majority of these homicides are committed with firearms, which are easily accessible in the United States. In 2022, around 14,189 Black people died by firearms. However, suicide deaths account for over half of all deaths from firearms in the United States. Cancer disparities There are also major disparities in access to health care and the impact of various diseases. For example, the incidence rate of cancer among African American males is the greatest among all ethnicities and races. Furthermore, although the incidence rate of cancer is lower among African American women than it is among white women, cancer death rates are still higher among African American women.

Note: DPH is updating and streamlining the COVID-19 cases, deaths, and testing data. As of 6/27/2022, the data will be published in four tables instead of twelve. The COVID-19 Cases, Deaths, and Tests by Day dataset contains cases and test data by date of sample submission. The death data are by date of death. This dataset is updated daily and contains information back to the beginning of the pandemic. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-Cases-Deaths-and-Tests-by-Day/g9vi-2ahj. The COVID-19 State Metrics dataset contains over 93 columns of data. This dataset is updated daily and currently contains information starting June 21, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-State-Level-Data/qmgw-5kp6 . The COVID-19 County Metrics dataset contains 25 columns of data. This dataset is updated daily and currently contains information starting June 16, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-County-Level-Data/ujiq-dy22 . The COVID-19 Town Metrics dataset contains 16 columns of data. This dataset is updated daily and currently contains information starting June 16, 2022 to the present. The data can be found at https://data.ct.gov/Health-and-Human-Services/COVID-19-Town-Level-Data/icxw-cada . To protect confidentiality, if a town has fewer than 5 cases or positive NAAT tests over the past 7 days, those data will be suppressed. COVID-19 cases and associated deaths that have been reported among Connecticut residents, broken down by race and ethnicity. All data in this report are preliminary; data for previous dates will be updated as new reports are received and data errors are corrected. Deaths reported to the either the Office of the Chief Medical Examiner (OCME) or Department of Public Health (DPH) are included in the COVID-19 update. The following data show the number of COVID-19 cases and associated deaths per 100,000 population by race and ethnicity. Crude rates represent the total cases or deaths per 100,000 people. Age-adjusted rates consider the age of the person at diagnosis or death when estimating the rate and use a standardized population to provide a fair comparison between population groups with different age distributions. Age-adjustment is important in Connecticut as the median age of among the non-Hispanic white population is 47 years, whereas it is 34 years among non-Hispanic blacks, and 29 years among Hispanics. Because most non-Hispanic white residents who died were over 75 years of age, the age-adjusted rates are lower than the unadjusted rates. In contrast, Hispanic residents who died tend to be younger than 75 years of age which results in higher age-adjusted rates. The population data used to calculate rates is based on the CT DPH population statistics for 2019, which is available online here: https://portal.ct.gov/DPH/Health-Information-Systems--Reporting/Population/Population-Statistics. Prior to 5/10/2021, the population estimates from 2018 were used. Rates are standardized to the 2000 US Millions Standard population (data available here: https://seer.cancer.gov/stdpopulations/). Standardization was done using 19 age groups (0, 1-4, 5-9, 10-14, ..., 80-84, 85 years and older). More information about direct standardization for age adjustment is available here: https://www.cdc.gov/nchs/data/statnt/statnt06rv.pdf Categories are mutually exclusive. The category “multiracial” includes people who answered ‘yes’ to more than one race category. Counts may not add up to total case counts as data on race and ethnicity may be missing. Age adjusted rates calculated only for groups with more than 20 deaths. Abbreviation: NH=Non-Hispanic. Data on Connecticut deaths were obtained from the Connecticut Deaths Registry maintained by the DPH Office of Vital Records. Cause of death was determined by a death certifier (e.g., physician, APRN, medical

Sadly, the trend of fatal police shootings in the United States seems to only be increasing, with a total 1,173 civilians having been shot, 248 of whom were Black, as of December 2024. In 2023, there were 1,164 fatal police shootings. Additionally, the rate of fatal police shootings among Black Americans was much higher than that for any other ethnicity, standing at 6.1 fatal shootings per million of the population per year between 2015 and 2024. Police brutality in the U.S. In recent years, particularly since the fatal shooting of Michael Brown in Ferguson, Missouri in 2014, police brutality has become a hot button issue in the United States. The number of homicides committed by police in the United States is often compared to those in countries such as England, where the number is significantly lower. Black Lives Matter The Black Lives Matter Movement, formed in 2013, has been a vocal part of the movement against police brutality in the U.S. by organizing “die-ins”, marches, and demonstrations in response to the killings of black men and women by police. While Black Lives Matter has become a controversial movement within the U.S., it has brought more attention to the number and frequency of police shootings of civilians.

The leading causes of death among the white population of the United States are cardiovascular diseases and cancer. Cardiovascular diseases and cancer accounted for a combined **** percent of all deaths among this population in 2022. In 2020 and 2021, COVID-19 was the third leading cause of death among white people. Disparities in causes of death In the United States, there exist disparities in the leading causes of death based on race and ethnicity. For example, chronic liver disease and cirrhosis is the ***** leading cause of death among the white population and the ****** among the Hispanic population, but is not among the ten leading causes for Black people. On the other hand, homicide is the ******* leading cause of death among the Black population, but is not among the 10 leading causes for whites or Hispanics. However, cardiovascular diseases and cancer by far account for the highest share of deaths for every race and ethnicity. Diseases of despair The American Indian and Alaska Native population in the United States has the highest rates of death from suicide, drug overdose, and alcohol. Together, these three behavior-related conditions are often referred to as diseases of despair. Asians have by far the lowest rates of death due to drug overdose and alcohol, as well as slightly lower rates of suicide.

As of November 17, 277 Black people were killed by the police in the United States in 2024. This compares to 201 Hispanic people and 445 white people. The rate of police shootings of Black Americans is much higher than any other ethnicity, at 6.2 per million people. This rate stands at 2.8 per million for Hispanic people and 2.4 per million for white people.

THIS DATASET WAS LAST UPDATED AT 8:11 PM EASTERN ON JULY 30

OVERVIEW

2019 had the most mass killings since at least the 1970s, according to the Associated Press/USA TODAY/Northeastern University Mass Killings Database.

In all, there were 45 mass killings, defined as when four or more people are killed excluding the perpetrator. Of those, 33 were mass shootings . This summer was especially violent, with three high-profile public mass shootings occurring in the span of just four weeks, leaving 38 killed and 66 injured.

A total of 229 people died in mass killings in 2019.

The AP's analysis found that more than 50% of the incidents were family annihilations, which is similar to prior years. Although they are far less common, the 9 public mass shootings during the year were the most deadly type of mass murder, resulting in 73 people's deaths, not including the assailants.

One-third of the offenders died at the scene of the killing or soon after, half from suicides.

About this Dataset

The Associated Press/USA TODAY/Northeastern University Mass Killings database tracks all U.S. homicides since 2006 involving four or more people killed (not including the offender) over a short period of time (24 hours) regardless of weapon, location, victim-offender relationship or motive. The database includes information on these and other characteristics concerning the incidents, offenders, and victims.

The AP/USA TODAY/Northeastern database represents the most complete tracking of mass murders by the above definition currently available. Other efforts, such as the Gun Violence Archive or Everytown for Gun Safety may include events that do not meet our criteria, but a review of these sites and others indicates that this database contains every event that matches the definition, including some not tracked by other organizations.

This data will be updated periodically and can be used as an ongoing resource to help cover these events.

Using this Dataset

To get basic counts of incidents of mass killings and mass shootings by year nationwide, use these queries:

Mass killings by year

Mass shootings by year

To get these counts just for your state:

Filter killings by state

Definition of "mass murder"

Mass murder is defined as the intentional killing of four or more victims by any means within a 24-hour period, excluding the deaths of unborn children and the offender(s). The standard of four or more dead was initially set by the FBI.

This definition does not exclude cases based on method (e.g., shootings only), type or motivation (e.g., public only), victim-offender relationship (e.g., strangers only), or number of locations (e.g., one). The time frame of 24 hours was chosen to eliminate conflation with spree killers, who kill multiple victims in quick succession in different locations or incidents, and to satisfy the traditional requirement of occurring in a “single incident.”

Offenders who commit mass murder during a spree (before or after committing additional homicides) are included in the database, and all victims within seven days of the mass murder are included in the victim count. Negligent homicides related to driving under the influence or accidental fires are excluded due to the lack of offender intent. Only incidents occurring within the 50 states and Washington D.C. are considered.

Methodology

Project researchers first identified potential incidents using the Federal Bureau of Investigation’s Supplementary Homicide Reports (SHR). Homicide incidents in the SHR were flagged as potential mass murder cases if four or more victims were reported on the same record, and the type of death was murder or non-negligent manslaughter.

Cases were subsequently verified utilizing media accounts, court documents, academic journal articles, books, and local law enforcement records obtained through Freedom of Information Act (FOIA) requests. Each data point was corroborated by multiple sources, which were compiled into a single document to assess the quality of information.

In case(s) of contradiction among sources, official law enforcement or court records were used, when available, followed by the most recent media or academic source.

Case information was subsequently compared with every other known mass murder database to ensure reliability and validity. Incidents listed in the SHR that could not be independently verified were excluded from the database.

Project researchers also conducted extensive searches for incidents not reported in the SHR during the time period, utilizing internet search engines, Lexis-Nexis, and Newspapers.com. Search terms include: [number] dead, [number] killed, [number] slain, [number] murdered, [number] homicide, mass murder, mass shooting, massacre, rampage, family killing, familicide, and arson murder. Offender, victim, and location names were also directly searched when available.

This project started at USA TODAY in 2012.

Contacts

Contact AP Data Editor Justin Myers with questions, suggestions or comments about this dataset at jmyers@ap.org. The Northeastern University researcher working with AP and USA TODAY is Professor James Alan Fox, who can be reached at j.fox@northeastern.edu or 617-416-4400.

Lynching in the United States is estimated to have claimed over 4.7 thousand lives between 1882 and 1968, and just under 3.5 thousand of these victims were black. Today, lynching is more commonly associated with racial oppression, particularly in the south, however, in early years, victims were more commonly white (specifically Mexican), and lynchings were more frequent in western territories and along the southern border. It was only after Reconstruction's end where the lynching of black people became more prevalent, and was arguably the most violent tool of oppression used by white supremacists. Nationwide, the share of the population who was black fluctuated between 10 and 13 percent in the years shown here, however the share of lynching victims who were black was almost 73 percent. North-south divide Of the 4.7 thousand victims of lynching between 1882 and 1968, over 3.5 thousand of these were killed in former-Confederate states. Of the fourteen states where the highest number of lynching victims were killed, eleven were former-Confederate states, and all saw the deaths of at least one hundred people due to lynching. Mississippi was the state where most people were lynched in these years, with an estimated 581 victims, 93 percent of whom were black. Georgia saw the second most lynchings, with 531 in total, and the share of black victims was also 93 percent. Compared to the nationwide average of 73 percent, the share of black victims in former-Confederate states was 86 percent. Texas was the only former-Confederate state where this share (71 percent) was below the national average, due to the large number of Mexicans who were lynched there. Outside of the south Of the non-Confederate state with the highest number of lynching victims, most either bordered the former-Confederate states, or were to the west. Generally speaking, the share of white victims in these states was often higher than in the south, meaning that the majority took place in the earlier years represented here; something often attributed to the lack of an established judiciary system in rural regions, and the demand for a speedy resolution. However, there are many reports of black people being lynched in the former border states in the early-20th century, as they made their way northward during the Great Migration. Between 1882 and 1968, lynchings were rare in the Northeast, although Connecticut, Massachusetts, New Hampshire and Rhode Island were the only states** without any recorded lynchings in these years.

African American males in the United States are much more likely to die from homicide than white males. In 2016, the death rate by homicide for African American males was ** per 100,000 population, compared to a rate of just *** per 100,000 population for white males. African American males are twice as likely to die from firearm-related injuries than white males, with handguns involved in the largest share of homicides in the U.S. Homicide as a leading cause of death While the leading causes of death for black and white residents in the U.S. are similar in many ways, there are two distinct differences. Homicide is not in the leading 10 causes of death among whites, but it is the ******* leading cause of death for blacks, accounting for around ***** percent of all deaths in this group. However, suicide is the ***** leading cause of death among whites, while it is not included in the ** leading causes of death for blacks. Death rates Overall, the death rate in the United States is higher among non-Hispanic whites than any other ethnicity. Furthermore, males across all ethnicities in the U.S. have higher death rates than females. The *** leading causes of death for every ethnicity in the U.S. are cancer and heart disease.

2019 - 2021, county-level U.S. stroke death rates. Dataset developed by the Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention.Create maps of U.S. stroke death rates by county. Data can be stratified by age, race/ethnicity, and sex.Visit the CDC Atlas of Heart Disease and Stroke for additional data and maps. Atlas of Heart Disease and StrokeData SourceMortality data were obtained from the National Vital Statistics System. Bridged-Race Postcensal Population Estimates were obtained from the National Center for Health Statistics. International Classification of Diseases, 10th Revision (ICD-10) codes: I60-I69; underlying cause of death.Data DictionaryData for counties with small populations are not displayed when a reliable rate could not be generated. These counties are represented in the data with values of '-1.' CDC excludes these values when classifying the data on a map, indicating those counties as 'Insufficient Data.'Data field names and descriptionsstcty_fips: state FIPS code + county FIPS codeOther fields use the following format: RRR_S_aaaa (e.g., API_M_35UP)  RRR: 3 digits represent race/ethnicity    All - Overall    AIA - American Indian and Alaska Native, non-Hispanic    ASN - Asian, non-Hispanic    BLK - Black, non-Hispanic    HIS - Hispanic NHP – Native Hawaiian or Other Pacific Islander, non-Hispanic MOR – More than one race, non-Hispanic    WHT - White, non-Hispanic  S: 1 digit represents sex    A - All    F - Female    M - Male  aaaa: 4 digits represent age. The first 2 digits are the lower bound for age and the last 2 digits are the upper bound for age. 'UP' indicates the data includes the maximum age available and 'LT' indicates ages less than the upper bound. Example: The column 'BLK_M_65UP' displays rates per 100,000 black men aged 65 years and older.MethodologyRates are calculated using a 3-year average and are age-standardized in 10-year age groups using the 2000 U.S. Standard Population. Rates are calculated and displayed per 100,000 population. Rates were spatially smoothed using a Local Empirical Bayes algorithm to stabilize risk by borrowing information from neighboring geographic areas, making estimates more statistically robust and stable for counties with small populations. Data for counties with small populations are coded as '-1' when a reliable rate could not be generated. County-level rates were generated when the following criteria were met over a 3-year time period within each of the filters (e.g., age, race, and sex).At least one of the following 3 criteria:At least 20 events occurred within the county and its adjacent neighbors.ORAt least 16 events occurred within the county.ORAt least 5,000 population years within the county.AND all 3 of the following criteria:At least 6 population years for each age group used for age adjustment if that age group had 1 or more event.The number of population years in an age group was greater than the number of events.At least 100 population years within the county.More Questions?Interactive Atlas of Heart Disease and StrokeData SourcesStatistical Methods

The rate of fatal police shootings in the United States shows large differences based on ethnicity. Among Black Americans, the rate of fatal police shootings between 2015 and December 2024 stood at 6.1 per million of the population per year, while for white Americans, the rate stood at 2.4 fatal police shootings per million of the population per year. Police brutality in the United States Police brutality is a major issue in the United States, but recently saw a spike in online awareness and protests following the murder of George Floyd, an African American who was killed by a Minneapolis police officer. Just a few months before, Breonna Taylor was fatally shot in her apartment when Louisville police officers forced entry into her apartment. Despite the repeated fatal police shootings across the country, police accountability has not been adequate according to many Americans. A majority of Black Americans thought that police officers were not held accountable for their misconduct, while less than half of White Americans thought the same. Political opinions Not only are there differences in opinion between ethnicities on police brutality, but there are also major differences between political parties. A majority of Democrats in the United States thought that police officers were not held accountable for their misconduct, while a majority of Republicans that they were held accountable. Despite opposing views on police accountability, both Democrats and Republicans agree that police should be required to be trained in nonviolent alternatives to deadly force.

Estimates based on District hospital discharge data. Counts of and rates based on fewer than 10 births are suppressed for privacy reasons.

Source: Center for Policy Planning and Evaluation, DC Department of Health

Why This Matters

In recent decades, pregnancy-related deaths have risen in the United States. Although relatively rare and mostly preventable, the numbers are high relative to other high-income countries.

Leading underlying causes of pregnancy-related deaths include severe bleeding, cardiac and coronary conditions, and infections. Individual, social, and structural factors contribute to maternal death risk and trends, including maternal age, preexisting medical conditions, access to quality care, insurance, and longstanding racial and ethnic inequities.

Maternal mortality rates are disproportionately higher among birthing people who are Black, Indigenous, and people of color.

The District Response

Enhancements to District healthcare programs. Medicaid expansion provides greater access to prenatal care, extended postpartum Medicaid coverage for a full year, and reimbursement for doula services through all District programs. For a list of local and national resources on pregnancy and related topics, click here.

Paid family leave program providing 12 weeks to bond with a new child or care for a serious health condition, and 2 weeks specifically for prenatal care.

The District established the Maternal Mortality Review Committee, which investigates the causes of maternal deaths, and develops strategic frameworks to improve maternal health.

Heart disease is currently the leading cause of death in the United States. In 2022, COVID-19 was the fourth leading cause of death in the United States, accounting for almost six percent of all deaths that year. The leading causes of death worldwide are similar to those in the United States. However, diarrheal diseases and neonatal conditions are major causes of death worldwide, but are not among the leading causes in the United States. Instead, accidents and chronic liver disease have a larger impact in the United States.

Racial differences

In the United States, there exist slight differences in leading causes of death depending on race and ethnicity. For example, assault, or homicide, accounts for around three percent of all deaths among the Black population but is not even among the leading causes of death for other races and ethnicities. However, heart disease and cancer are still the leading causes of death for all races and ethnicities.

Leading causes of death among men vs women

Similarly, there are also differences in the leading causes of death in the U.S. between men and women. For example, among men, intentional self-harm accounts for around two percent of all deaths but is not among the leading causes of death among women. On the other hand, influenza and pneumonia account for more deaths among women than men.

Characteristics associated with severe maternal morbiditya including body mass index for White non-Hispanic and Black non-Hispanic birthing people: Massachusetts February 1, 2011-December 31, 2018.

Severe maternal morbiditya indicators for White non-Hispanic and Black non-Hispanic birthing people: Massachusetts January 1, 1998-December 31, 2018.

In 2023, the FBI reported that there were 9,284 Black murder victims in the United States and 7,289 white murder victims. In comparison, there were 554 murder victims of unknown race and 586 victims of another race. Victims of inequality? In recent years, the role of racial inequality in violent crimes such as robberies, assaults, and homicides has gained public attention. In particular, the issue of police brutality has led to increasing attention following the murder of George Floyd, an African American who was killed by a Minneapolis police officer. Studies show that the rate of fatal police shootings for Black Americans was more than double the rate reported of other races. Crime reporting National crime data in the United States is based off the Federal Bureau of Investigation’s new crime reporting system, which requires law enforcement agencies to self-report their data in detail. Due to the recent implementation of this system, less crime data has been reported, with some states such as Delaware and Pennsylvania declining to report any data to the FBI at all in the last few years, suggesting that the Bureau's data may not fully reflect accurate information on crime in the United States.

Mortality rates (per 10,000 prisoners) and the relative percentage change in prisoner mortality for forty-four states reporting to the NCRP, 2000–2014.

The killing of Tyre Nichols in January 2023 by Memphis Police Officers has reignited debates about police brutality in the United States. Between 2013 and 2024, over 1,000 people have been killed by police every year. Some of the most infamous examples include the murder of George Floyd in May 2020 and the shooting of Breonna Taylor earlier that year. Within the provided time period, the most people killed by police in the United States was in 2024, at 1,375 people. Police Violence in the U.S. Police violence is defined as any instance where a police officer’s use of force results in a civilian’s death, regardless of whether it is considered justified by the law. While many people killed by police in the U.S. were shot, other causes of death have included tasers, vehicles, and physical restraints or beatings. In the United States, the rate of police shootings is much higher for Black Americans than it is for any other ethnicity, and recent incidents of police killing unarmed Black men and women in the United States have led to widespread protests against police brutality, particularly towards communities of color. America’s Persistent Police Problem Despite increasing visibility surrounding police violence in recent years, police killings have continued to occur in the United States at a consistently high rate. In comparison to other countries, police in the U.S. have killed people at a rate three times higher than police in Canada and 60 times the rate of police in England. While U.S. police have killed people in almost all 50 states, as well as the District of Columbia, New Mexico was reported to have the highest rate of people killed by the police in the United States, with 8.03 people per million inhabitants killed by police.

The term "lynching" is believed to derive from the name of Charles Lynch, a Virginia planter who presided over an irregular and unofficial court during the Revolutionary War. Lynch's use of extralegal measures to punish those loyal to the British crown, helped to inspire mobs in later years to administer their own form of vigilante justice outside of the courts. Eventually, the term came to describe cases where supposed offenders were executed through mob violence without a proper trial and outside of legal jurisdiction. The most famous examples of these executions in the U.S. were those where the victim was hanged (due to the relatively large amount of photographic evidence); however, there were also cases where the victims were shot, burned or tortured and dismembered, among others. Lynching before Jim Crow In the early years of U.S. independence, lynching was most common along the frontier and in western territories, due to the lack of established or immediate judicial systems, and most studies suggest that these victims were mostly white and Mexican. Possibly the largest case of lynching (and largest case of mass hanging) in the United States, was in Texas in 1862, in what is known as the "Great Hanging at Gainsville"; this was where local slaveholders organized the mob hanging of 41 white men and shot three others, due to their supposed allegiance to the Union. Following the American Civil War, however, lynching became inextricably linked with racial inequality and white supremacy in the southern states of the U.S., and black Americans comprised the vast majority of lynching victims from 1886 onwards. Lynching of black Americans The Compromise of 1877 coincided with the emergence of the Jim Crow era in the southern states; it saw the removal of Union troops from the south and established political structures based on white supremacy and the oppression of minorities. Gradually, many of the rights and protections that were granted to black Americans following emancipation were stripped away. This period also saw a vast increase in the number of lynchings in the country, with the majority of these cases taking place in the south. Within ten years of Reconstruction's end, the number of black lynchings exceeded those of white lynchings, and over the next century it is estimated that there were over 4,700 lynchings across the country. Of the 4,740 lynchings estimated to have taken place between 1882 and 1965, 3,445 of the victims were black; this equates to over 72 percent of the total victims of lynching, despite black Americans making up just 10 to 13 percent of the total population. Of these 4,700 lynchings, around 3,500 took place in former Confederate states, where the share of black victims increased to 86 percent. As the years progressed, organized lynchings became more infrequent and were publicized less, and the implementation of the death penalty is thought to have replaced the sense of justice that lynching brought to its perpetrators. Nonetheless, it was not until 1952 where the U.S. went a full year without any known cases of lynching, and the final lynching cases were recorded in 1964 (although some have classified a number of murders after 1964 as lynchings, due to their connections with race and civil rights).

The suicide rate among females in the United States is highest for those aged 45 to 64 years and lowest among girls aged 10 to 14 and elderly women 75 and over. Although the suicide rate among women remains over three times lower than that of men, rates of suicide among women have gradually increased over the past couple decades. Suicide among women in the United States In 2021, there were around six suicide deaths per 100,000 women in the United States. In comparison, the rate of suicide among women in the year 2000 was about four per 100,000. Suicide rates among women are by far the highest among American Indians or Alaska Natives and lowest among Hispanic and Black or African American women. Although firearms are involved in the highest share of suicide deaths among both men and women, they account for a much smaller share among women. In 2020, the firearm suicide rate among women was 1.8 per 100,000 population, while the rates of suicide for suffocation and poisoning were 1.7 and 1.5 per 100,000, respectively. Suicidal ideation among women Although not everyone who experiences suicidal ideation, or suicidal thoughts, will attempt suicide, suicidal thoughts are a risk factor for suicide. In 2022, just over five percent of women in the United States reported having serious thoughts of suicide in the past year. Suicidal thoughts are more common among women than men even though men have much higher rates of death from suicide than women. This is because men are more likely to use more lethal methods of suicide such as firearms. Women who suffer from substance use disorder are significantly more likely to have serious thoughts of suicide than women without substance use disorder.

The Black Death was the largest and deadliest pandemic of Yersinia pestis recorded in human history, and likely the most infamous individual pandemic ever documented. The plague originated in the Eurasian Steppes, before moving with Mongol hordes to the Black Sea, where it was then brought by Italian merchants to the Mediterranean. From here, the Black Death then spread to almost all corners of Europe, the Middle East, and North Africa. While it was never endemic to these regions, it was constantly re-introduced via trade routes from Asia (such as the Silk Road), and plague was present in Western Europe until the seventeenth century, and the other regions until the nineteenth century. Impact on Europe In Europe, the major port cities and metropolitan areas were hit the hardest. The plague spread through south-western Europe, following the arrival of Italian galleys in Sicily, Genoa, Venice, and Marseilles, at the beginning of 1347. It is claimed that Venice, Florence, and Siena lost up to two thirds of their total population during epidemic's peak, while London, which was hit in 1348, is said to have lost at least half of its population. The plague then made its way around the west of Europe, and arrived in Germany and Scandinavia in 1348, before travelling along the Baltic coast to Russia by 1351 (although data relating to the death tolls east of Germany is scarce). Some areas of Europe remained untouched by the plague for decades; for example, plague did not arrive in Iceland until 1402, however it swept across the island with devastating effect, causing the population to drop from 120,000 to 40,000 within two years. Reliability While the Black Death affected three continents, there is little recorded evidence of its impact outside of Southern or Western Europe. In Europe, however, many sources conflict and contrast with one another, often giving death tolls exceeding the estimated population at the time (such as London, where the death toll is said to be three times larger than the total population). Therefore, the precise death tolls remain uncertain, and any figures given should be treated tentatively.