The countries with the highest suicide mortality rate worldwide in 2019 included Lesotho, Guyana, and Eswatini. Suicide rates of men are much higher than among women in many countries. Lithuania has one of the highest suicide rates for men as of 2019, while South Korea reports the highest suicide rate for women.

In the United States

Although the United States is not among the countries with the highest suicide mortality rate, suicide is still one of the leading causes of death in the U.S. As with other countries, the suicide rate among males in the U.S. is much higher than among females. The age group with the highest rate of suicide is those aged 45 to 64 years, followed by 25 to 44-year-olds. The states with the highest suicide rates are Wyoming, Alaska, and Montana.

Risk factors and help

Major risk factors for suicide include mental health issues and substance abuse problems; however, it can be difficult to predict who is at risk. Warning signs such as talking about wanting to die, expressing feelings of depression, suicidal ideation, and abusing drugs or alcohol should be taken seriously and help should be sought as soon as possible. Suicide hotlines exist in many countries around the world and one should not hesitate to discuss such issues and feelings with a health care provider.

South Korea currently has the highest overall suicide rate among OECD countries worldwide. The suicide rate among women in South Korea is significantly higher than that of women in any other country. Nevertheless, suicide is commonly more prevalent among men than women. Suicide in the U.S. The suicide rate in the United States has risen since the year 2000. As of 2021, there were around 14.1 deaths from suicide per 100,000 population. The suicide rate among men in the U.S. is over three times what it is for females, a considerable and troubling difference. The suicide rate among men increases with age, with the highest rates found among men aged 75 years and older. Adolescent suicide Adolescent suicide is always a serious and difficult topic. A recent survey found that around 30 percent of female high school students in the United States had seriously considered attempting suicide in the past year, compared to 14 percent of male students. On average, there are around 11 suicide deaths among adolescents per 100,000 population in the United States. The states with the highest rates of adolescent suicide include Idaho, Colorado, and Utah.

The average for 2019 based on 41 countries was 12.93 suicides per 100,000 people. The highest value was in Lithuania: 26.1 suicides per 100,000 people and the lowest value was in Turkey: 2.4 suicides per 100,000 people. The indicator is available from 2000 to 2019. Below is a chart for all countries where data are available.

The average for 2019 based on 12 countries was 11.65 suicides per 100,000 people. The highest value was in Guyana: 40.3 suicides per 100,000 people and the lowest value was in Venezuela: 2.1 suicides per 100,000 people. The indicator is available from 2000 to 2019. Below is a chart for all countries where data are available.

In 2023, Japan reported 17.6 suicides per 100,000 inhabitants. The country's suicide rate had shown a steady downwards trend over the past decade but began to rise again in 2020. The unexpected upward trend is likely to be connected to the COVID-19 pandemic.  What are the reasons behind Japan’s high suicide rates?  Historically, Japan’s high suicide rates were closely linked to the economic situation of individuals. While the majority of suicides in Japan stemmed from health reasons, existential worries and problems directly related to work also accounted for thousands of self-inflicted deaths in the past years. The most profound issue faced by employees in Japan leading to self-harm in the past decade has been exhaustion. An increasing pressure of retaining jobs by putting in more hours of overtime, while taking fewer holidays and sick days, were considered the main motivators behind the rising suicide numbers among office workers and employees. Occupational sudden mortality, known as karoshi ("death by overwork") is a well-known phenomenon in Japanese society. Besides physical pressure, mental stress from the workplace can cause karoshi. Suicide due to occupational stress or overwork is called karojisatsu ("overwork suicide") in Japan.  Which demographic groups are affected?  While middle-aged men were frequently portrayed as the highest-risk group for suicide in Japan, suicides among elderly and school children were recurrently picked up by the media. Financial anxiety, bullying, isolation, and the lack of a proficient mental healthcare system were only some factors contributing to the country’s high suicide rates among all age groups.

The average for 2019 based on 7 countries was 11.99 suicides per 100,000 people. The highest value was in the USA: 16.1 suicides per 100,000 people and the lowest value was in Italy: 6.7 suicides per 100,000 people. The indicator is available from 2000 to 2019. Below is a chart for all countries where data are available.

In 2019, the rate of deaths due to suicide in Qatar was 3.9 per 100,000 people, the highest in that year among the Gulf Cooperation Council (GCC) countries. The suicide death rate in the GCC region was significantly below the world average of 9.2 deaths per 100,000 people.

Suicide mortality rate is the number of suicide deaths in a year per 100,000 population. Crude suicide rate (not age-adjusted).

In 2023, the 50 to 59-year age group had the highest suicide rate in Japan, with 23.4 suicides per 100,000 inhabitants. Middle-aged men are frequently portrayed as the highest-risk group for suicide in Japan. On the other hand, suicides among the elderly and schoolchildren are also recurrently picked up by the media. Japan's recent suicide rates Japan’s suicide numbers peaked in 2009 when the country experienced its worst recession since World War II. That same year, the suicide rate surged to 25.7 deaths per 100,000 inhabitants and almost 33 thousand victims in total. While the country's suicide rate has shown a steady downward trend in the most recent decade, 2020 marked the first time within the past decade that suicide numbers were rising again. The COVID-19 pandemic likely caused this upward trend.From a gender perspective, Japanese men are more likely to commit suicide than women. In 2023, 24.6 deaths per 100,000 male inhabitants were reported, compared to a female suicide rate of 10.9 in the same year.  What are the reasons behind Japan’s high suicide rates?  Many factors are being blamed for the Japan's high suicide rates, including financial anxiety, bullying, isolation, and a lack of a proficient mental healthcare system. Historically, the country's high suicide rates have been closely linked to the economic situation of the individuals. Existential worries and problems directly related to work have been one of the main reasons for self-inflicted deaths in the past years.In the past 10 years, one of the most profound issues faced by employees in Japan leading to self-harm was exhaustion. An increasing pressure of retaining jobs by putting in more hours of overtime, while taking fewer holidays and sick days, are considered the main motivators behind the rising suicide numbers among office workers and employees. Occupational sudden mortality, known as karoshi (“death by overwork”) is a well-known phenomenon in Japanese society. Besides physical pressure, mental stress from the workplace can cause karoshi. Suicide due to occupational stress or overwork is called karojisatsu (“overwork suicide”) in Japan.

The average for 2019 based on 20 countries was 5.48 suicides per 100,000 people. The highest value was in the USA: 16.1 suicides per 100,000 people and the lowest value was in Antigua and Barbuda: 0.4 suicides per 100,000 people. The indicator is available from 2000 to 2019. Below is a chart for all countries where data are available.

As of 2022, the U.S. states with the highest death rates from suicide were Montana, Alaska, and Wyoming. In Wyoming and Montana, there were around 29 and 28 suicide deaths per 100,000 population, respectively. In comparison, in New Jersey, the state with the lowest suicide death rate, there were only around eight suicide deaths per 100,000 population. Differences in suicide rates by gender In the United States, there is a vast difference in suicide rates between men and women, with rates over 3.5 times higher among men. However, rates of suicide for both men and women have increased over the past couple of decades. Among men, those aged 75 years and older have the highest suicide rates, with around 42 deaths per 100,000 population in 2021. Among women, those aged 45 to 64 years have the highest rates of suicide death with 8.2 deaths per 100,000 population. What is the most common method of suicide? In the United States, the most common method of suicide is with firearms, followed by suffocation and then poisoning. In 2022, there were around 27,032 suicide deaths from firearms in the United States, compared to 12,247 deaths from suffocation and 4,894 from drug poisoning. In 2021, firearms accounted for around 60 percent of suicide deaths among men. In comparison, around 35 percent of deaths from suicide among women were due to firearms, while suffocation and poisoning each accounted for 28 percent of such deaths.

BackgroundIn Europe, men have lower rates of attempted suicide compared to women and at the same time a higher rate of completed suicides, indicating major gender differences in lethality of suicidal behaviour. The aim of this study was to analyse the extent to which these gender differences in lethality can be explained by factors such as choice of more lethal methods or lethality differences within the same suicide method or age. In addition, we explored gender differences in the intentionality of suicide attempts.Methods and FindingsMethods. Design: Epidemiological study using a combination of self-report and official data. Setting: Mental health care services in four European countries: Germany, Hungary, Ireland, and Portugal. Data basis: Completed suicides derived from official statistics for each country (767 acts, 74.4% male) and assessed suicide attempts excluding habitual intentional self-harm (8,175 acts, 43.2% male).Main Outcome Measures and Data Analysis. We collected data on suicidal acts in eight regions of four European countries participating in the EU-funded “OSPI-Europe”-project (www.ospi-europe.com). We calculated method-specific lethality using the number of completed suicides per method * 100 / (number of completed suicides per method + number of attempted suicides per method). We tested gender differences in the distribution of suicidal acts for significance by using the χ2-test for two-by-two tables. We assessed the effect sizes with phi coefficients (φ). We identified predictors of lethality with a binary logistic regression analysis. Poisson regression analysis examined the contribution of choice of methods and method-specific lethality to gender differences in the lethality of suicidal acts.Findings Main ResultsSuicidal acts (fatal and non-fatal) were 3.4 times more lethal in men than in women (lethality 13.91% (regarding 4106 suicidal acts) versus 4.05% (regarding 4836 suicidal acts)), the difference being significant for the methods hanging, jumping, moving objects, sharp objects and poisoning by substances other than drugs. Median age at time of suicidal behaviour (35–44 years) did not differ between males and females. The overall gender difference in lethality of suicidal behaviour was explained by males choosing more lethal suicide methods (odds ratio (OR) = 2.03; 95% CI = 1.65 to 2.50; p < 0.000001) and additionally, but to a lesser degree, by a higher lethality of suicidal acts for males even within the same method (OR = 1.64; 95% CI = 1.32 to 2.02; p = 0.000005). Results of a regression analysis revealed neither age nor country differences were significant predictors for gender differences in the lethality of suicidal acts. The proportion of serious suicide attempts among all non-fatal suicidal acts with known intentionality (NFSAi) was significantly higher in men (57.1%; 1,207 of 2,115 NFSAi) than in women (48.6%; 1,508 of 3,100 NFSAi) (χ2 = 35.74; p < 0.000001).Main limitations of the studyDue to restrictive data security regulations to ensure anonymity in Ireland, specific ages could not be provided because of the relatively low absolute numbers of suicide in the Irish intervention and control region. Therefore, analyses of the interaction between gender and age could only be conducted for three of the four countries. Attempted suicides were assessed for patients presenting to emergency departments or treated in hospitals. An unknown rate of attempted suicides remained undetected. This may have caused an overestimation of the lethality of certain methods. Moreover, the detection of attempted suicides and the registration of completed suicides might have differed across the four countries. Some suicides might be hidden and misclassified as undetermined deaths.ConclusionsMen more often used highly lethal methods in suicidal behaviour, but there was also a higher method-specific lethality which together explained the large gender differences in the lethality of suicidal acts. Gender differences in the lethality of suicidal acts were fairly consistent across all four European countries examined. Males and females did not differ in age at time of suicidal behaviour. Suicide attempts by males were rated as being more serious independent of the method used, with the exceptions of attempted hanging, suggesting gender differences in intentionality associated with suicidal behaviour. These findings contribute to understanding of the spectrum of reasons for gender differences in the lethality of suicidal behaviour and should inform the development of gender specific strategies for suicide prevention.

The average for 2019 based on 19 countries was 11.88 suicides per 100,000 people. The highest value was in South Korea: 28.6 suicides per 100,000 people and the lowest value was in Indonesia: 2.4 suicides per 100,000 people. The indicator is available from 2000 to 2019. Below is a chart for all countries where data are available.

South Korea Male Suicide Rates decreased by 1.1% in 2019, compared to a year earlier.

Suicide mortality rate is the number of suicide deaths in a year per 100,000 population. Crude suicide rate (not age-adjusted).

The average for 2019 based on 11 countries was 6.04 suicides per 100,000 people. The highest value was in India: 12.7 suicides per 100,000 people and the lowest value was in the Philippines: 2.2 suicides per 100,000 people. The indicator is available from 2000 to 2019. Below is a chart for all countries where data are available.

Suicide mortality rate is the number of suicide deaths in a year per 100,000 population. Crude suicide rate (not age-adjusted).

In 2023, the suicide rate in South Korea was particularly high among the elderly population over the age of 80, with 59.4 deaths per 100,000 population. The overall suicide rate among people aged 10 to 79 years increased compared to the previous year. Suicide was the leading cause of death among people aged 10 to 39 years. Suicide among the elderlySouth Korea has the highest suicide rate in the Organisation for Economic Co-operation and Development (OECD). One driving factor for suicide among the elderly is poverty. Almost half of the senior citizens in the country live with less than half the median disposable income. Many do not want to become a financial burden for their families and end up committing suicide as a result of not being able to support themselves.Suicide prevention Since the South Korean government implemented its initial suicide prevention program in 2004, numerous measures have been put in place to address the alarmingly high suicide rate. However, these efforts have not been very successful. Despite an increase in the annual budget for suicide prevention, it still remains significantly lower compared to international standards. If you are having suicidal thoughts, or you know someone who is, it is essential to seek help. Many countries have suicide crisis or prevention lines that offer free advice and support in such situations. If you live in the United States, you can reach the Suicide & Crisis Lifeline by simply calling 988 to receive free and confidential support 24/7. If you live in South Korea you can call the suicide prevention hotline 109.

Suicide mortality rate is the number of suicide deaths in a year per 100,000 population. Crude suicide rate (not age-adjusted).

Montana was the state with the highest rate of suicidal death among adolescents in the U.S. in 2022, with around 39 deaths per 100,000 adolescents. The overall suicide rate in the U.S. has increased over recent years. Suicide is more common among men than women with rates among men over three times higher than among women. Risk factors Risk factors for suicide include mental disorders, such as depression, bipolar disorder, and personality disorders, as well as substance abuse. In fact, suicidal thoughts, plans to commit suicide, and suicide attempts are all more common among those with drug or alcohol dependence or abuse. In terms of suicides due to a known mental disorder, depression accounts for around 72 percent of all such suicides. Methods Most suicides in the United States are carried out by firearms, however, the most common method of suicide differs from country to country. In 2022, over 27,000 suicides in the United States were conducted by firearms, or just over half of all suicides that year. Firearms are the most common means of suicide among both men and women in the United States, but suicide by poisoning is much more common among women than men.