The suicide rates in the US are 13.0 deaths in 100,000. Some states in the US have recorded rates that are higher than the overall rates in the country, and this includes Alaska which has the highest rate at 21.8. Other states with high suicide rates include Montana with 20.4 deaths, Nevada with 18.4 deaths, Colorado at 16.7, West Virginia (16.6), Arizona (15.9), Kentucky (15.3), Idaho (14.9), North Dakota (14.9), Oklahoma (14.7), Maine (14.5), Utah (14.3), Vermont (14.3), Arkansas (14.2), Florida (14.2), Kansas (13.
, Missouri (13.7) and Tennessee (13.7). The causes for the high suicide rates have been stated as access to firearms, mental illnesses, substance abuse, and poor access to medical care for mental illnesses.