For all age groups, Montana has ranked among the top five states with the highest rates of suicide for the past 40 years.
In 2009, 227 Montanans killed themselves for a rate of 22.9 per 100,000 people - third highest in the nation.
There were 225 suicides in Montana in 2011 and 226 in 2012.
In a state with about 1 million people, an average of 15 Montanans attempt suicide every day, or about 5,500 documented suicide attempts each year.
There were 29 youth suicides (ages 15 to 25) in Montana in 2010 for a rate of 21.66, which compares to a national rate of 10.54.
Butte ranks in the 80th percentile nationwide in terms of suicide rates and Anaconda-Deer Lodge County has ranked No. 1 in Montana the past three years.
* Sources: 2010 National Vital Statistics Report, Montana Office of Epidemiology and Scientific Support 2012, Billings Gazette and Janel Pliley, who has participated in Gov. Steve Bullock's Montana at Suicide Review Team.