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Colorado in suicide rates: causes & hope

Carli Simmonds, Author

Carli Simmonds

Key Takeaways

  • Colorado's suicide rate has remained one of the highest in the nation for two decades, consistently exceeding the U.S. average.
  • Multiple factors contribute to the high rates, including Colorado's location in the "suicide belt," rural isolation, economic stress, stigma, and lack of access to mental healthcare.
  • Suicide is preventable through community connection, open conversation, reducing access to lethal means, and seeking professional treatment for underlying conditions like depression and substance use.

Talking about suicide is never easy, but it is one of the most important conversations we can have. If you are reading this, you may be carrying real weight, worried about a loved one or searching for answers for yourself. Suicide rates in Colorado have stayed consistently higher than the national average for two decades, and understanding why is the first step toward change. The real story is about the people behind the numbers, and about the hope that comes from knowing prevention is possible and help is always available. You are not alone, and compassionate mental health treatment can make a genuine difference.

How many people die by suicide in Colorado each year?

It is heartbreaking to put numbers to such a personal tragedy, but understanding the scale of the issue is a critical step toward change. Colorado saw approximately 1,297 suicide deaths in 2023, continuing a trend that has kept the state’s rate among the highest in the nation. For two decades, that rate has been climbing across age groups, regions, and walks of life, leaving countless families and communities to navigate immense grief. These are not just statistics; they represent friends, family members, and neighbors. Acknowledging that reality lets us shift our focus toward what actually helps: meaningful prevention and accessible support for every Coloradan.

Who is most at risk in Colorado?

Suicide touches every community, but some groups carry a heavier burden of risk, and recognizing those patterns helps direct support where it is needed most. Men die by suicide at far higher rates than women, with middle-aged and older men especially vulnerable, often because they are less likely to reach out for help when they are struggling. At the same time, rates among teens and young adults have been climbing, shaped by academic pressure, social isolation, and the constant comparison that social media can fuel.

Other communities face elevated risk as well. Veterans are affected at strikingly disproportionate rates, a disparity explored further in our look at veteran suicide statistics, and LGBTQ+ individuals, particularly young people, experience higher rates of suicidal thoughts when they lack acceptance and support. Older adults who live alone, manage chronic pain, or have recently lost a spouse can slip into isolation that goes unnoticed, and major life transitions such as job loss, divorce, or retirement can quietly intensify that vulnerability. Underlying conditions are among the strongest predictors of all: untreated depression and other mood disorders dramatically raise risk, which is why early, accessible depression treatment is one of the most protective steps a person or family can take. No one is immune, but knowing who is most vulnerable allows friends, families, and communities to check in sooner and offer connection before a crisis takes hold.

Why are Colorado’s suicide rates so high

There is no single explanation for why suicide rates in Colorado consistently exceed the national average; instead, several factors stack on top of one another. Colorado sits within the Mountain West, a region sometimes called the “suicide belt” because its states report some of the highest rates in the country year after year. Researchers have examined a number of possible reasons, including whether high altitude affects brain chemistry and mood, though that remains only one piece of a much larger picture.

Geography and climate play a role too. Long winters and reduced daylight can deepen depression for people prone to seasonal mood changes, and the wide-open distances that make Colorado beautiful also leave many residents far from the nearest provider. Economic pressure, a rising cost of living, and housing strain add chronic stress to daily life, while ready access to lethal means can turn a brief, survivable crisis into an irreversible tragedy. Stigma quietly compounds all of it, keeping people from speaking up or seeking care until they are in serious distress.

The encouraging truth is that nearly every one of these factors can be addressed. Expanding access to care, normalizing conversations about mental health, and strengthening community connection all push risk in the other direction. When support becomes easier to reach and harder to feel ashamed of, lives are saved. Reaching out for mental health treatment early, before a hard season becomes a crisis, is a powerful act of prevention in its own right.

Mental health challenges are a risk factor for suicide, but many go untreated

Untreated mental health conditions are a significant risk factor for suicide, and many Coloradans struggle to get the help they need. More than one in ten people in the state report not getting necessary mental health treatment. That gap is even wider in rural communities, where suicide rates have risen faster than in urban areas for the last two decades. Limited access to care, provider shortages, and stigma all create real barriers, which is why flexible options like telehealth mental health care matter so much for people far from a provider.

The burden is not shared equally. People of color who died by suicide were less likely to have received mental health care than white Coloradans, pointing to profound disparities that must be addressed. Because substance use and mental health conditions so often overlap, integrated dual diagnosis treatment that treats both at once is frequently a key part of closing the gap and lowering risk.

Suicide is preventable

While the numbers can feel overwhelming, it is essential to hold onto a powerful truth: suicide is preventable. Most suicidal crises are temporary, and the intense pain that drives them can ease with time, support, and care. Prevention begins with connection, by noticing when someone is struggling, asking directly and without fear, and helping them reach professional support. Treating underlying conditions like depression, anxiety, trauma, and substance use removes much of the fuel behind a crisis. And in an acute moment, creating time and space between a person in crisis and access to lethal means can be the difference between a temporary low and a permanent loss.

Simple steps for suicide prevention

Everyone can play a part in prevention. A few simple, powerful actions can protect the people you love and strengthen your community:

  • Recognize the warning signs. Withdrawal, hopelessness, dramatic mood changes, giving away belongings, increased substance use, or talk of being a burden can all signal that someone is struggling.
  • Ask directly and listen. Asking someone whether they are thinking about suicide does not plant the idea; it shows you care and can be a lifeline for someone who feels alone.
  • Stay connected. Regular check-ins, following through, and simply being present reduce isolation and remind a person that they matter.
  • Help reduce access to lethal means. During a high-risk period, safely limiting access to anything that could be used in a moment of crisis creates lifesaving time and space.

The community’s role in suicide prevention

While the suicide rates in Colorado are deeply concerning, there is so much reason for hope. Prevention is possible, and it starts right here in our communities. By fostering open conversations about mental health, reducing stigma, and ensuring everyone knows how to access support, we can create a culture that saves lives. It’s about checking in on our neighbors, supporting local prevention programs, and championing compassionate, integrated care. This aligns with our mission to provide healing and recovery to individuals and families across Colorado, because we know that connection and support are the cornerstones of lasting wellness.

The journey toward healing can feel overwhelming, but you don’t have to walk it alone. Understanding the risk factors and knowing that prevention is possible are the first steps. At Red Ribbon Recovery Colorado, we offer compassionate, evidence-based mental health treatment to help you or your loved one find a path forward. If you’re ready to talk, our team is here to listen without judgment. Please call us at (303) 219-3980 or contact us today to learn more about our programs and take the first step toward hope and recovery.

Sources
  1. Colorado Department of Public Health and Environment. Suicide. Colorado Department of Public Health and Environment. https://cdphe.colorado.gov/colorado-gun-violence-prevention-resource-bank/injury-and-death-involving-firearms/suicide
  2. Substance Abuse and Mental Health Services Administration. (03-29-2024). Co-occurring disorders and other health conditions. SAMHSA. https://www.samhsa.gov/substance-use/treatment/co-occurring-disorders
  3. Colorado General Assembly. Snapshot of rural health in Colorado. Colorado General Assembly. https://leg.colorado.gov/sites/default/files/images/colorado_rural_health_snapshot.pdf
  4. U.S. Department of Veterans Affairs. (07-09-2017). Lethal means safety and suicide prevention. VA MIRECC / CoE. https://www.mirecc.va.gov/lethalmeanssafety/
  5. Johns Hopkins University. (02-25-2025). Lethal means safety counseling. Center for Gun Violence Solutions. https://publichealth.jhu.edu/center-for-gun-violence-solutions/lethal-means-safety-counseling
  6. Centers for Disease Control and Prevention. (08-01-2024). Comprehensive suicide prevention: Program profiles. Centers for Disease Control and Prevention. https://www.cdc.gov/suicide/csp-profiles/index.html
  7. Centers for Disease Control and Prevention. (06-09-2025). Mental health stigma. Centers for Disease Control and Prevention. https://www.cdc.gov/mental-health/stigma/index.html

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About the content

Publish date: Jun 01, 2026
Last updated: Jul 01, 2026
Jodi Tarantino (LICSW)

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Jodi Tarantino (LICSW)

Medically reviewed by: Jodi Tarantino, LICSW. Jodi Tarantino is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare. Also reviewed by the RRR Editorial team.

Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.

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