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State Unintentional Drug Overdose Reporting System (SUDORS) Report, 2024
From 2020 to 2024, there were 357 unintentional and undetermined overdose deaths in South Dakota. There were 73 deaths in 2024, which was a 12% increase from 65 deaths in 2023.
SUDORS Infographic, 2024
From 2020 to 2024, there were 357 unintentional and undetermined overdose deaths in South Dakota. Sixty-two percent of deaths had at least one potential opportunity for intervention, including the presence of a bystander at the time of the overdose. The largest proportion of overdose deaths occurred among males, individuals aged 25 to 44 years, and those who were White. Overdose deaths frequently involved multiple substances, with at least one stimulant involved in 52% of deaths and at least one opioid involved in 46% of deaths. Methamphetamine and fentanyl were the most commonly identified substances contributing to overdose deaths during this period.
South Dakota Monthly Mortality Report, 2025 (Provisional)
South Dakota resident deaths and leading causes of death by month.
Pregnancy-Associated and Infant Deaths in South Dakota, 2015-2024
The following report describes the characteristics of mothers who died during pregnancy or within one year of the end of pregnancy, as well as infants who died before their first birthday, in South Dakota from 2015–2024. Throughout this report, we refer to these losses as pregnancy-associated deaths and infant deaths. There were 787 infant deaths during those 10 years, and 75 pregnancy-associated deaths.
Annual Report on Need for Additional Nursing Facility Beds or Nursing Facilities, 2025
In accordance with state law, the Department of Health, with assistance from the Department of Human Services annually considers the need for additional beds or nursing facilities in the State. If a need for additional beds or nursing facilities is identified, the Department of Health is required to solicit and evaluate proposals to address the identified need. Any facility that receives redistributed beds, or any authorized new facility, is required by law to maintain minimum Medicaid occupancy rates.
Healthy Relationships Cross-Program Evaluation Report, July 2024-June 2025
The following evaluation report is intended to inform SD DOH Healthy Relationships leadership on the activities and outcomes of Healthy Relationships programming for the contract year. The report also includes relevant state and county data to assist the decision-making processes for future Healthy Relationships programming.
Homicide Deaths in South Dakota, 2020-2023
Between 2020 and 2023, South Dakota recorded 188 homicide deaths, with 2023 reporting the lowest number (39). American Indians experienced the highest homicide rate—18 times greater than White individuals—with 47% of all homicides involving firearms and over half of suspects having known relationships with their victims.
Suicide Deaths in South Dakota, 2020-2023
From 2020 to 2023, suicide deaths in South Dakota declined from 193 to 179, with 50% involving firearms and 78% of decedents being male. American Indian individuals aged 20–29 experienced the highest suicide rate at 126.1 per 100,000, highlighting a critical disparity in age and race demographics.
Violent Deaths in South Dakota, 2020-2023
The 2023 South Dakota Violent Death Reporting System (SD-VDRS) report provides a snapshot of violent deaths statewide from 2020 to 2023. In 2023, there were 232 violent deaths, down from 260 in 2022. Suicides accounted for the vast majority—77%—of all violent deaths, with firearms involved in half of all cases.