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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.

January 19, 2026 | Mortality | Causes of Death

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.

Violent Death Reporting System Data Report, 2023

The South Dakota Violent Death Reporting System (SD-VDRS) is a CDC-funded anonymous surveillance system that collects information on suicides, homicides, deaths of undetermined intent, unintentional firearm deaths, and legal intervention deaths in the state.

South Dakota Mortality Report, 2024

South Dakota resident deaths and leading causes of death by month.

July 24, 2025 | Mortality | Causes of Death

Causes of Death, 2014-2023

This report lists selected causes of death for South Dakota residents from 2014 to 2023 by year of death and excludes infant deaths.

April 17, 2025 | Mortality | Causes of Death

South Dakota American Indian Mortality Data, 2007-2023

This report examines the 10 leading causes of death among American Indians in South Dakota from 2007 to 2023. It analyzes data derived from death certificates submitted by local physicians and coroners. The report highlights the most prevalent causes of death, including cancer, heart disease, chronic liver disease, and diabetes, over the 17-year period. Additionally, it explores age-specific mortality patterns, revealing the leading causes of death in different age groups, such as motor vehicle accidents and suicide among children and young adults, chronic liver disease in the 30-59 age group, and the impact of COVID-19 on the 60-69 age group. The report also identifies heart disease as the primary cause of death in individuals aged 90 and above.

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