{
  "alt": "Line chart of three national death rates from 2018 to 2024. The overdose line is the highest in every year: it rises from 2018 to a plateau in 2021 to 2023 and falls sharply in 2024. The alcohol-induced line peaks in 2021, declines afterward and ends above its 2019 level. The suicide line stays nearly flat.",
  "caption": "The overdose line climbs to a plateau from 2021 to 2023 and drops in 2024, the alcohol-induced line peaks in 2021 and ends above its 2019 level, and the suicide line is nearly flat. Each line is the national crude rate, the sum of the state counts over the sum of the state populations; the 95% intervals are too narrow to draw and appear in the tooltip. The second view divides each rate by its 2019 rate.",
  "data": [
    {
      "cause": "Overdose",
      "conf_high": 20.7465,
      "conf_low": 20.4355,
      "index": 95.6927,
      "index_hi": 96.7081,
      "index_lo": 94.688,
      "n": 67367,
      "rate": 20.591,
      "year": 2018
    },
    {
      "cause": "Overdose",
      "conf_high": 21.6765,
      "conf_low": 21.3591,
      "index": 100,
      "n": 70630,
      "rate": 21.5178,
      "year": 2019
    },
    {
      "cause": "Overdose",
      "conf_high": 28.0417,
      "conf_low": 27.6812,
      "index": 129.481,
      "index_hi": 130.757,
      "index_lo": 128.217,
      "n": 91799,
      "rate": 27.8614,
      "year": 2020
    },
    {
      "cause": "Overdose",
      "conf_high": 32.3414,
      "conf_low": 31.9556,
      "index": 149.404,
      "index_hi": 150.831,
      "index_lo": 147.991,
      "n": 106699,
      "rate": 32.1485,
      "year": 2021
    },
    {
      "cause": "Overdose",
      "conf_high": 32.58,
      "conf_low": 32.1935,
      "index": 150.511,
      "index_hi": 151.946,
      "index_lo": 149.09,
      "n": 107941,
      "rate": 32.3867,
      "year": 2022
    },
    {
      "cause": "Overdose",
      "conf_high": 31.543,
      "conf_low": 31.1637,
      "index": 145.709,
      "index_hi": 147.105,
      "index_lo": 144.326,
      "n": 105007,
      "rate": 31.3533,
      "year": 2023
    },
    {
      "cause": "Overdose",
      "conf_high": 23.503,
      "conf_low": 23.1783,
      "index": 108.471,
      "index_hi": 109.576,
      "index_lo": 107.377,
      "n": 79384,
      "rate": 23.3406,
      "year": 2024
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 11.5255,
      "conf_low": 11.294,
      "index": 95.9233,
      "index_hi": 97.2939,
      "index_lo": 94.5719,
      "n": 37329,
      "rate": 11.4098,
      "year": 2018
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 12.0127,
      "conf_low": 11.7767,
      "index": 100,
      "n": 39043,
      "rate": 11.8947,
      "year": 2019
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 15.022,
      "conf_low": 14.7585,
      "index": 125.184,
      "index_hi": 126.859,
      "index_lo": 123.531,
      "n": 49061,
      "rate": 14.8902,
      "year": 2020
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 16.4856,
      "conf_low": 16.2104,
      "index": 137.44,
      "index_hi": 139.239,
      "index_lo": 135.664,
      "n": 54258,
      "rate": 16.348,
      "year": 2021
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 15.4925,
      "conf_low": 15.2264,
      "index": 129.129,
      "index_hi": 130.84,
      "index_lo": 127.439,
      "n": 51191,
      "rate": 15.3594,
      "year": 2022
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 14.4416,
      "conf_low": 14.1854,
      "index": 120.335,
      "index_hi": 121.954,
      "index_lo": 118.738,
      "n": 47938,
      "rate": 14.3135,
      "year": 2023
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 13.8595,
      "conf_low": 13.6104,
      "index": 115.471,
      "index_hi": 117.034,
      "index_lo": 113.93,
      "n": 46714,
      "rate": 13.7349,
      "year": 2024
    },
    {
      "cause": "Suicide",
      "conf_high": 14.9083,
      "conf_low": 14.6448,
      "index": 102.087,
      "index_hi": 103.388,
      "index_lo": 100.802,
      "n": 48344,
      "rate": 14.7765,
      "year": 2018
    },
    {
      "cause": "Suicide",
      "conf_high": 14.6046,
      "conf_low": 14.3443,
      "index": 100,
      "n": 47511,
      "rate": 14.4745,
      "year": 2019
    },
    {
      "cause": "Suicide",
      "conf_high": 14.0824,
      "conf_low": 13.8273,
      "index": 96.4099,
      "index_hi": 97.654,
      "index_lo": 95.1817,
      "n": 45979,
      "rate": 13.9548,
      "year": 2020
    },
    {
      "cause": "Suicide",
      "conf_high": 14.6472,
      "conf_low": 14.388,
      "index": 100.298,
      "index_hi": 101.577,
      "index_lo": 99.0349,
      "n": 48183,
      "rate": 14.5176,
      "year": 2021
    },
    {
      "cause": "Suicide",
      "conf_high": 14.9756,
      "conf_low": 14.714,
      "index": 102.559,
      "index_hi": 103.858,
      "index_lo": 101.276,
      "n": 49476,
      "rate": 14.8448,
      "year": 2022
    },
    {
      "cause": "Suicide",
      "conf_high": 14.8549,
      "conf_low": 14.595,
      "index": 101.73,
      "index_hi": 103.02,
      "index_lo": 100.457,
      "n": 49316,
      "rate": 14.7249,
      "year": 2023
    },
    {
      "cause": "Suicide",
      "conf_high": 14.4826,
      "conf_low": 14.228,
      "index": 99.1766,
      "index_hi": 100.437,
      "index_lo": 97.9319,
      "n": 48824,
      "rate": 14.3553,
      "year": 2024
    }
  ],
  "id": "national_rates",
  "notes": [
    "The rates are WONDER crude rates summed from the state rows, which have no withheld cell, so the national series is complete. The 2022 suicide count is {fact:bench_su22}, the count CDC reports. WONDER's 2024 counts are final.",
    "WONDER's 2024 population estimate grows {fact:pop_g24} over 2023, against yearly growth of {fact:pop_g_lo} to {fact:pop_g_hi} in each year from 2019 to 2023, because it comes from a new population vintage. Had it grown at the mean yearly rate of 2019 to 2023, the 2024 rates would be {fact:pop_effect} higher, about {fact:pop_effect_pts} index points for overdose.",
    "Drug poisoning means poisoning of any intent (unintentional, suicide, homicide and undetermined), alcohol-induced deaths are WONDER's alcohol-induced category, and suicide means intentional self-harm by any method. A suicide by drug poisoning is in both the drug and the suicide counts. Rates are crude, not age-adjusted.",
    "North Carolina amended many 2023 overdose death certificates after WONDER's final 2023 file, so WONDER's 2023 overdose counts for that state, and the 2023 overdose points built from them, are low."
  ],
  "source": "CDC WONDER underlying cause of death, 2018-2024; crude rates, full counts",
  "spec": {
    "annotations": [
      {
        "label": "First pandemic year",
        "type": "x-rule",
        "x": 2020
      }
    ],
    "bandSeries": [],
    "colors": {
      "Alcohol-induced deaths": "alcohol",
      "Homicide": "homicide",
      "Overdose": "overdose",
      "Suicide": "suicide"
    },
    "hi": "conf_high",
    "lo": "conf_low",
    "n": "n",
    "series": "cause",
    "x": "year",
    "xDomain": [
      2018,
      2024
    ],
    "xLabel": "Year",
    "xTicks": "data",
    "y": "rate",
    "yDomain": [
      0,
      36
    ],
    "yFormat": {
      "digits": 1
    },
    "yLabel": "Deaths per 100,000 residents"
  },
  "subtitle": "Crude death rates per 100,000 residents for drug poisoning of any intent (overdose), alcohol-induced deaths and suicide, United States, 2018 to 2024",
  "title": "The national overdose death rate rose from {fact:w_od_r19} per hundred thousand residents in 2019 to {fact:w_od_r22} in 2022 and was {fact:w_od_r24} in 2024, while the suicide rate stayed within {fact:w_su_dev} of its 2019 level",
  "type": "line",
  "views": [
    {
      "id": "rate",
      "label": "Deaths per 100,000"
    },
    {
      "caption": "The overdose line is above the alcohol-induced line from 2020 to 2023 and below it in 2024, and the suicide line stays within {fact:w_su_dev} of its 2019 level. Each line divides a year's national crude rate by its 2019 rate.",
      "id": "index",
      "label": "Index, 2019 = 100",
      "spec": {
        "annotations": [
          {
            "label": "2019 level",
            "type": "y-rule",
            "y": 100
          },
          {
            "label": "First pandemic year",
            "type": "x-rule",
            "x": 2020
          }
        ],
        "hi": "index_hi",
        "lo": "index_lo",
        "y": "index",
        "yDomain": [
          80,
          160
        ],
        "yLabel": "Index (2019 = 100)"
      },
      "title": "Relative to 2019, the national overdose rate peaked at {fact:w_od_p22} above its 2019 level and the alcohol-induced rate at {fact:w_alc_p21}, and in 2024 they were {fact:w_od_p24} and {fact:w_alc_p24} above"
    }
  ],
  "width": "wide"
}