Wyoming saw a sad trend continue in 2012, as it held the nation's highest suicide rate.
Wyoming also saw the country's highest rate in 2010 and one of the highest in 2011. Governor Matt Mead called for an increased focus on suicide prevention during his State of the State speech.
Medical professionals claim suicide is more likely in rural, isolated areas that have long driving distances to medical care facilities.
The Sheridan VA Center says nowhere is the concern greater than in Sheridan.
"Sheridan County in 2011 had the highest rate of completed suicide compared to all of the counties throughout Wyoming," said Suicide Prevention Coordinator Edgar Pretty On Top.
The VA Center says men close to 70 living alone or with declining health and men in their twenties with traumatic brain injuries have the highest suicide rates.