Unintentional Deaths Are on the Rise: Here’s What That Could Mean for You

In the United States, unintentional injury is the leading cause of death for individuals aged 1–44. The primary causes of these unintentional deaths include accidental poisonings — such as drug overdoses — motor vehicle accidents, accidental drowning and falls. In 2022, the number of unintentional deaths reached 227,039, a 36% increase from 2018. Some states, however, had higher rates of accidental deaths than others.

MoneyGeek analyzed data from the Center for Disease Control’s Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) database from 2020 to 2022 to find the states where the most unintentional deaths occur and explore the types of accidental deaths that are on the rise.

According to the Centers for Disease Control and Prevention, unintentional injury is the leading cause of death in the United States for people ages 1–44.

The most common types of unintentional injury leading to death include drug overdose, motor vehicle traffic, drowning and falls. Additional deaths qualified as unintentional include deaths due to fire, firearms, being cut or pierced with sharp objects, nature, suffocation (including choking) and unintentional poisonings from household chemicals. Because drug overdoses make up the vast majority of unintentional deaths in the U.S., MoneyGeek excluded them from this study for the purpose of focusing on lesser known — but still common, in some cases — causes of unintentional death. You can find a complete list of the causes of unintentional death we examined in this study, along with definitions for each, in our Cause of Death Definitions section.

Public health experts believe these types of deaths can be prevented. Just as many diseases are preventable with good health care, many injuries can also be avoided. Making smart choices in our own individual behavior, being aware of hazards in the environment and ensuring access to good health care are ways that we can reduce our risk of death from unintentional injury.

To find the worst states for accidental deaths, MoneyGeek calculated the average rate of accidental death per 100,000 residents from 2020 to 2022. At No. 1 on our list of deadliest states, Montana — even with a 13% drop in unintentional deaths from 2021–22 — saw an average of 57.1 unintentional deaths per 100,000 residents from 2020–22.

Mississippi is close behind at No. 2, with a 0.4% decrease in unintentional deaths from 2021–22 and an average of 56.2 unintentional deaths per 100,000 residents from 2020–22. To put this rate in perspective, the state with the fewest accidental deaths is New Jersey, with 22.9 deaths per 100,000 residents.

Geographically, the states with the highest rates of unintentional death are not specific to one region, ranging from the West (Montana) to the Northeast (Maine) and the South (West Virginia, Mississippi). Additionally, Delaware, Nebraska and Iowa experienced the most significant increases in unintentional deaths, each seeing a rise of more than 9% from 2021 to 2022.

Although traffic fatalities and falls are the most common reasons for unintentional deaths in our study, in some states, more unusual accidents are common. For example, Alaska, which ranks No. 21 overall on our list, is the state where the most unintentional deaths occur due to natural and environmental accidents and other transport-related deaths. Mississippi is the leading state for accidental deaths caused by fire, firearms, suffocation and motor vehicle traffic.

The columns in the table below are defined as follows:

• State Leader: The state with the most cases of the cause of unintentional death in the corresponding “Cause of Unintentional Death” row.
• State Deaths per 100,000 Residents: The rate of the Cause of Unintentional Death in the corresponding row for the State Leader of that Cause of Unintentional Death.
• National Percent Change in Deaths ('20–'22): The percentage change in the number of the corresponding Cause of Unintentional Death nationally from 2020 to 2022.

Definitions for each of the causes of death listed below can be found in the Cause of Unintentional Death Definitions section.

Unintentional injuries and deaths are on the rise. Many experts believe that poverty and increased alcohol consumption are two reasons for the increase. Some demographic groups have a higher risk of dying from unintentional injuries than others, with the highest risks found among those who are young, male or Black.

Working in high-risk industries, such as commercial truck driving and construction, also exposes people to more risk. Environmental factors, such as unsafe home or work environments and lack of access to good health insurance and medical care, are additional reasons that some people are more likely to be seriously injured than others.

While broader societal factors are an important predictor of unintentional injuries and deaths, there are also steps individuals can take to protect themselves and their loved ones, particularly as summer vacation approaches.

Summer is a time that most of us associate with outdoor activities, ranging from swimming and camping to fireworks celebrations. Yet, with these activities often comes the risk of accidents. Taking precautions in the following situations can help keep you and your family safe in the upcoming months.

Having a solid life insurance policy can ensure that your family and other dependents are financially protected in the event of unintentional death.

Many people are offered accidental death and dismemberment (AD&D) insurance through their employers; this can be a good option if you have a high-risk job, such as a commercial driver or construction worker. However, note that AD&D insurance only pays out due to accidents, and the insurance definitions for accidents are very specific. Those looking for the best life insurance companies for AD&D coverage should look at policy features such as the amount of coverage and the types of accidents covered.

For most people, term life insurance or whole life insurance are better options than accidental death and dismemberment (AD&D) insurance. Although these types of life insurance tend to be more expensive, they also cover more causes of death.

However, even with term and whole life insurance policies, keep in mind that not all types of death are covered by life insurance. For example, insurance companies may deny beneficiaries' claims if the applicant lied or omitted crucial health information about pre-existing conditions. Risky activities, such as scuba diving or mountain climbing, are also often not covered. Otherwise, life insurance policies cover natural causes such as disease, accidents and even murder (provided it’s not murder by the beneficiary).

MoneyGeek spoke with experts on unintentional injuries and deaths to better understand why some people are at higher risks than others and what our society could do to improve safety for everyone.

MoneyGeek analyzed CDC WONDER data from 2020 to 2022 to explore which causes of unintentional death are the most common overall and which are becoming more common over time. We excluded homicides, suicides and drug overdose deaths from our analysis. To rank states, we combined all causes of unintentional death analyzed in the study and calculated an average annual rate of unintentional death in each state based on the population of each state.

The data points presented are defined as follows:

• Unintentional Death Rate: Average number of unintentional deaths per 100,000 residents from 2020 to 2022.
• Percentage Change in Unintentional Deaths (2021–22): Change calculated based on the change in total unintentional deaths by state from 2021 to 2022.
• Total Number of Unintentional Deaths (2020–22): The total number of deaths classified as unintentional that took place in the indicated state from 2020 to 2022.
• Most Common Cause of Unintentional Death: The unintentional cause of death that caused the most deaths from 2020–2022. For the years analyzed, the most common cause of unintentional death was either Falls or Motor Vehicle Traffic in every state. These causes of death are defined as follows:
  —Falls: Includes deaths resulting from falls from stairs, steps, ladders, scaffolds, beds or chairs.
  —Motor Vehicle Traffic: Includes all deaths resulting from motor-vehicle-traffic injuries involving automobiles, vans, trucks, motorcycles and other motorized cycles on public roadways.

Definitions for all types of unintentional causes of death explored in this study are as follows: