Counties in North Dakota by frequent mental distress in adults, local model estimate, 2023

Sioux County had the highest frequent mental distress in adults, local model estimate of 53 counties in 2023, at 22.2%. Griggs County had the lowest, at 11.9%. The median was 13.4%. Source: the Centers for Disease Control and Prevention.

Highest22.2Sioux County
Lowest11.9Griggs County
Median13.453 counties

All counties, 2023

Sioux County: 22.2 %Sioux County22.2Rolette County: 19.2 %Rolette County19.2Benson County: 17.3 %Benson County17.3Mountrail County: 16.3 %Mountrail County16.3Williams County: 16 %Williams County16McKenzie County: 15.4 %McKenzie County15.4Grand Forks County: 15.3 %Grand Forks County15.3Stutsman County: 14.7 %Stutsman County14.7Stark County: 14.6 %Stark County14.6Ward County: 14.4 %Ward County14.4Ramsey County: 14.3 %Ramsey County14.3Richland County: 14.3 %Richland County14.3Dickey County: 14.2 %Dickey County14.2Dunn County: 14.1 %Dunn County14.1Eddy County: 14.1 %Eddy County14.1Morton County: 14.1 %Morton County14.1Towner County: 14 %Towner County14Cass County: 13.9 %Cass County13.9Hettinger County: 13.9 %Hettinger County13.9Golden Valley County: 13.8 %Golden Valley County13.8Ransom County: 13.8 %Ransom County13.8McHenry County: 13.7 %McHenry County13.7Mercer County: 13.7 %Mercer County13.7Renville County: 13.7 %Renville County13.7Logan County: 13.6 %Logan County13.6Barnes County: 13.5 %Barnes County13.5Grant County: 13.4 %Grant County13.4McIntosh County: 13.4 %McIntosh County13.4Pembina County: 13.4 %Pembina County13.4Pierce County: 13.4 %Pierce County13.4Sargent County: 13.4 %Sargent County13.4Traill County: 13.4 %Traill County13.4Walsh County: 13.4 %Walsh County13.4Wells County: 13.3 %Wells County13.3Adams County: 13.2 %Adams County13.2Divide County: 13.2 %Divide County13.2Kidder County: 13.2 %Kidder County13.2Bowman County: 13.1 %Bowman County13.1Burleigh County: 13.1 %Burleigh County13.1Emmons County: 13.1 %Emmons County13.1Foster County: 13.1 %Foster County13.1Steele County: 13.1 %Steele County13.1Bottineau County: 13 %Bottineau County13LaMoure County: 12.9 %LaMoure County12.9McLean County: 12.9 %McLean County12.9Burke County: 12.8 %Burke County12.8Oliver County: 12.8 %Oliver County12.8Billings County: 12.7 %Billings County12.7Cavalier County: 12.4 %Cavalier County12.4Slope County: 12.4 %Slope County12.4Nelson County: 12.3 %Nelson County12.3Sheridan County: 12.2 %Sheridan County12.2Griggs County: 11.9 %Griggs County11.9
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Sioux County22.2-2.6 pts
2Rolette County19.2-1.1 pts
3Benson County17.3-2.1 pts
4Mountrail County16.3+0.5 pts
5Williams County16+0.2 pts
6McKenzie County15.4-2.4 pts
7Grand Forks County15.3-1.3 pts
8Stutsman County14.7+0.4 pts
9Stark County14.6-1.1 pts
10Ward County14.4-1.2 pts
11Ramsey County14.3+0.4 pts
11Richland County14.3-0.1 pts
13Dickey County14.2-0.4 pts
14Dunn County14.1-0.3 pts
14Eddy County14.1-0.6 pts
14Morton County14.1-0.3 pts
17Towner County14-0.8 pts
18Cass County13.9-2.3 pts
18Hettinger County13.9-0.9 pts
20Golden Valley County13.80 pts
20Ransom County13.8+0.2 pts
22McHenry County13.7-0.1 pts
22Mercer County13.7-0.5 pts
22Renville County13.7-0.5 pts
25Logan County13.6-0.9 pts
26Barnes County13.5-0.2 pts
27Grant County13.4-0.7 pts
27McIntosh County13.4-0.6 pts
27Pembina County13.4-0.2 pts
27Pierce County13.4-0.5 pts
27Sargent County13.4-1.1 pts
27Traill County13.4-1 pts
27Walsh County13.4-1.6 pts
34Wells County13.3+0.7 pts
35Adams County13.2-0.7 pts
35Divide County13.2-0.2 pts
35Kidder County13.2-0.9 pts
38Bowman County13.1-1.8 pts
38Burleigh County13.1-0.4 pts
38Emmons County13.1-0.1 pts
38Foster County13.1-0.9 pts
38Steele County13.10 pts
43Bottineau County13-1.3 pts
44LaMoure County12.9+0.2 pts
44McLean County12.9+0.4 pts
46Burke County12.8+0.1 pts
46Oliver County12.8-1 pts
48Billings County12.7-0.1 pts
49Cavalier County12.4-0.6 pts
49Slope County12.40 pts
51Nelson County12.3-0.8 pts
52Sheridan County12.2-0.3 pts
53Griggs County11.9-1 pts

Other periods

About this ranking

Percentage of adults who say their mental health was not good on 14 or more of the past 30 days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence (Counties in North Dakota by frequent mental distress in adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in North Dakota by frequent mental distress in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-dakota-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Counties in North Dakota by frequent mental distress in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-dakota-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in North Dakota by frequent mental distress in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_dakota_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in North Dakota by frequent mental distress in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-dakota-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in North Dakota by frequent mental distress in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/north-dakota-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in North Dakota by frequent mental distress in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_frequent_mental_distress_rate_modelled","level":"province","within":"North Dakota","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_frequent_mental_distress_rate_modelled&level=province&within=North%20Dakota&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

Which county has the highest frequent mental distress in adults, local model estimate?

Sioux County, with 22.2% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest frequent mental distress in adults, local model estimate?

Griggs County, with 11.9% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Counties in North Dakota: more rankings