Data / Rankings / Frequent mental distress in adults, local model estimate / Counties in South Dakota

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

Oglala Lakota County had the highest frequent mental distress in adults, local model estimate of 66 counties in 2023, at 25.7%. Custer County had the lowest, at 12.4%. The median was 14.6%. Source: the Centers for Disease Control and Prevention.

Highest25.7Oglala Lakota County
Lowest12.4Custer County
Median14.666 counties

Top 40 counties, 2023

Oglala Lakota County: 25.7 %Oglala Lakota County25.7Todd County: 24.8 %Todd County24.8Buffalo County: 23.1 %Buffalo County23.1Ziebach County: 21.5 %Ziebach County21.5Corson County: 21.2 %Corson County21.2Dewey County: 21.1 %Dewey County21.1Jackson County: 20.9 %Jackson County20.9Mellette County: 20.7 %Mellette County20.7Bennett County: 20.4 %Bennett County20.4Clay County: 17.8 %Clay County17.8Lyman County: 17.1 %Lyman County17.1Charles Mix County: 16.8 %Charles Mix County16.8Roberts County: 16.8 %Roberts County16.8Brookings County: 15.9 %Brookings County15.9Tripp County: 15.9 %Tripp County15.9Hanson County: 15.8 %Hanson County15.8Meade County: 15.8 %Meade County15.8Butte County: 15.7 %Butte County15.7Minnehaha County: 15.7 %Minnehaha County15.7Beadle County: 15.4 %Beadle County15.4Faulk County: 15.4 %Faulk County15.4Bon Homme County: 15.3 %Bon Homme County15.3Brule County: 15.2 %Brule County15.2Codington County: 15.2 %Codington County15.2Davison County: 15.2 %Davison County15.2Hamlin County: 15.2 %Hamlin County15.2Hyde County: 15.1 %Hyde County15.1Aurora County: 14.9 %Aurora County14.9Brown County: 14.8 %Brown County14.8Gregory County: 14.8 %Gregory County14.8Pennington County: 14.8 %Pennington County14.8Douglas County: 14.7 %Douglas County14.7Sanborn County: 14.7 %Sanborn County14.7Clark County: 14.6 %Clark County14.6Day County: 14.6 %Day County14.6Miner County: 14.6 %Miner County14.6Turner County: 14.6 %Turner County14.6Walworth County: 14.5 %Walworth County14.5Deuel County: 14.4 %Deuel County14.4Haakon County: 14.4 %Haakon County14.4
%. 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
1Oglala Lakota County25.7+2.4 pts
2Todd County24.8+1.9 pts
3Buffalo County23.1+0.6 pts
4Ziebach County21.5+0.9 pts
5Corson County21.2+2.1 pts
6Dewey County21.1+1.2 pts
7Jackson County20.9+2 pts
8Mellette County20.7+1.8 pts
9Bennett County20.4+2.2 pts
10Clay County17.8-0.4 pts
11Lyman County17.1+0.7 pts
12Charles Mix County16.8+2.1 pts
12Roberts County16.8+1.7 pts
14Brookings County15.9+0.2 pts
14Tripp County15.9+0.5 pts
16Hanson County15.8+2.1 pts
16Meade County15.8+2.1 pts
18Butte County15.7+2.1 pts
18Minnehaha County15.7+3.5 pts
20Beadle County15.4+1 pts
20Faulk County15.4+1.8 pts
22Bon Homme County15.3+2.4 pts
23Brule County15.2+0.8 pts
23Codington County15.2+1.2 pts
23Davison County15.2+0.5 pts
23Hamlin County15.2+1.6 pts
27Hyde County15.1+1.4 pts
28Aurora County14.9+2 pts
29Brown County14.8+2 pts
29Gregory County14.8+0.9 pts
29Pennington County14.8+0.8 pts
32Douglas County14.7+1.5 pts
32Sanborn County14.7+2.6 pts
34Clark County14.6+1.9 pts
34Day County14.6+2 pts
34Miner County14.6+1.9 pts
34Turner County14.6+1.8 pts
38Walworth County14.5+1.6 pts
39Deuel County14.4+1.2 pts
39Haakon County14.4+1.5 pts
39Hughes County14.4+1.9 pts
39Hutchinson County14.4+1.4 pts
39Perkins County14.4+3 pts
39Yankton County14.4+1.7 pts
45Fall River County14.3+1.3 pts
45Kingsbury County14.3+2 pts
47McCook County14.2+0.9 pts
47Moody County14.2+1.1 pts
47Spink County14.2+1.4 pts
50Marshall County14.1+2.1 pts
51Jones County14+2.9 pts
51Lawrence County14+0.8 pts
51McPherson County14+2.1 pts
54Edmunds County13.9+0.9 pts
54Stanley County13.9+1.1 pts
56Grant County13.8+1.2 pts
56Union County13.8+1.7 pts
58Harding County13.7+2 pts
59Hand County13.6+1.3 pts
59Lake County13.6+1.9 pts
59Lincoln County13.6+1.9 pts
62Potter County13.5+1.6 pts
63Sully County13.4+1.1 pts
64Jerauld County13.2+0.6 pts
65Campbell County12.6+1.2 pts
66Custer County12.4+1.4 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 South 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 South 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/south-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 South 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/south-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 South 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/south-dakota-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_south_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 South 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/south-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 South 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/south-dakota-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/south-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  -
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Questions

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

Oglala Lakota County, with 25.7% in 2023, according to the Centers for Disease Control and Prevention.

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

Custer County, with 12.4% 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 South Dakota: more rankings