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

Oglala Lakota County had the highest frequent mental distress in adults, local model estimate of 66 counties in 2022, at 23.3%. Custer County had the lowest, at 11%. The median was 13%. Source: the Centers for Disease Control and Prevention.

Median1366 counties

Top 40 counties, 2022

Oglala Lakota County: 23.3 %Oglala Lakota County23.3Todd County: 22.9 %Todd County22.9Buffalo County: 22.5 %Buffalo County22.5Ziebach County: 20.6 %Ziebach County20.6Dewey County: 19.9 %Dewey County19.9Corson County: 19.1 %Corson County19.1Jackson County: 18.9 %Jackson County18.9Mellette County: 18.9 %Mellette County18.9Bennett County: 18.2 %Bennett County18.2Clay County: 18.2 %Clay County18.2Lyman County: 16.4 %Lyman County16.4Brookings County: 15.7 %Brookings County15.7Tripp County: 15.4 %Tripp County15.4Roberts County: 15.1 %Roberts County15.1Charles Mix County: 14.7 %Charles Mix County14.7Davison County: 14.7 %Davison County14.7Beadle County: 14.4 %Beadle County14.4Brule County: 14.4 %Brule County14.4Codington County: 14 %Codington County14Pennington County: 14 %Pennington County14Gregory County: 13.9 %Gregory County13.9Hanson County: 13.7 %Hanson County13.7Hyde County: 13.7 %Hyde County13.7Meade County: 13.7 %Meade County13.7Butte County: 13.6 %Butte County13.6Faulk County: 13.6 %Faulk County13.6Hamlin County: 13.6 %Hamlin County13.6McCook County: 13.3 %McCook County13.3Deuel County: 13.2 %Deuel County13.2Douglas County: 13.2 %Douglas County13.2Lawrence County: 13.2 %Lawrence County13.2Moody County: 13.1 %Moody County13.1Edmunds County: 13 %Edmunds County13Fall River County: 13 %Fall River County13Hutchinson County: 13 %Hutchinson County13Aurora County: 12.9 %Aurora County12.9Bon Homme County: 12.9 %Bon Homme County12.9Haakon County: 12.9 %Haakon County12.9Walworth County: 12.9 %Walworth County12.9Brown County: 12.8 %Brown County12.8
%. 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

RankCounties2022 (%)Change on 2021
1Oglala Lakota County23.3+0.5 pts
2Todd County22.9-0.2 pts
3Buffalo County22.5+2.4 pts
4Ziebach County20.6+1.7 pts
5Dewey County19.9+1.7 pts
6Corson County19.1+1.2 pts
7Jackson County18.9+1 pts
7Mellette County18.9+0.7 pts
9Bennett County18.2+1.5 pts
9Clay County18.2+2.9 pts
11Lyman County16.4+1.6 pts
12Brookings County15.7+2.5 pts
13Tripp County15.4+1.8 pts
14Roberts County15.1+0.5 pts
15Charles Mix County14.7+0.3 pts
15Davison County14.7+1.8 pts
17Beadle County14.4+2 pts
17Brule County14.4+1.3 pts
19Codington County14+1.8 pts
19Pennington County14+1.6 pts
21Gregory County13.9+1.4 pts
22Hanson County13.7+1.3 pts
22Hyde County13.7+1.9 pts
22Meade County13.7+0.7 pts
25Butte County13.6+0.4 pts
25Faulk County13.6+1.5 pts
25Hamlin County13.6+1.2 pts
28McCook County13.3+1.5 pts
29Deuel County13.2+1.6 pts
29Douglas County13.2+1.3 pts
29Lawrence County13.2+1 pts
32Moody County13.1+1.2 pts
33Edmunds County13+1.5 pts
33Fall River County13+0.8 pts
33Hutchinson County13+1.2 pts
36Aurora County12.9+1.4 pts
36Bon Homme County12.9+0.4 pts
36Haakon County12.9+0.5 pts
36Walworth County12.9+0.8 pts
40Brown County12.8+1 pts
40Spink County12.8+1.4 pts
40Stanley County12.8+1.7 pts
40Turner County12.8+0.9 pts
44Clark County12.7+1.1 pts
44Miner County12.7+0.9 pts
44Yankton County12.7+0.7 pts
47Day County12.6+0.5 pts
47Grant County12.6+1.4 pts
47Jerauld County12.6+1.4 pts
50Hughes County12.5+0.3 pts
51Hand County12.3+1.3 pts
51Kingsbury County12.3+1 pts
51Sully County12.3+1.3 pts
54Minnehaha County12.2-0.6 pts
55Sanborn County12.1+0.1 pts
55Union County12.1+0.9 pts
57Marshall County12+1 pts
58McPherson County11.9+0.4 pts
58Potter County11.9+0.8 pts
60Harding County11.7-0.1 pts
60Lake County11.7+0.1 pts
60Lincoln County11.7+1 pts
63Campbell County11.4+1.1 pts
63Perkins County11.40 pts
65Jones County11.1+0.5 pts
66Custer County11+0.2 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, 2022) [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, 2022. 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?period=2022. 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, 2022. 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?period=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/south-dakota-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_south_dakota_2022,
  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, 2022}},
  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?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/south-dakota-counties?period=2022.
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 23.3% in 2022, 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 11% in 2022.

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