Choropleth map of U.S. states showing the alcohol-induced death rate in 2021. Deaths were highest in the Western U.S., particularly in Montana, South Dakota, Wyoming, Colorado, and New Mexico. New Mexico had the highest, at 50 deaths per 100,000 people. Deaths were lowest in the northeast and Louisiana. Overall, there were 14.4 deaths per 100,000 people in the U.S., on average.