Mental health awareness in Montana is more than a conversation; it’s a growing movement to understand, support, and strengthen the well-being of our communities. While Montana is known for its rugged landscapes and independent spirit, the state continues to face some of the highest rates of suicide and mental health challenges in the nation. Many residents, particularly in rural areas, struggle to access timely care and overcome the stigma that can surround these issues. By raising awareness, sharing resources, and promoting compassion, Montanans can work together to create a healthier future for everyone.
The Current Picture: What the Data Shows
In 2022, Montana recorded approximately 329 suicides, which corresponds to a rate of around 29 suicides per 100,00 people. According to the state’s own report, Montana has been in the top five nationally in suicide rates for thirty years. Among youth, the rate in 2022 was about 18 suicides per 100,000 people. This is triple the national rate for that age group.
Additionally, the broader behavioral-health landscape shows that Montana’s adults are feeling more anxiety and depression. The 2024 issue‑brief from the Montana Health Foundation states that Montana “suffers from significant behavioral health workforce shortages, particularly in more rural and frontier communities.” According to the 2023 America’s Health Rankings state summary for Montana, the number of mental health providers increased from 282 to 385 per 100,000 people between September 2018 and September 2023.
Why Access is Still a Challenge
Several factors make accessing mental health care more difficult in Montana.
- Workforce and Geography: Rural and frontier counties face provider shortages; the 2024 draft report describes “a severe and ongoing shortage of providers… particularly in remote, rural, and frontier areas.”
- Stigma and Culture: In communities where self-reliance is prized, seeking mental health help can still carry a barrier of shame or reluctance.
- Means and Lethality: Firearms were involved in about 69% of suicides in Montana in 2023.
- Youth Mental-Health Strain: For high-school students, the 2023 Youth Risk Behavior Survey found 43% reported feelings of sadness or hopelessness for two or more weeks in a row; 26% seriously considered suicide.
Practical Steps for Individuals and Communities
- Know the Signs and Act Early: Changes in Mood, sleep, appetite, concentration, or withdrawal from social connections may be signs someone is struggling. Early engagement can prevent escalation.
- Use Telehealth if Available: Virtual therapy and psychiatric consults can help reach communities in Montana in remote areas where in-person providers are scarce.
- Connect with Local Resources: The toll-free 988 (or text MT to 741-741) connects you to the 24/7 crisis and suicide lifeline. County health departments, community mental health centers, and statewide services can help with referral and support.
- Promote Safe Storage and Means-Reduction: Because firearms are the method in many suicides, safe-storage practices and open dialogue matter.
- Support Youth Wellness: Schools and colleges can adopt evidence-based mental health programs in Montana (such as Youth Mental Health First Aid or the same for adults) to reduce risk and build resilience.
How Organizations Can Help
- Invest in Workforce and Training: Scholarships, loan-repayment programs, and training for generalist providers in behavioral health can boost capacity.
- Expand Community Outreach: Nonprofits, faith-based groups, and clinics can offer stigma-reduction campaigns and culturally responsive care.
- Fund Local Innovations: Mobile crisis teams, peer-support networks, school-based mental health services, and tele-behavioral programs are promising.
- Leverage Policy and Funding: In 2024, the Montana Legislature approved large investments (over $300 million) to revamp the behavioral health system for future generations.
Quick Resources
- For Immediate Help: Dial 988 or text “MT” to 741-741
- Visit the Montana Department of Public Health and Human Services (DPHHS) site for suicide-prevention data and resources.
- Review the draft report from the Behavioral Health System for Future Generations Commission for state-level planning and recommendations.
- Find training for Mental Health First Aid through Montana State University Extension.
- Use the Montana Budget and Policy Center brief on behavioral health to understand funding and access issues.
Understanding Mental Health Awareness in Montana
Montana has strength in its community bonds, its respect for independence, and its vast natural beauty. These assets can also help build a culture of mental health awareness, one where seeking help is seen as a sign of strength. By combining local outreach, tele-behavioral expansion, workforce development, and practical prevention measures, Montana’s communities can reduce harm and increase well-being for all residents. If you or someone you know is in crisis, don’t wait! Reach out, talk, and connect today.
Schedule your Appointment Today
If you or a loved one are navigating mental health challenges, Her Haven Mental Wellness is here to help. Our integrative, personalized approach supports adults and older teens with anxiet y, depression, ADHD, and other behavioral health concerns. Book a consultation today to take the first step toward better mental health. Whether in-person or through telehealth, we’re here to support you wherever you are in Montana.
Schedule your appointment or read more on tips and tricks for mental wellness on the Mental Focus.

