A new study shows that Appalachian counties in Ohio make up nine of 10 of Ohio’s highest suicide rates per 100,000 people.

The data, which were obtained from the Ohio Department of Health, Bureau of Vital Statistics, Ohio Death Certificate File showed that suicides accounted for 1.3 percent of all Ohio deaths between 2008 and 2017. There were 15,246 suicide fatalities between January 2008 and December 2017. Suicide deaths were responsible for 526,501 years of lost life in Ohio during the 10 years, according to the study, which was conducted by The Ohio Alliance for Innovation in Population Health.

Meigs County had the highest suicide rate in Ohio at 21.5 per 100,000. Jackson County was at 19.9 and Hocking County was at 19.7.