Of course RI is high, its a tiny state so it has less people. I'm really not to sure how much I'd want to put into this report though considering its only estimates so its probably higher considering all the cases not reported from all the people that just don't know or go find out. On that note too, Alaska has the highest teen suicide rate in the country and mentaly stable people dont just go kill them selfs so that has to be accounted for as well...