Between 1999-2006, in the United States, suicide was the third leading cause of death in adolescents aged 15 to 19 years, and the fourth leading cause of death for children aged 10 to 14 years. As of 2011, suicide increased in this age group, becoming the second cause of death for youth between the ages of 15 and 24 years, below homicide statistics and above those of accidents. Geographically within the United States, western states have higher rates of suicide. Per 100,000 people, Montana is ranked first, Alaska ranked second, and Wyoming is third. There may be a link between these states and firearm regulations, which make access to guns easier, as statistics show firearm suicides in states with the highest rates of gun ownership are 3.7 times higher for men, and 7.9 times higher for women. These are often rural areas without heavily populated urban communities (which brings social pressure stressors), but may indicate a lack of accessibility to medical and psychological health assistance in these remote areas.