The suicide rate in the U.S. has increased in the last two decades despite continued efforts to mitigate risks. This study explored potential variability in suicide rates by occupation in Hawaiʻi by analyzing 2430 death certificates from 2013 to 2023. Of these, 1988 suicide deaths occurred among individuals aged 20 to 64 years old, who constituted the study sample. Suicide death was identified using ICD-10 underlying cause of death codes X60–X84 and Y87. Occupations were coded using the 1990 Cen
