Among counties with populations over 100,000, these have the highest homicide rates based on CDC vital statistics (2020–2022 average). National average is approximately 6.3 per 100,000.
The concentration of Southern states, particularly Louisiana and Georgia, on this list is striking. These regions often grapple with a complex interplay of historical socioeconomic disparities, limited economic opportunities, and systemic challenges that can fuel cycles of violence. High poverty rates, underfunded public services, and the proliferation of firearms contribute to environments where violent crime, including homicides, becomes tragically elevated.
The District of Columbia's presence at #15 is a stark reminder that even the nation's capital faces severe public safety challenges. Despite its global prominence and high median income, the city struggles with entrenched disparities between its affluent and underserved communities. This economic divide, coupled with issues like gang activity and a high cost of living that can exacerbate social stressors, contributes to a homicide rate significantly above the national average.
St. Louis City, topping this grim list, exemplifies the profound public safety crisis gripping many legacy industrial cities. Decades of population decline, disinvestment, and the resulting concentration of poverty have eroded community infrastructure and opportunity. This creates fertile ground for violent crime, where residents face daily threats, and the social fabric necessary for collective safety has been severely strained.
| # | County | BTI Score | Safety Grade | Homicide Rate | Firearm Rate |
|---|---|---|---|---|---|
| 01 | St. Louis city MO | 32 | F | 50.6 | 57.1 |
| 02 | Baltimore city MD | 17 | F | 45.5 | 44.9 |
| 03 | Hinds County MS | 99 | F | 40.7 | 55.4 |
| 04 | Orleans Parish LA | 0 | F | 40.6 | 46.4 |
| 05 | Shelby County TN | 38 | F | 28.3 | 36.3 |
| 06 | Robeson County NC | 90 | F | 27.7 | 32.8 |
| 07 | Montgomery County AL | 41 | F | 26.2 | 34.7 |
| 08 | Philadelphia County PA | 35 | F | 26.1 | 30.4 |
| 09 | Jefferson County AL | 19 | F | 26.0 | 35.1 |
| 10 | East Baton Rouge Parish LA | 28 | F | 25.5 | 32.1 |
| 11 | Caddo Parish LA | 37 | F | 25.2 | 34.7 |
| 12 | Wyandotte County KS | 88 | F | 23.9 | 31.7 |
| 13 | Jackson County MO | 72 | F | 23.7 | 35.3 |
| 14 | Bibb County GA | 43 | F | 23.7 | 35.1 |
| 15 | District of Columbia DC | 2 | F | 23.0 | 22.3 |
| 16 | Richmond city VA | 55 | F | 22.9 | 28.1 |
| 17 | Muscogee County GA | 60 | F | 21.1 | 30.8 |
| 18 | Marion County IN | 69 | F | 20.6 | 28.2 |
| 19 | Pulaski County AR | 62 | F | 19.4 | 27.8 |
| 20 | Wayne County MI | 47 | F | 18.9 | 24.1 |
| 21 | St. Clair County IL | 65 | F | 18.2 | 24.3 |
| 22 | Milwaukee County WI | 63 | F | 18.1 | 23.5 |
| 23 | Clayton County GA | 23 | F | 18.0 | 25.1 |
| 24 | Mobile County AL | 38 | F | 17.8 | 25.6 |
| 25 | Jefferson County KY | 42 | F | 17.5 | 27.4 |
| 26 | Lake County IN | 62 | F | 17.1 | 24.0 |
| 27 | Florence County SC | 89 | F | 16.5 | 26.5 |
| 28 | Richmond County GA | 26 | F | 16.5 | 23.1 |
| 29 | Cook County IL | 80 | F | 16.4 | 18.2 |
| 30 | Norfolk city VA | 30 | F | 16.4 | 25.1 |
| 31 | St. Louis County MO | 34 | F | 16.3 | 24.2 |
| 32 | Rapides Parish LA | 82 | F | 16.2 | 25.0 |
| 33 | Cuyahoga County OH | 66 | F | 15.8 | 21.7 |
| 34 | Newport News city VA | 53 | F | 15.8 | 22.6 |
| 35 | DeKalb County GA | 8 | F | 15.8 | 22.6 |
| 36 | Jefferson Parish LA | 43 | F | 15.4 | 22.5 |
| 37 | Fulton County GA | 24 | F | 15.3 | 20.2 |
| 38 | Ouachita Parish LA | 61 | F | 15.2 | 26.0 |
| 39 | Schuylkill County PA | 75 | F | 15.0 | 14.8 |
| 40 | Navajo County AZ | 39 | F | 14.6 | 24.2 |
| 41 | Hampton city VA | 26 | F | 14.5 | 21.5 |
| 42 | Duval County FL | 19 | F | 14.3 | 22.4 |
| 43 | Genesee County MI | 89 | F | 14.1 | 21.2 |
| 44 | Davidson County TN | 1 | D | 13.7 | 19.5 |
| 45 | Bernalillo County NM | 29 | D | 13.6 | 26.4 |
| 46 | Richland County SC | 40 | D | 13.3 | 19.1 |
| 47 | Chatham County GA | 5 | D | 13.3 | 20.1 |
| 48 | Tangipahoa Parish LA | 62 | D | 13.1 | 21.7 |
| 49 | Charleston County SC | 24 | D | 13.0 | 20.9 |
| 50 | Jefferson County TX | 72 | D | 12.9 | 19.8 |