313 A to the Suicide Prevention Resource Center’s Web site (1), within the past five years 29 states participated in some funded suicide prevention-related activity. Enactment of the 2004 Garrett Lee Smith act is likely to promote further expansion of state-level prevention programming. As prevention efforts mature in scope and direction, state-level rates of nonfatal suicidal behavior may be one appropriate indicator of effectiveness (2). Annual rates of nonfatal behaviors are not yet available across all 50 states, and geographic differences in rates have not been well characterized. If these rates are to serve as outcome indicators, additional information is required. Counts of intentional self injuries treated in emergency departments in 2001 were available from the Healthcare Cost and Utilization Project (HCUP) (2). The report examined the validity of external cause of injury codes (E-coding) associated with primary injury and poisoning diagnoses. We calculated crude event rates per 100,000 U.S. population by using census and fatality data taken from the Web-based Injury Statistics Query and Reporting System (3). In 2001 medically treated, nonfatal intentional self-injury events were reported 2.5 times as often in Utah as in Maryland (Figure 1). Postinjury hospitalization rates were between 41 and 51 percent of all nonfatal events Rates of Nonfatal Intentional Self-Harm in Nine States, 2001