Opioid Overdose Deaths, Homicides, Suicides and Overall Medical Examiner Caseload Drop in Cook County

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Cook County Seal

Office of Cook County Board President

FOR IMMEDIATE RELEASE
January 2, 2025

CONTACT
Natalia Derevyanny
(312) 718-4125
natalia.derevyanny@cookcountyil.gov

Opioid Overdose Deaths, Homicides, Suicides and Overall Medical Examiner Caseload Drop in Cook County

Medical Examiner’s Office Releases Preliminary 2024 Data

The Cook County Medical Examiner’s Office (MEO) has released preliminary statistics for cases handled in 2024. While the Office’s caseload continued to surpass pre-COVID levels, with 7,202 cases falling under its jurisdiction last year, caseloads continued to drop from the pandemic-era peak of 16,041 in 2020. Before the pandemic, the Office saw approximately 6,200 deaths in an average year.

Year    

 Overall Caseload  

2024

 7,202

2023

 7,738

2022

 10,441

2021

 12,612

2020

 16,041

2019

 6,274

Opioid overdose deaths in the County continued to decline from their peak in 2022. While the Office still awaits the results of hundreds of toxicology tests, it has confirmed 1,026 opioid overdose deaths for 2024. The vast majority of those deaths – 87% – involved fentanyl. The MEO anticipates that 200 - 300 of its pending cases will be due to opioid toxicity, which would place the final total for 2024 well below 2022 and 2023 totals. While this decline is encouraging, opioid overdoses remain the greatest cause of unnatural deaths in Cook County.

Of the opioid toxicity cases confirmed thus far, approximately 76% are male. African Americans make up 53% of the deaths, Latinos account for just under 14% and whites constitute 31%. The age group most impacted continues to be 50- to 59-year-olds, accounting for 27% of overdose deaths. The year’s youngest opioid overdose death in Cook County was a 1-year-old boy from Chicago and the oldest was an 83-year-old man from Chicago.

Year     

 Opioid Overdose Deaths 

2024

 1,026*

2023

 1,822

2022

 2,001

2021

 1,938

2020

 1,847

2019

 1,295

2018

 1,170

2017

 1,167

2016

 1,081

2015

 647

*Preliminary data

The Office also handled 773 homicides in 2024, including 603 in the City of Chicago. Overall homicides fell by more than 9% in Cook County from 2023 levels and by more than 29% from their peak in 2021. The other County municipalities with the highest number of homicides in 2024 included Cicero with 10 and Dolton, Harvey and Maywood with nine each. African Americans were the victims of 72% of homicides and Latinos accounted for just under 22% of homicide deaths. Males accounted for 87% of homicide deaths.

The number of homicide victims under the age of 18 was 68; 12 were under the age of 10.

Year  

 All Homicides 

 Gun-Related Homicide 

 Chicago Homicides 

2024

 773*

 673*

 603*

2023

 850

 739

 664

2022

 962

 826

 755

2021

 1,094

 1,007

 839

2020

 986

 881

 803

2019

 675

 588

 533

2018

 724

 598

 605

*Preliminary data

Overall suicide rates in Cook County dropped by nearly 15% in 2024 compared to the previous three years. Males continue to make up more than 75% of suicide deaths.

Year 

 Total Suicides 

 Black 

 Latino 

 White 

 Asian 

 Other 

 Male/Female 

2024

 431*

 17%

 16%

 61%

 5%

 < 1%

 80%/20%

2023

 508

 20%

 16%

 59%

 4%

 < 1%

 78%/22%

2022

 499

 20%

 16%

 60%

 4%

 0%

 77%/23%

2021

 506

 19%

 14%

 59%

 5.5%

 2.5%

 77%/23%

2020

 453

 22%

 13%

 58%

 5%

 < 2%

 79%/21%

2019

 479

 12%

 16%

 66%

 6%

 < 1%

 76%/24%

 *Preliminary data

To access additional data from the Cook County Medical Examiner’s Office, please visit the case archive.

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