In a well-publicized analysis of visitor suicides in three casino areas (At
lantic City, Las Vegas, and Reno), elevated suicide risk among interstate v
isitors was attributed to the presence of legalized gambling. A fundamental
limitation of the analysis, however, was the absence of estimates for at-r
isk populations. In the present paper, an analysis of 1995 visitor-suicide
rates (incorporating estimates for at-risk population) for 310 large US cou
nties, including places both with and without gambling casinos, yields no e
vidence to support a gambling-suicide relationship.