When Americans pack their bags for international adventures, the last thing on their minds is becoming a statistic in the State Department’s sobering database of overseas deaths. Yet every year, hundreds of U.S. citizens meet unfortunate ends far from home, creating patterns that reveal which destinations pose the greatest risks to American travelers.
The numbers tell a story that might surprise many travelers who worry about terrorism or plane crashes while ignoring the real dangers lurking abroad. With millions of Americans venturing overseas annually, understanding where and how fellow citizens are dying can mean the difference between a memorable vacation and a family tragedy.
Mexico Dominates the Death Count
Mexico stands as the undisputed leader in U.S. citizen deaths abroad, accounting for 141 road traffic deaths alone between 2019 and 2021, representing 35% of all U.S. citizen traffic fatalities overseas. In recent State Department data from 2014-2015, Mexico reportedly recorded 228 American deaths in just a single 12-month period according to State Department data. The violence statistics are equally stark, with over 68% of all homicide deaths of U.S. citizens abroad occurring in Mexico.
This overwhelming concentration of deaths isn’t entirely surprising given Mexico’s popularity among American travelers. Mexico consistently draws close to 39 percent of all American travelers while contributing to about one-third of the total US deaths abroad. The State Department notes that criminals might view U.S. travelers as wealthy, naïve targets, inexperienced and unfamiliar with the culture, and less able to seek assistance once victimized.
Thailand’s Deadly Motorcycle Culture
Thailand emerged as the second-highest country for U.S. deaths in recent State Department data, with reportedly 35 deaths in a 12-month period, including 12 suicides and 10 specifically attributed to motorcycles. In 2024, multiple U.S. citizens died in traffic accidents involving riders of 2- and 3-wheeled vehicles in Thailand.
Of those countries with significant numbers of American visitors, Thailand has the highest rate of unnatural death, with 348 deaths since October 2002 despite relatively few Americans visiting the country. Suicide is particularly common in Thailand, with some 87 of the 348 deaths, or about 25% since 2002, being self-induced.
The Dominican Republic’s Water Dangers
The Dominican Republic ranks third in U.S. citizen road traffic deaths, accounting for 21 deaths or 5% of the total between 2019 and 2021. However, the real danger lies in the water. In one 12-month period, the Dominican Republic reportedly had 28 U.S. deaths, with 10 attributed to drowning.
These drownings included a horrifying multiple drowning where four family members died when a young pharmacist from Philadelphia was caught in a current, and her new husband and two of his family members jumped in to save her. Despite its popularity with American tourists, water-related incidents continue to claim lives at alarming rates.
Ecuador and Vietnam Tie for Fourth Place
Ecuador and Vietnam each recorded 16 U.S. citizen road traffic deaths between 2019 and 2021, representing 4% of the total for each country. Vietnam, Costa Rica and the Philippines each have substantial American deaths relative to the number of visitors, three to four times more than Mexico when adjusted for volume.
These statistics are particularly concerning given that these aren’t typically considered the most popular destinations for American tourists, suggesting higher death rates per visitor compared to more frequented locations.
Costa Rica’s Dangerous Waters
In Costa Rica, drowning reportedly dominates the death statistics, with 17 of 31 deaths in one reporting period attributed to water-related incidents. On a per-visitor basis, Costa Rica’s waters are more dangerous than Mexico’s, highlighting the fact that Costa Rica has no law requiring lifeguards on its beaches, and even those beaches with guards are often under-protected.
The country is also experiencing unprecedented violence, with over 900 homicides in 2023 – the most violent year in the country’s history, primarily attributed to narcotrafficking groups.
The Philippines: Murder Capital for Americans
In the Philippines, homicide emerges as the leading cause of death for Americans, with 12 reported murders out of 29 total deaths, making murder the most common cause with vehicle accidents a close second at 10. The Philippines tied with Jamaica for second place in homicides of Americans, with 8 deaths apiece.
The Philippines ranks poorly on international safety indices, largely because of a high rate of terror-related incidents and kidnappings. The combination of violent crime and transportation dangers makes it one of the riskiest destinations for American travelers when adjusted for visitor volume.
These stark statistics from the State Department reveal that the greatest threats to American travelers aren’t the headline-grabbing dangers like terrorism or plane crashes, but rather mundane hazards like traffic accidents, drownings, and violent crime. The data shows that popularity doesn’t always correlate with safety, and some lesser-visited destinations pose disproportionately high risks to those who venture there.