Year per 1,000 adults 2007 261.23 2008 281.64 2009 245.53 2010 224.79 2011 217.32 2012 212.74 2013 218.43 2014 221.14 2015 222.33 2016 224.77 2017 231.88 2018 245.85 2019 249.39 2020 249.12 2021 300.24