Reports show, last year, 130 people took their own life - making suicide the second leading cause of death in South DAkota.
Saturday, just under 500 people came together to take part in the Step Forward event to help lower those numbers.
The event was held at Falls Park in Sioux Falls.
People were full of smiles and lots of energy. Dozens of runners ran a 5K race while hundreds of walkers walked 1.5 miles. For most, it wasn't about the exercise.
Instead, it was a chance to gather together, to support, to celebrate and to mourn loved ones who have taken their own lives, lives lost years ago or just last week.
"When I came here and saw how many people were here, part of me was sad because we had that people who had someone they know take their own life," Sheri Johnson said.
Families and friends paid tribute by wearing matching shorts with pictures, while others held signs. They stood united for a ceremony to remember who they have lost - many of them - without an answer why.
"Overall, it's sad. It shouldn't happen. It shouldn't happen for whatever reason. There's help out there and people aren't getting it. Life isn't that bad, tomorrow's another day. Pick up the phone and call someone. It was great for everyone to get together," Johnson said.
Together, they released dozens of blue balloons with the hope that one day it will never happen again.