Colorado Trends in Suicide: Annual Report from the Office of Suicide Prevention Suicide Prevention Coalition of Colorado August 12, 2015

Transcription

1 Colorado Trends in Suicide: Annual Report from the Office of Suicide Prevention Suicide Prevention Coalition of Colorado August 12, 2015

2 Sources of information/data National National Violent Death Reporting System (NVDRS) State Colorado Violent Death Reporting System (COVDRS) Colorado Health Information Dataset Colorado Child Fatality Review System Healthy Kids Colorado Survey

3 Colorado Violent Death Reporting System CDC National Violent Death Reporting System since states participating (starting in 2015) Ongoing, state-based surveillance to monitor violent deaths to support planning and evaluation Homicide, suicide, deaths of undetermined intent, legal intervention and unintentional firearm deaths Detailed case information including demographics, circumstances, toxicology, weapon information, etc.

4 Colorado Violent Death Reporting System Data collected from: Death certificates Coroner/medical examiner reports 63 Coroner/Medical examiners in CO Law enforcement reports 240+ law enforcement agencies >90% case ascertainment Varying levels of detail and quality of info

5 Value of Data Inform programming Target limited resources to certain populations Inform access points Measure efficacy and outcomes

6 Data Statistics are merely aggregations of numbers with the tears wiped away. - Dr. Irving Schikoff

7 Suicide in the US Suicide Death Rates per 100,000 Population, United States, 2013 State 2013 Deaths Crude Rate Rank United States 41, Montana Alaska Wyoming New Mexico Utah Nevada Colorado 1, Idaho Maine Vermont Source: Centers for Disease Control and Prevention, National Center for Health Statistics, on CDC Source: WONDER National Online Center Database, for Health released Statistics, Centers for Disease Control

8 Leading Causes of Death: United States Residents, Heart disease Cancer Chronic lower respiratory Stroke Unintentional injuries Alzheimer's disease Diabetes Influenza and pneumonia Kidney disease Suicide Age-adjusted death rate per 100,000 population Source: National Center for Health Statistics, Centers for Disease Control

9 Colorado,

10 Suicide in Colorado In 2014, there were: 52 HIV deaths 172 Homicides 486 Motor vehicle deaths 553 Breast cancer deaths 668 Influenza & Pneumonia deaths 826 Diabetes deaths 1,058 deaths by Suicide Suicide is the 7th Leading cause of death in CO for all ages Suicide is the 2nd cause of death for those ages Source: Vital Statistics Program, Colorado Department of Public Health and Environment

11 CO Suicide deaths and age adjusted rates, Year n Age-adjusted Rate* , , , *per 100,000 population Source: Vital Statistics Program, Colorado Department of Public Health and Environment

12 Number of Suicides Suicide deaths by age and gender, Age Group (years) Males Females Source: Vital Statistics Program, Colorado Department of Public Health and Environment

13 Age-Specific Rate (per 100,000 population) Age-specific suicide rate, Year Source: Vital Statistics Program, Colorado Department of Public Health and Environment

14 Age-adjusted suicide rates per 100,000 population 25.0 Age-adjusted suicide rates by Race/Ethnicity, Colorado residents ( ) Total White, non- Hispanic White, Hispanic Race/Ethnicity Black/African Asian/Pacific American Islander American Indian Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

15 Methods of suicide deaths for males and females, Colorado residents ( ) 6.2% 14.0% 56.0% 23.9% Males, n=3,553 Poisoning Hanging Firearms Other 6.4% 26.3% 23.9% 43.3% Females, n=1,101 Poisoning Hanging Firearms Other Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

16 Percent of suicides by age group Suicide methods by age group, Colorado residents ( ) Poisoning Hanging Firearms Other Age group (years) Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

17 Male Rates over Time Age-Adjusted Rate Firearm Rate Hanging/Strangulation Drugs/Biological substances

18 Female Rates over time Female Rate Firearms Hanging/Strangulation Drugs/Biological Substances

19 Suicide deaths in Colorado, Colorado residents ( ) yrs

20 Firearm Deaths in Colorado, Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

21 Suicide frequency by marital status, age > 15 years, Widowed, 5.0% Never married, 33.6% Currently married, 35.9% Divorced, 25.5% Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

22 Age-adjusted suicide rate per 100,000 adult population 120 Suicide rates by gender and marital status, age 15 years, Colorado residents ( ) Currently married Divorced Never married Widowed 0 Male Female Total Gender Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

23 Suicide deaths by circumstance, Circumstance N Percent Suicides with at least 1 known circumstance 4, N Percent * Current depressed mood 2, Current mental health problem 1, Ever treated for mental health problem 1, Left a suicide note 1, Intimate partner problem 1, Disclosed intent to die by suicide 1, Diagnosis of depression 1, Current mental health treatment 1, Physical health problem 1, History of previous suicide attempts 1, Problem with alcohol 1, Job problem Financial problem Problem with other substance *Percent of total cases with at least one circumstance known; Colorado residents who died in Colorado Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

24 Suicide deaths by toxicology testing results, Colorado residents ( ) N % of suicides with known toxicology Toxicology available 4, Alcohol present 1, Opioid present Antidepressent present Marijuana present Amphetamine present Cocaine present

25 Number of suicide deaths Suicide deaths by age group and veteran status, Colorado residents, , Non-veteran Veteran Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

26 -Mortality in Local Jails and State Prisons, Statistical Tables. U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics, October 2014, NCJ U.S. Dept. of Justice Suicide is leading cause of death in JAILS ( rate 40/100,000) More than a third (36%) of all deaths in local jails occurred within 7 days of admission Illnesses (such as cancer and heart disease) leading cause of death in PRISONS Approximately 1/3 of jail inmate deaths attributed to suicide AND greater # of those suicides were for unconvicted inmates (3,121) than convicted status inmates (for presumably misdemeanor offenses- 667) Compared to prison deaths- suicide comprised only about 6% of deaths with a rate of 16/100,000

27 Health Statistics Regions,

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29 Age-adjusted suicide rates by county of residence classification, Colorado residents ( ) County Classification Number Age-adjusted rate (95% CI) Urban 3, ( ) Rural ( ) Frontier ( ) Source: Violent Death Reporting System, Colorado Department of Public Health and Environment

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31 Jackson County Region 11 - highest quartile 1,621 square miles Population 1,348 (2010) Walden population total suicide deaths Rate = 19.6/100,000 Source: COHID

32 Larimer County Region 2 lowest quartile 2,633 square miles Population 299,630 (2010) Fort Collins population 143, total suicide deaths Rate = 16.1/100,000 Source: COHID

33 Region Figure 2. Age-adjusted suicide rate rank by Health Statistics Region, Colorado Residents ( ) Age-adjusted rate per 100,0000 population Numbers in italics inside base of chart are counts of suicide deaths.

34 Suicide Attempts in Colorado In the US, for each death by suicide an estimated 25 attempts are made For those surviving an attempt, the vast majority do not later die by suicide

35 Number of discharges in 3 years Rate per 100,000 population Hospitalizations for Suicide Attempts* by age group and gender: Colorado residents, Age Group in Years Males Females Males Females 0 Data Source: Hospital discharges from the Colorado Hospital Association * excluding persons who died or were discharge to hospice

36 2013 Healthy Kids CO Survey Completed by 9 th through 12 th graders in public high schools in Colorado 24.3 percent reported feeling so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities during the past 12 months (LGB 59.4%; Hispanic Female 38.7%) percent reported seriously considering attempting suicide during the past 12 months (LGB 48.5%; Native Hawaiian/other Pacific Islander Male 26.5%; Black female 24.6%). 6.6 percent attempted suicide one or more times during the past 12 months (LGB %; Native Hawaiian/other Pacific Islander Male 15.7%; American Indian/Alaska Native 14.5%). Health Statistics Section, CDPHE

37 CO Healthy Kids Survey Cont d

38 Means of Suicide by Data Source and Sex, Colorado Residents, % 90% 16% 7% 19% 12% 5% 6% 15% 80% 70% 30% 31% 15% 12% 25% 46% 60% 50% 40% 30% 50% 61% 62% 75% 56% 23% 20% 10% 0% 2% ED visits of males ED visits of females Hospitalizations of males 2% Hospitalizations of females Deaths of males 25% Deaths of females Firearms Hanging/Suffocation Drug overdose/poisoning Cut/pierce Other

39 The Cost of Suicide in Colorado Each suicide death in CO costs: - $3,088 in direct costs (health care, autopsy, law enforcement investigation) - $1,100,885 in indirect costs (work loss cost) = More than $1 Billion CDPHE Health Watch, June 2013

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