Delaware Data: Mental Health Data from the 2017 Youth Risk Behavior Survey

Transcription

1 Delaware Data: Mental Health Data from the 2017 Youth Risk Behavior Survey A presenta*on to the Delaware Suicide Preven*on Coali*on August 20 th, 2018

2 The NaAonal Context

3 Data Source: National Vital Statistics System, National Center for Health Statistics, CDC 2016

4 Data Source: National Vital Statistics System, National Center for Health Statistics, CDC 2016

5 Child and Youth Suicide is a Big Deal

6 2017 Delaware Youth Risk Behavior Surveys CDC- based survey administered in odd- numbered years by the Center for Drug and Health Studies at UD on behalf of Division of Pubic Health Sample of 6 th - 12 th classes in a census of Delaware public schools 2017 YRBS samples include 2,906 HS and 2,974 MS students Provides an opportunity to see early associa*ons between mental health indicators, risk behaviors, and other factors

7 Middle School: Self Harm and Suicide

8 Percentage of Middle School Students Who Did Something to Purposely Hurt Themselves 100 Without WanAng to Die Percent Total Male Female 6th 7th 8th Black Hispanic White *During the 12 months before the survey F > M; 8th > 6th; H > B, W > B (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware YRBS

9 100 Percentage of Middle School Students Who Ever Seriously Thought About Killing Themselves Percent Total Male Female 6th 7th 8th Black Hispanic White * F > M; 7th > 6th, 8th > 6th (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

10 100 Percentage of Middle School Students Who Ever Seriously Thought About Killing Themselves, * Percent Delaware - YRBS,

11 Percentage of Middle School Students Who Ever Made a Plan About How They Would Kill Themselves Percent Total Male Female 6th 7th 8th Black Hispanic White * F > M; 7th > 6th, 8th > 6th (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

12 Percentage of Middle School Students Who Ever Made a Plan About How They Would Kill Themselves, * Percent Note: This graph contains weighted results. Delaware - YRBS,

13 Percentage of Middle School Students Who Ever Tried to Kill Themselves, Percent Total Male Female 6th 7th 8th Black Hispanic White * F > M; 8th > 6th; H > W (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

14 Percentage of Middle School Students Who Ever Tried to Kill Themselves, * Percent Note: This graph contains weighted results. Delaware - YRBS,

15 High School: Self Harm, Depression, and Suicide

16 100 Percentage of High School Students Who Did Something to Purposely Hurt Themselves Without WanAng to Die,* Percent Total Male Female 9th 10th 11th 12th Black Hispanic White *Such as cu[ng or burning themselves on purpose one or more *mes during the 12 months before the survey F > M (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

17 Percentage of High School Students Who Felt Sad or Hopeless,* Percent Total Male Female 9th 10th 11th 12th Black Hispanic White *Almost every day for >=2 weeks in a row so that they stopped doing some usual ac*vi*es, ever during the 12 months before the survey F > M; 10th > 9th (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

18 Percentage of High School Students Who Felt Sad or Hopeless,* Percent Delaware Na*onal *Almost every day for >=2 weeks in a row so that they stopped doing some usual ac*vi*es, ever during the 12 months before the survey Note: This graph contains weighted results. Delaware and Na7onal YRBS,

19 Percentage of High School Students Who Seriously Considered AZempAng Suicide,* Percent Total Male Female 9th 10th 11th 12th Black Hispanic White *Ever during the 12 months before the survey F > M (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

20 Percentage of High School Students Who Seriously Considered AZempAng Suicide,* Delaware 30 Na*onal Percent *Ever during the 12 months before the survey Note: This graph contains weighted results. Delaware and Na7onal YRBS,

21 Percentage of High School Students Who Made a Plan About How They Would AZempt 100 Suicide,* Percent Total Male Female 9th 10th 11th 12th Black Hispanic White *During the 12 months before the survey F > M (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

22 Percentage of High School Students Who Made a Plan About How They Would AZempt Suicide,* Percent 30 Delaware Na*onal *During the 12 months before the survey Note: This graph contains weighted results. Delaware and Na7onal YRBS,

23 Percentage of High School Students Who AZempted Suicide,* Percent Total Male Female 9th 10th 11th 12th Black Hispanic White *One or more *mes during the 12 months before the survey F > M (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

24 Percentage of High School Students Who AZempted Suicide,* Percent Delaware Na*onal *One or more *mes during the 12 months before the survey Note: This graph contains weighted results. Delaware and Na7onal YRBS,

25 Percentage of High School Students Who Had a Suicide AZempt That Resulted in an Injury, Poisoning, or Overdose That Had to Be Treated by a Doctor or Nurse,* Percent Total Male Female 9th 10th 11th 12th Black Hispanic White *During the 12 months before the survey 9th > 12th, 10th > 12th, 11th > 12th; H > W (Based on t- test analysis, p < 0.05.) All Hispanic students are included in the Hispanic category. All other races are non- Hispanic. Note: This graph contains weighted results. Delaware - YRBS, 2017

26 Percentage of High School Students Who Had a Suicide AZempt That Resulted in an Injury, Poisoning, or Overdose That Had to Be Treated by a Doctor or Nurse,* Percent Delaware Na*onal *During the 12 months before the survey Note: This graph contains weighted results. Delaware and Na7onal YRBS,

27 Mental Health and ACEs

28 Aggregated Statewide ACEs (%, 2017 Delaware High School YRBS) 0 ACE 1 ACE 2 or more Statewide Males Females New Castle Males Females Kent Males Females Sussex Males Females

29 HS: Homelessness (%) Homelessness and mental health* Depressed for Two Weeks Homeless Self- Harm Not Homeless AZempt Suicide 2017 Delaware High School YRBS *Mental health indicators asked regarding the previous 12 months

30 HS: Parental IncarceraAon (%) 50 Incarcerated parent and mental health* Depressed for Two Weeks Self- Harm AZempt Suicide Parent incarcerated in the past year No parent incarcerated 2017 Delaware High School YRBS *Mental health indicators asked regarding the previous 12 months

31 HS: Exposure to Violence Indicators 51 (%) Threatened at school and mental health* Depressed for Two Weeks Self- Harm AZempt Suicide Threatened at school Have NOT threatened 2017 Delaware High School YRBS *Mental health indicators asked regarding the previous 12 months

32 HS: Exposure to Violence Indicators (%) Bullying and mental health Depressed for Two Weeks Self- Harm AZempt Suicide Have been bullied Have NOT been bullied 2017 Delaware High School YRBS *Mental health indicators asked regarding the previous 12 months

33 HS: Exposure to Violence Indicators (%) Physical teen dataing violence and mental health* Depressed for Two Weeks Self- Harm AZempt Suicide Have experienced physical DV Have NOT experienced physical DV 2017 Delaware High School YRBS *Mental health indicators asked regarding the previous 12 months

34 HS: Exposure to violence indicators (%) Forced sexual contact (TDV) and mental health* Depressed for Two Weeks Self- Harm AZempt Suicide Males who have been forced to have sexual contact Females who have been forced to have sexual contact Males who have NOT been forced to have sexual contact Females who have NOT been forced to have sexual contact 2017 Delaware High School YRBS *Mental health indicators asked regarding the previous 12 months

35 HS: Aggregated ACEs and Mental Health (%) 54 Aggregated ACEs and mental health Depressed for Two Weeks Self- Harm AZempt Suicide 0 ACEs 1 ACE 2 or more ACEs 2017 Delaware High School YRBS

36 MS: Homelessness (%) Homelessness and mental health Self- Harm Homeless Not Homeless A_empt Suicide 2017 Delaware Middle School YRBS

37 MS: Exposure to Violence Indicators (%) MS Bullying and mental health Self- Harm Have been bullied AZempt Suicide Have NOT been bullied 2017 Delaware Middle School YRBS

38 MS: Exposure to Violence Indicators (%) 34 EmoAonal TDV and mental health Self- Harm Have experienced EmoAonal DV Have NOT experienced EmoAonal DV AZempt Suicide 2017 Delaware Middle School YRBS

39 MS: Exposure to Violence Indicators (%) 42 Physical TDV and mental health Self- Harm AZempt Suicide Have experienced physical DV Have NOT experienced physical DV 2017 Delaware Middle School YRBS

40 ProtecAve Factors

41 HS Academic Achievement and Mental Health* (%) Self- Harm AZempt Suicide Mostly As Mostly Bs Mostly Cs Mostly Ds or Fs 2017 Delaware High School YRBS *Mental health indicators asked regarding the previous 12 months

42 2017 Delaware Middle School YRBS * Self harm refers to the previous 12 months; a_empted suicide refers to life*me experience. MS Academic Achievement and Mental Health* (%) Self- Harm AZempt Suicide Mostly As Mostly Bs Mostly Cs Mostly Ds or Fs

43 ProtecAve and substance use Past Month Substance Use among Delaware 11 th Graders ReporAng Where Parents Know Where They Are When They Are Not In School Past Month Smoking Past Month Alcohol Use Past 2 Weeks Binge Drinking* Past Month Marijuana Use 51% 47% 60% 49% 37% 34% 37% 37% 23% 22% 16% 12% 12% 13% 2% 5% Most of the *mes Oeen Some of the *me Not oeen/never 2017 Delaware School Survey (Secondary)

44 ProtecAve and substance use Past Month Substance Abuse among Delaware 8th Graders ReporAng Where Parents Know Where They Are When They Are Not In School Past Month Smoking Past Month Alcohol Use Past Month Binge Drinking* Past Month Marijuana Use 26% 21% 23% 15% 12% 10% 7% 5% 5% 2% 1% 1% 11% 4% 10% 3% Most of the *mes Oeen Some of the *me Not oeen/never 2017 Delaware School Survey (Secondary)

45 Substance Use and Mental Health

46 Self Harm* and Past Month Substance Use (%) HS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use MS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use Self Harm No Self Harm 2017 Delaware HS and MS YRBS *Self harm refers to previous 12 months.

47 HS: Sad/Hopelessness and past month substance use (%) Sad or hopelessness for 2 weeks or more within past year and past month substance use Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use Sad Not Sad 2017 Delaware HS and MS YRBS

48 Seriously considered suicide* and past month substance use HS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use Considered Did Not MS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use Considered Did Not 2017 Delaware HS and MS YRBS *Mental health indicator refers to past 12 months for HS; refers to life*me for middle school.

49 Planned suicide* and past month substance use (%) HS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use Planned Did Not 20 MS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use Planned Did Not 2017 Delaware HS and MS YRBS *Mental health indicator refers to past 12 months for HS; refers to life*me for middle school.

50 AZempted suicide* and past month substance use (%) HS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use AZempted Did Not 27 MS Past 30 Day Alcohol Use Past 30 Day CigareZe Use Past 30 Day Marijuana Use Past 30 Day RX Painkiller Use AZempted Did Not 2017 Delaware HS and MS YRBS *Mental health indicator refers to past 12 months for HS; refers to life*me for middle school.

51 Past month cigareze use and mental health* (%) 37 HS Self Harm Sad or Hopeless for 2 weeks Considered Suicide Planned Suicide AZempted Suicide Used Did Not MS Self Harm Considered Suicide Planned Suicide AZempted Suicide Used Did Not 2017 Delaware HS and MS YRBS. *Self harm refers to previous 12 months. HS: Sad/hopeless and all suicide indicators refer to previous 12 months. MS: All suicide indicators refer to life*me.

52 Past month alcohol use and mental health (%) HS Self Harm Sad or Hopeless for 2 Weeks Considered Suicide Planned Suicide AZempted Suicide Used Did Not MS Self Harm Considered Suicide Planned Suicide AZempted Suicide Used Did Not 2017 Delaware HS and MS YRBS. *Self harm refers to previous 12 months. HS: Sad/hopeless and all suicide indicators refer to previous 12 months. MS: All suicide indicators refer to life*me.

53 Past month marijuana use and mental health (%) 19 HS Self Harm Sad or Hopeless for 2 Weeks Considered Suicide Planned Suicide AZempted Suicide Used Did Not 27 MS Self Harm Considered Suicide Planned Suicide AZempted Suicide Used Did Not 2017 Delaware HS and MS YRBS. *Self harm refers to previous 12 months. HS: Sad/hopeless and all suicide indicators refer to previous 12 months. MS: All suicide indicators refer to life*me.

54 Past month Rx pain medicaaon use and mental health (%) 37 HS Self Harm Sad or Hopeless Past 2 Weeks Considered Suicide Planned Suicide AZempted Suicide Used Did Not MS Self Harm Considered Suicide Planned Suicide AZempted Suicide Used Did Not 2017 Delaware HS and MS YRBS. *Self harm refers to previous 12 months. HS: Sad/hopeless and all suicide indicators refer to previous 12 months. MS: All suicide indicators refer to life*me.

55 The Takeaway Ø Students who use substances are more likely to experience symptoms of depression, self harm, and to consider suicide. Ø Students who experience symptoms of depression, self harm, and consider suicide are more likely to use substances. Ø When developing preven*on strategies, both substance use and mental health factors should be considered.

56 Crisis Text Line: Text DE to June 20, 2016 July 26, 2018 Substance Abuse Gender/Sexual IdenAty Abuse, sexual EaAng Body Image Abuse, physical Abuse, emoaonal Grief 3rd Party Bullying Self Harm IsolaAon/Loneliness Suicide Depression/Sadness Anxiety/Stress RelaAonship 0.8% 1.7% 2.1% 2.3% 2.5% 2.7% 4.2% 4.9% 5.1% 9.1% 13.2% 16.4% Ø 798 Conversa*ons Ø 321 Texters Ø 3 Ac*ve Rescues 30.1% 31.4% 41.8%

57 Delaware Crisis Text Line

58 For more Delaware youth data, or to view the Delaware Youth Risk Behavior Survey and the Delaware School Survey, visit the Center for Drug and Health Studies.

59 Thank you! Project SAFETY GLS Suicide Preven*on Grant is under the direcaon of Harvey Doppelt, PhD Division of Preven*on and Behavioral Health Services DSCYF, State of Delaware Presenters: Chris Love, LCSW Asst. Project Director, Sharon Merriman- Nai, MC Evaluator, GLS Suicide Preven*on Grant Center for Drug and Health Studies University of Delaware Project team: Yolanda Jenkins, Steve Mar*n, Dan Howard, James Highberger, David Borton