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Cftf suicide data presentation.12 08 14 (final)

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Cftf suicide data presentation.12 08 14 (final)

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Cftf suicide data presentation.12 08 14 (final)

  1. 1. The Burden of Suicide Among Youth in North Carolina Child Fatality Task Force – Intentional Death Prevention Committee December 8th, 2014
  2. 2. Data Sources: Suicide and Self-Inflicted Injury • North Carolina Violent Death Reporting System (NC-VDRS) • Death Certificate • Law Enforcement Incident Reports • Medical Examiner Reports • Hospital Discharge • Emergency Department Admissions • NC-DETECT • N.C. Youth Risk Behavior Survey (YRBS) • Web-based Injury Statistics Query and Reporting System (WISQARS)
  3. 3. Source: NC State Center for Health Statistics; Analysis by Injury Epidemiology and Surveillance Unit Leading Causes of Injury Deaths: N.C. Residents 2013 * Unintentional Other and Unintentional Unspecified are two separate categories. Other comprises several smaller defined causes of death, while Unspecified refers to unintentional deaths that were not categorized due to coding challenges. Source: N.C. State Center for Health Statistics, Vital Statistics-Deaths, 2012 Analysis by Injury Epidemiology and Surveillance Unit aUnintentional Other and Unintentional Unspecified are two separate categories. Other comprises several smaller defined causes of death, while Unspecified refers to unintentional deaths that were not categorized due to coding challenges.
  4. 4. Source: NC-VDRS, 2004-2012; N.C. State Center for Health Statistics, Vital Statistics- Hospitalizations, 2004-2012; NC DETECT, 2008-2012 Analysis by Injury Epidemiology and Surveillance Unit Suicide and Self-Inflicted Injury: N.C. Residents 2004-2012 0 30 60 90 120 150 180 210 240 CrudeRateper100,000 Age (Years) Suicide Death Rate Hospitalization Rate ED Visit Rate
  5. 5. Suicide and Self-Inflicted Injury among Youth ages 10 to 17 in North Carolina
  6. 6. Source: NC-VDRS, 2004-2012; N.C. State Center for Health Statistics, Vital Statistics- Hospitalizations, 2004-2012; NC DETECT, 2008-2012 Analysis by Injury Epidemiology and Surveillance Unit Suicide and Self-Inflicted Injury: N.C. Residents ages 10-17, 2004-2012 2.6 3.0 2.7 2.9 2.3 3.6 2.3 2.3 3.4 54.0 50.0 49.6 56.1 47.6 62.5 57.1 67.9 67.9 107.2 132.5 115.2 123.5 139.5 0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 2004 2005 2006 2007 2008 2009 2010 2011 2012 CrudeRateper100,000 Suicide Death Rate Hospitalization Rate ED Visit Rate
  7. 7. Source: NC-VDRS, 2004-2012; N.C. State Center for Health Statistics, Vital Statistics- Hospitalizations, 2004-2012; NC DETECT, 2008-2012 Analysis by Injury Epidemiology and Surveillance Unit 4.0 32.8 80.4 1.5 82.7 169.0 0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0 Suicide Rate Hospitalization Rate ED Visit Rate CrudeRateper100,000 Male Female Suicide and Self-Inflicted Injury: N.C. Residents ages 10-17, 2004-2012
  8. 8. Source: NC-VDRS, 2004-2012; N.C. State Center for Health Statistics, Vital Statistics- Hospitalizations, 2004-2012; NC DETECT, 2008-2012 Analysis by Injury Epidemiology and Surveillance Unit Suicide and Self-Inflicted Injury: N.C. Residents ages 10-17, 2004-2012 1.3 27.5 59.2 5.2 106.0 230.6 0.0 50.0 100.0 150.0 200.0 250.0 Suicide Rate Hosptialization Rate ED Visit Rate CrudeRateper100,000 Age (years) Ages 10-14 Ages 15-17
  9. 9. Source: NC-VDRS, 2004-2012 Analysis by Injury Epidemiology and Surveillance Unit Suicide : N.C. Residents ages 10-17, 2004-2012 79.1% 18.4% 1.2% 1.2% White Black American Indian Asian
  10. 10. Source: NC-VDRS, 2004-2012 Analysis by Injury Epidemiology and Surveillance Unit Suicides by County of Residence: N.C. Residents ages 10-17, 2004-2012
  11. 11. Source: NC-N.C. State Center for Health Statistics, Vital Statistics-Hospitalizations, 2004- 2012; NC DETECT, 2008-2012 Analysis by Injury Epidemiology and Surveillance Unit Self-Inflicted Injury : N.C. Residents ages 10-17, 2004-2012 79.1% 18.4% 1.2% 0.5% 12.0% Self-Inflicted Injury Hospitalizations Poisoning Cut/pierce Suffocation Firearm Other/Unspecified 58.6%30.0% 1.2% 0.3% 9.9% Self-Inflicted Injury ED Visits
  12. 12. Source: N.C. YRBS, 2013 Suicidal Behavior: N.C. High School Students, 2013 11.6% 21.7% 10.9% 15.8% 5.5% 5.2% 0% 10% 20% 30% Male Female Seriously considered attempting suicide during the last 12 months Made a plan for suicide attempt during the last 12 months Made a suicide attempt that resulted in an injury needing treatment by a medical professional during the last 12 months
  13. 13. Source: N.C. YRBS, 2013 Suicidal Behavior: N.C. High School Students, 2013 14.3% 40.2% 10.6% 38.0% 4.8% 12.3% 0% 10% 20% 30% 40% 50% Heterosexual Gay, Lesbian, or Bisexual Seriously considered attempting suicide during past 12 months Made a plan for suicide attempt during past 12 months Made a suicide attempt during past 12 months that resulted in an injury needing treatment by a medical professional
  14. 14. Source: WISQARS, 2004-2012 Analysis by Injury Epidemiology and Surveillance Unit Suicide: Youth ages 10-17, 2004-2012 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 2004 2005 2006 2007 2008 2009 2010 2011 2012 CrudeRateper100,000 United States North Carolina
  15. 15. Source: NC-VDRS, 2004-2012 Analysis by Injury Epidemiology and Surveillance Unit Suicide: N.C. Residents, 2004-2012 2.0 11.2 21.7 22.1 25.1 28.0 24.5 27.4 34.7 49.4 0.6 2.9 4.0 6.1 8.4 10.9 8.0 5.4 3.3 3.3 0.0 10.0 20.0 30.0 40.0 50.0 60.0 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ CrudeRateper100,000 Male Female
  16. 16. NC Child Fatality Prevention System  Child Fatality Task Force  Local Child Fatality Prevention Teams  Children and Youth Branch  Confidential county-level reviews  Non-maltreatment deaths  Make recommendations for local and state changes  Community Child Protection Teams  Division of Social Services  Confidential county-level reviews  Active maltreatment cases or maltreatment deaths  Make recommendations for local and state changes  Child Fatality Review Teams  Division of Social Services  Confidential state-level reviews of select cases  CPS involvement within 12 months of death  Suspicion that death was due to abuse or neglect
  17. 17. NC Child Fatality Prevention System NC Child Fatality Prevention Team  Reviews deaths of children 17 years old and under  Deaths must be certified by the Medical Examiner system:  Homicides, suicides, accidents, poisonings  Trauma, disaster, violence  Unknown, unnatural or suspicious circumstances  In police custody, jail or prison  In state-operated mental health facilities  Potential public health hazards  During surgical or anesthetic procedures  Sudden and not reasonably related to previously-known disease  Without medical attendance  Provides assistance and consultation to local teams  Provides aggregate data reports to the public and other agencies/organizations upon request
  18. 18. Data Review ≈ 500 cases/year approximately 12 months after the date of death Public sources of information  OCME  Vital Records  Department of Corrections  Department of Motor Vehicles Confidential sources of information  Division of Social Services records  Law enforcement investigation reports  Hospital/ED/pediatric/mental health records  Team findings and discussions Goal is to obtain the most complete picture of a child’s life as it pertains to his/her death
  19. 19. Youth Suicide in NC by Year n=247 24 28 27 30 21 35 23 24 35 0 5 10 15 20 25 30 35 40 2004 2005 2006 2007 2008 2009 2010 2011 2012 NumberofSuicides
  20. 20. 2 73 172 0 20 40 60 80 100 120 140 160 180 200 5 - 9 yrs 10 - 14 yrs 15 - 17 yrs NumberofSuicides Youth Suicide in NC by Age
  21. 21. Youth Suicide in NC by Year & Age Group 9 7 9 9 5 7 3 11 15 15 21 18 21 16 28 20 13 20 0 5 10 15 20 25 30 2004 2005 2006 2007 2008 2009 2010 2011 2012 NumberofSuicides 14 yo & under 15-17 yo
  22. 22. Youth Suicide in NC by Age & Sex 0 10 20 30 40 50 60 70 6 7 8 9 10 11 12 13 14 15 16 17 NumberofSuicides Age (in years) Male Female
  23. 23. Youth Suicide in NC by Year & Sex 20 17 22 25 15 27 16 17 25 4 11 5 5 6 8 7 7 10 0 5 10 15 20 25 30 2004 2005 2006 2007 2008 2009 2010 2011 2012 NumberofSuicides Male Female
  24. 24. Youth Suicide in NC by Means 47.8% 42.9% 6.9% 1.2% 1.2% ASPHYXIA GUN TOXIN MOTOR VEHICLE FALL or JUMP / DROWNING / OTHER
  25. 25. Youth Suicide in NC by Means & Sex 66.7%20.6% 9.5% 3.2% 41.3% 50.5% 6.0% 1.6% 0.5% ASPHYXIA GUN TOXIN MOTOR VEHICLE FALL or JUMP / DROWNING / OTHER Female Male
  26. 26. Youth Suicide in NC: Looking Back  Child Protective Services At least 32% of children who committed suicide between 2004 and 2012 had some type of prior contact with CPS  Mental Health At least 20% of children had a documented mental illness at some point in their lifetime 60% were receiving treatment at time of death 15% were not receiving treatment at time of death Treatment status unknown for remaining 25% An additional 12% of children were characterized as depressed by friends and/or family members in the weeks or months leading up to their death
  27. 27. Youth Suicide in NC: Looking Back  History 11% of children had attempted suicide at least once before  Circumstances of interest 18% of children reported recent relationship problems (e.g., friend, family member, boyfriend/girlfriend) 11% of children had issues in the school environment (e.g., academics, behavior, victim/perpetrator of bullying) A suicide note was recovered in only 12% of cases  Case Examples
  28. 28. Youth Suicide in NC: Looking Ahead Preliminary data 2013: 41 suicides 2014: 40 suicides as of 12/4/2014 Suicide case review session - update
  29. 29. Elyssa Trani, MS NC Child Fatality Prevention Team Office of the Chief Medical Examiner elyssa.trani@dhhs.nc.gov Anna Austin, MPH Injury and Violence Prevention Branch NC Division of Public Health anna.austin@dhhs.nc.gov Contact Information

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