Ottawa County Youth Suicide Prevention CoalitionNational Institute of Mental Health (NIMH),...
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Ottawa County Youth Suicide Prevention Coalition 2011 REPORT 1
Transcript of Ottawa County Youth Suicide Prevention CoalitionNational Institute of Mental Health (NIMH),...
Ottawa County Youth
Suicide Prevention Coalition
2011
REPORT
1
Please Note:
The data in this report is part of a pilot effort
to develop a youth suicide prevention plan
for Ottawa County. The data contained in
this report is preliminary due to changes
made in the data collection process part
way through the 2011 calendar year.
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Table of Contents:
Page
General Information 3
2011 Data Overview 7
Youth Suicidal Behaviors 17
Repeated Episodes 33
Suicides – All Ages 39
Ottawa County Youth Assessment
Survey Results 48
Significant Associations 59
Contact Information 63 3
Surveillance sub-committee
Members:
Donna Cornwell, OCHSCC
Lee Hoeksema, OC Sherrif
Marcia Knol, OCHD
Sandy Boven, OCHD
Lupita Reyes, LLOC
Pat Rasch, Parish Nurse 4
Data Collection Partners
Law Enforcement
Hospitals
Medical Examiner
Community Mental Health
Ottawa County Youth Assessment
Survey
1,721
total
entries
5
UniqueID Organization
Race/Origin Sex County
Code
Age Date Category
Means
ID:
Enter unique
8 digit code #:
First initial of
first name +
First initial of
last name +
8 digit birth date
(Jan 8, 1992 =
01081992)
Type of Agency:
C: Community
Mental
Health
H: Health Care
L: Law
Enforcement
M: Medical
Examiner
Enter Letter
Code for
Race:
W: White
A: Asian,
Middle Eastern,
Pacific Islander
B: Black/
African American
N: Native
American
Indian
H: Hispanic/Latino
O: Other
U: Unknown
Enter
Sex:
F: Female
M: Male
T:
Transgender
Resident of
Ottawa
County:
Y: Yes
N: No
Enter Age
in Years:
Age in years
at
Time of
Encounter
Enter Date of
Encounter:
mm/dd/yyyy
Enter Suicide
Category Code:
I: Suicidal
Ideation
(Seriously
Considering
Suicide)
N: Suicidal
Intent (has a
suicide plan)
A: Suicidal
Attempt (act to
harm self with
intention to end
one’s life)
C: Completed
Suicide
(intentional
taking of one’s
life)
Enter Method
Utilized:
(When a suicide
is attempted or
completed, enter
method code)
1: Self-Inflicted
Injury, Cut
2: Self-Inflicted
Injury, Shot
3: Poisoning,
Overdose
4: Asphyxiation
5: Hanging
6: Jump
7: Motor Vehicle
8: Other
9: Unknown
Data Collection Template
6
2011 Overview of Youth
Encounters
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Total = 831 Youth Encounters (defined as < age 25)
Gender N % Race/Ethnicity N %
Female 485 58.4% White, Non-Hispanic 707 84.9%
Male 345 42.6% Unknown 26 3.1%
Age Group African American 46 5.5% Before High School
(< age 14) 57 6.9% Hispanic/Latino 34 4.1% High School
(14-18) 361 43.3% Other 19 2.3% Post High School
(19-24) 468 49.9%
2011 Calendar Year
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2011 Calendar Year
Total = 831 Youth Encounters (< age 25)
Behavior N % Organization N %
Ideation 535 64.4% CMH 207 25.8%
Attempt 291 35.0% Healthcare 445 47.2%
Suicide 5 0.6% Law Enforcement 237 26.6%
Ottawa Res. Med. Examiner 5 0.4%
Yes 712 85.6%
No 120 14.4% *11.4% of encounters had more than 1 organization involved.
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Research shows:
Half of all lifetime cases of mental
illness begin by age 14.
Scientists are discovering that changes
in the body leading to mental illness
may start much earlier, before any
symptoms appear.
National Institute of Mental Health (NIMH), “Treatment of Children with Mental Illness” 10
2011 Youth Encounters:
Age
0
10
20
30
40
50
60
70
80
90
100
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 2411
2011 Youth Encounters:
Age by Gender
0
10
20
30
40
50
60
70
80
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
FEMALE
MALE
12
2011 Youth Encounters:
Month
0
10
20
30
40
50
60
70
80
90
100
UNIQUE ID
13
2011 Youth Encounters:
Day of Week
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
MON TUE WED THU FRI SAT SUN 15
Key Points: Overall Spike in activity at age 14 – especially females
More encounters with females than males
Mid week more prevalent than weekend
Need a full year of ID for prevalence by month
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2011 Suicidal Behaviors
17
Suicidal Ideation: seriously considering suicide
535
18
Suicide Attempt: an act to harm self with intention
to end one’s life
291
19
Suicide: Youth intentional taking of one’s life
5
20
2011 Youth Encounters:
Behavior by Age Group
0
50
100
150
200
250
300
<14 14 - 18 19 - 24
IDEATION
ATTEMPT
SUICIDE
High School After HS Before HS 21
2011 Youth Encounters:
Behavior by Age Group
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
<14 14 - 18 19 - 24
IDEATION
ATTEMPT
SUICIDE
High School After HS Before HS 22
2011 Youth Encounters:
Behavior by Gender
0
50
100
150
200
250
300
350
FEMALE MALE
IDEATION
ATTEMPT
SUICIDE
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2011 Youth Encounters:
Behavior by Race
0
50
100
150
200
250
300
350
400
450
500
WHITE BLACK HISPANIC OTHER
IDEATION
ATTEMPT
SUICIDE
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2011 Youth Encounters:
Behavior by Race
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
WHITE BLACK HISPANIC OTHER Overall
IDEATION ATTEMPT SUICIDE
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2011 Youth Encounters:
Behavior by Day
0
10
20
30
40
50
60
70
80
90
100
MON TUE WED THU FRI SAT SUN
IDEATION
ATTEMPT
27
2011 Youth:
Method of Attempts
0
20
40
60
80
100
120
140
160
180
28
2011 Youth:
Method of Attempts by Sex
0%
10%
20%
30%
40%
50%
60%
FEMALE
MALE
30
2011 Youth:
Method of Attempts by Race
0%
10%
20%
30%
40%
50%
60%
WHITE
BLACK
HISPANIC
OTHER
31
Key Points: Ideation/Attempts
All behavior categories increase with age
Higher proportion of females attempt than males
Sundays: attempts and ideation nearly equal
Hispanic: attempts and ideation nearly equal
Over 90% of all attempts use “Poison/Overdose”
or “Cut”
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2011 Repeated Episodes
33
2011 Youth:
Repeated Episodes
89.4%
10.6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Once
More thanonce
N = 403
(among those with
a unique identifier)
Among all youth encounters:
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2011 Youth:
Repeated Episodes by Race
22.2%
10.3% 9.5%
0.0% 0%
5%
10%
15%
20%
25%
Black
White
Hispanic
Other
Among all encounters, the proportion with 2 or more episodes:
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2011 Youth:
Repeated Episodes
74.4%
18.6%
7.0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Twice
Three times
Four or more
Range: 2 to 22
Among those with 2 or more episodes:
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2011 Youth:
Repeated Episodes by Category
55.8%
37.2%
7.0%
0%
10%
20%
30%
40%
50%
60%
Only Ideation
Ideation & Attempt(s)
Only Attempts
Among those with two or more episodes:
37
Key Points: Repeated Episodes This data is preliminary and based on a partial year
Higher proportion of repeats among Black youth
12.7% of females repeat versus 8% of males
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2011 Suicides: All Ages
39
Total = 25 Completed Suicides
Gender N % Age Group N %
Female 8 34.8% < 25 5 25.0%
Male 17 65.2% 25-39 2 8.0%
Race/Ethnicity 40-49 5 25.0%
White 25 100.0% 50-59 6 24.0%
Hispanic 0 0.0% 60+ 7 28.0%
Other 0 0%
2011 Suicides:
All Ages
40
2011 Suicides:
Age Group
0
1
2
3
4
5
6
7
Under 20 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 andover
41
2011 Suicides:
Age Group by Gender
0
1
2
3
4
5
Under 20 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 andover
Male
Female
42
2011 Suicides:
Month
0
1
2
3
4
5
Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
Bar contains youth suicide
43
2011 Suicides:
Day of Week
0
1
2
3
4
5
6
MON TUES WED THUR FRI SAT SUN
44
2011 Suicides:
Method by Gender
0
2
4
6
8
10
12
SHOT HANG POISON/O.D. ASPHYX. TRAIN
Male
Female
45
All Suicides: Historical Trend
0
5
10
15
20
25
30
Count All Ages
Rate per 100,000
46
Key Points: Most suicides over age 24: 75%
More male suicides: 68%
Method is more “violent”: 76% Shot/Hanged
Race: White
Historically, rate is stable to slightly increasing
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Ottawa County
Youth Assessment Survey
Youth Assessment
Survey
• What is the Youth Assessment Survey?
• Content Areas:
– Physical Activity, Nutrition, Body Weight
– Safety and Violence Related Behaviors
– Substance Use
– Risk and Protective Factors
– Sexual Behavior
49
Depression
During the past 12 months, did you ever feel so
sad or hopeless almost every day for two weeks
or more in a row that you stopped doing some
usual activities.
Yes
No
50
Attempts
During the past 12 months, how many times
(if any) did you attempt suicide?
0
1
2-3
4 or more 51
New for 2011: Ideation
During the past 12 months, did you ever
seriously think about attempting suicide?
Yes
No
52
New for 2011: Plan
During the past 12 months, did you make a plan
about how you would attempt suicide?
Yes
No
53
Keep in Mind…
• Can’t: YAS is an observational study so can’t
make predictions or cause/effect conclusions
• Can:
Get proportion estimates and inferences
Identify possible contributing factors by
probability
Find associations
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Depression and Suicide
In the past year:
21.8%
13.2%
8.5%
4.5%
0%
5%
10%
15%
20%
25%
Felt so sad or hopelessfor two weeks and
stopped doing usualactivities
Ever seriously thinkabout attempting
suicide
Made a plan about howI would attempt suicide
Attempted suicide oneor more times
2005
2007
2009
2011
56
Depression and Suicide In the past year:
28.9%
17.4%
10.8%
6.4%
14.6%
9.2%
6.1%
2.6%
0%
5%
10%
15%
20%
25%
30%
Felt so sad or hopelessfor two weeks and
stopped doing usualactivities
Ever seriously thinkabout attempting suicide
Made a plan about howI would attempt suicide
Attempted suicide oneor more times
Female Male
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Depression and Suicide In the past year:
18.8%
11.5%
7.4%
3.8%
24.6%
15.4%
9.8%
5.4%
21.6%
12.8%
8.4%
4.2%
0%
5%
10%
15%
20%
25%
30%
Felt so sad or hopelessfor two weeks and
stopped doing usualactivities
Ever seriously thinkabout attempting suicide
Made a plan about how Iwould attempt suicide
Attempted suicide one ormore times
8th
10th
12th
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Digging Deeper in the 2009 YAS
Used Multiple Logistic Regression to model which questions in the survey may be associated with students reporting:
Feeling sad or hopeless almost every day for two weeks in the past 12 months.
A suicide attempt 1 or more times during the past 12 months.
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Key Findings: Depression 7 new or existing variables…
Gender: Female Male
Access to Tobacco
Perceive Risk in Binge Drinking
Perceive Neighborhood as Unsafe
Harmed by a Parent
Perceive High Peer Use of Marijuana
Can Talk to Parent
Increases odds of depression: Decreases odds of depression:
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Key Findings: Attempted Suicide 7 new or existing variables:
Gender: Female Male
Missing School Because Felt Unsafe
Lots of Family Yelling/Insults
Perceive Parents Don’t See Youth Smoking as
Wrong
Harmed by a Parent
Binge Drinking
Better Grades in School
Increases odds of attempts: Decreases odds of attempts:
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“Profile”: Depression:
• 10th or 12th grade
• Female
• Hispanic
• Lower grades in school
• Involved in fights
• Skip school
• Have had sex
• Multiple sexual partners
• Mult. access sources to cigs
• Harmed by a parent
Attempt:
• 10th grade
• Female
• Hispanic
• Obese
• Lower grades in school
• Involved in fights
• Skip school
• Have had sex
• Multiple sexual partners
• Miss school – unsafe
• Harmed by a parent
• Binge drinking 5+ past month
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Analysis and Presentation by:
Ottawa County Health
Department
Marcia Knol, Epidemiologist
Kaitlyn Ratkowiak, Intern GVSU
Phone: 616.494.5598 E-mail: [email protected]
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