Ohio Department of Health

Violence in Ohio: The Ohio Violent Death Reporting System (OH-VDRS)

Purpose of NVDRS

• According to CDC, more than 50,000 people die from acts of violence, each year in the US.

• Of those 50,000 deaths, 32,000 are suicides and 18,000 are homicides

• In 2002, CDC implemented the National Violent Death Reporting System(NVDRS)

• NVDRS collects risk factors on all deaths from violence, specifically suicides, homicides and unintentional firearm, legal intervention, terrorism and undetermined intent.

CDC Categories for Collected Variables

• Incident Information• Personal Information• Death Certificate Variables• Coroner/Medical Examiner Variables• Toxicology Variables• Weapon Variables• Circumstance Variables• Hospital Variables

Delaware

Madison

Union

Licking

FairfieldPickaway

Fayette

Clark

Champaign

Logan

HardinAllen

Hancock

Wyandot

Marion

Crawford

Huron

Richland

Ashland

Morrow

Knox Coshocton Tuscarawas

Carroll

Harrison

BelmontGuernsey

MuskingumMonroe

NoblePerryMorgan

WashingtonAthens

Hocking

Meigs

Gallia

Vinton

Jackson

Lawrence

SciotoAdams

Pike

Ross

Highland

Shelby

Miami

MontgomeryGreene

Darke

Preble

MercerAuglaize

Van Wert

Paulding

Defiance

Williams

Putnam

Henry

Fulton

Wood

Lucas

Ottawa

Sandusky

Seneca

ErieLorain

Cuyahoga

Medina

Wayne

Holmes

Lake

Geauga

Ashtabula

Trumbull

PortageSummit

Stark

Mahoning

Columbiana

Jefferson

Clinton

Brown

Clermont

WarrenButler

Hamilton

FranklinFranklin

Ohio Violent Deaths by County, 2010 – Data Phase-In1

30

Year 1 - 2010 (66%)

Year 2 - 2011 (85%)

Year 3 - 2012 (100%)

5

15

23

14

12

3

3

24

18214

2

339

1

5

6

7

11

14

10

8

22

63

13

3

2

10

8

5

21

106

3

9

6

4

6

44

9

169

20

6

11

5

5

1

19

7

5

15

28

13

39

10

28

4

8

3

74

7

7

23

12

55

2

10

275

34

10

37

21

75

113

14

4

8

1

3

7

11

19

5

7

56

27

1Includes homicides, suicides and deaths from undetermined intent, unintentional firearms, legal intervention. There were no terrorism-related deaths in 2010.

OH-VDRS DATA

Number of Violent Death Incidents by Incident Type, 2010

Number of Violent Death Incidents by Incident Type, 2010

Violent Deaths Demographics, OH-VDRS, 2010

Violent Deaths Demographics, OH-VDRS, 2010

OH-VDRS by Method, 2010

SUICIDESOH-VDRS Data

Suicide Demographics, OH-VDRS, 2010: Age-Specific Rates

Rates are suppressed for counts less than 10.

Suicide Demographics, OH-VDRS, 2010: Race/Ethnicity

Rates are suppressed for counts less than 10.

Suicide Methods by Sex, 2010

OH-VDRS Year One Counties by County of Death— Suicides, 2010

County of Residence Deaths Population Crude Rate Age-Adjusted Rate

Butler 51 363230 14.0 13.1

Cuyahoga 135 1269455 10.6 10.6

Franklin 141 1159947 12.2 12.3

Hamilton 88 855340 10.3 10.1

Lorain 38 305097 12.5 11.7

Lucas 54 461792 11.7 11.7

Mahoning 23 234532 9.81 9.65

Montgomery 92 532181 17.3 17.1

Stark 64 377793 16.9 16.2

Summit 59 541360 10.9 10.4

Trumbull 37 208119 17.8 16.0

Union 7 49165 14.2 -

Total 789 6358011 12.4 12.1

Rates are suppressed for counts less than 10.

Percentage of Suicides with Mental Health Circumstance by Sex, 2010, OH-VDRS1

1 Denominator contains only cases with known circumstances in year one counties.

Percentage of Suicides with Life Stressor Circumstance by Sex, 2010, OH-VDRS1

1 Denominator contains only cases with known circumstances for year one counties.

Percentage of Suicides with Suicide Event Circumstance by Sex, 2010, OH-VDRS1,2

1 Denominator contains only cases with known circumstances for year one counties.

Percentage of Suicides with Positive Toxicology Results by Sex, 2010, OH-VDRS1

HOMICIDESOH-VDRS Data

Homicide Demographics, OH-VDRS, 2010: Age-Specific Rates

Rates are suppressed for counts less than 10.

Homicide Demographics, OH-VDRS, 2010: Race/Ethnicity

Rates are suppressed for counts less than 10.

Homicide Methods by Sex, 2010

OH-VDRS Year One Counties by County of Death and Sex — Homicides, 2010

County of Residence Deaths Population Crude Rate Age-Adjusted Rate

Butler 10 363230 2.75 2.89

Cuyahoga 95 1269455 7.48 7.64

Franklin 113 1159947 9.74 9.37

Hamilton 77 855340 9.00 9.24

Lorain 5 305097 - -

Lucas 25 461792 5.41 5.37

Mahoning 22 234532 9.38 10.14

Montgomery 46 532181 8.64 8.86

Stark 12 377793 3.18 3.55

Summit 27 541360 4.99 5.43

Trumbull 4 208119 - -

Union 0 49165 - -

Total 436 6358011 6.86 7.01

Rates are suppressed for counts less than 10.

Percentage of Homicides with Crime-Related Circumstance by Sex, 2010, OH-VDRS1

1 Denominator contains only cases with known circumstances for year one counties.

Percentage of Homicides with Arguments and Conflicts Circumstance by Sex, 2010, OH-VDRS1

1 Denominator contains only cases with known circumstances for year one counties.

Percentage of Homicides with Positive Toxicology Results by Sex, 2010, OH-VDRS1,2

1 Denominator contains only cases with known circumstances for year two counties. 2 These results are based on preliminary data and may change upon final ICD10 coding and abstractor confirmation, as of 04-15-2013

UNDETERMINEDOH-VDRS Data

Undetermined Deaths Demographics,

OH-VDRS, 2010: Age-Specific Rates

Rates are suppressed for counts less than 10.

Undetermined Death Demographics, OH-VDRS, 2010

Undetermined Deaths Methods by Sex, 2010

OH-VDRS Year One Counties by County of Death and Sex — Undetermined Deaths,

2010

Rates are suppressed for counts less than 10.

County of Residence Deaths Population Crude Rate Age-Adjusted Rate

Butler 6 363230 * *

Cuyahoga 22 1269455 1.73 1.75

Franklin 47 1159947 4.05 4.05

Hamilton 17 855340 1.99 2.18

Lorain 6 305097 * *

Lucas 9 461792 * *

Mahoning 4 234532 * *

Montgomery 7 532181 * *

Stark 3 377793 * *

Summit 13 541360 2.4 2.17

Trumbull 1 208119 * *

Union 0 49165 * *

Total 135 6358011 2.12 2.12

Percentage of Undetermined Deaths with Mental Health Circumstance by Sex, 2010, OH-VDRS1

1 Denominator contains only cases with known circumstances in year one counties.

Percentage of Undetermined Deaths with Positive Toxicology Results by Sex, 2010, OH-VDRS1

1 Denominator contains only cases with toxicology results for year one counties.

2010 OH-VDRS SURVEILLANCE REPORT

6 Major Sections•Violent Deaths•Suicides•Homicides•Undetermined Deaths•Firearm Related Deaths•Merged Incidents

Subsections• Demographics• Methods• Locality• Circumstances (where applicable)• Toxicology (where applicable)

Focus on Year 1 counties

Additional Analyses/Special Reports

• Poisoning deaths• Violent deaths among veterans• Elder suicide• Violent Deaths and Intimate Partner Violence

Additional Data Tables

Suicide Demographics, OH-VDRS, 2010

Suicide Demographics, OH-VDRS, 2011

Homicide Demographics, OH-VDRS, 2010

Homicide Demographics, OH-VDRS, 2011

Homicide Demographics, OH-VDRS, 2010

Homicide Demographics, OH-VDRS, 2011

Undetermined Deaths Demographics,

OH-VDRS, 2010

Undetermined Deaths Demographics,

OH-VDRS, 2011

Undetermined Deaths Demographics,

OH-VDRS, 2010

Undetermined Deaths Demographics,

OH-VDRS, 2011

U.S and Ohio suicide rates1 per 100,000 and number of homicides, 2000-2011*

1Age-adjusted

Source: CDC WISQARS, National Center for Injury Prevention and Control (accessed 2/11/10)

*Source: Ohio Department of Health, Office of Vital Statistics

Increase of 54% in black homicide rate from 2000 to 2007

Suicide numbers and rates per 100,000 by year, race, Ohio, 2000-11*

U.S and Ohio homicide rates1 per 100,000 and number of homicides, 2000-2011*

1Age-adjusted

Source: CDC WISQARS, National Center for Injury Prevention and Control (accessed 2/11/10)

*Source: Ohio Department of Health, Office of Vital Statistics

Increase of 54% in black homicide rate from 2000 to 2007

Homicide numbers and rates per 100,000 by year, race, Ohio, 2000-08*