1 4 2018
play

1/4/2018 - PDF document

1/4/2018


  1. 1/4/2018 ���������������� ����������������������������������������������������������������� ���������������������������� ������������� �!�"#$��� #$ ��������� �!�"#$��%&$�'�� #$ ()*�)++�,-.- Who is this? 1

  2. 1/4/2018 /�0�0'�0' ���!��$�!���� �&&!�&�0���1$2�!���'0"� 0"��0��!���'��3������4 5��!���!6'�&����'7#88 Carson Spencer 1969-2004 Goals • Identify new trends in suicide death data • Describe model of suicide risk • List components of public health approach � ��������� • 10 Things to Think About � ��������� � ������������������������������ 10 %�!���������7� %����� �!0"#$�� Age-adjusted suicide rates 2014 (U.S. avg 13.0/100K) 2015 State Ranking/No. (Rate) 1. Alaska 201 (27) 2. Wyoming157 (27) 3. Montana 272 (26) ������������������������� 4. New Mexico 500 (24) 5. Idaho 359 (22) 9��:�9����:�9��:���9: 6. Utah 630 21.0 7. Oklahoma 790 (20) 7. South Dakota 173 (20) Rate per 100,000 9. Colorado1,093 (20) 7.7-10.5 10. Arkansas 577 (19) 10.6-13.0 13.1-16.9 Source: CDC vital statistics 17.0-23.8 2

  3. 1/4/2018 ≥18 years United States, 2013 ������������������������ 39,894 Deaths 118,740 Hospitalizations 405,300 ER visits 1,312,00 Suicide attempts 9,292,000 Seriously considered suicide *Source: CDC’s National Vital Statistics System, † Source: Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project - Nationwide Inpatient Sample (HCUP-NIS) § Source: Source: CDC’s National Electronic Injury Surveillance System-All Injury Program ¶ Source: SAMHSA’s National Survey on Drug Use and Health ** Source: SAMHSA’s National Survey on Drug Use and Health �1' '3���00�$�0��1!6'6#!��1��#!0��!#1� Number in parentheses represent the ratio of deaths to other categories Suicide Attempt Method Suicide Death by method – United States, 2014 Other Fall Other Firearm 3.5% 2.3% 4% Sharp 1% 11% Ligature/Suffocation 1% Poisoning 15.9% Cut/pierce 1.7% Firearms Overdose 49.9% 83% Suffocation 26.7% Firearms Suffocation Cut/pierce Poisoning Fall Other Firearm Overdose Ligature/Suffocation Sharp Other Source: CDC vital statistics Model of Suicide Risk Words Make Worlds Say this Instead of this Desire for suicide Died of Suicide Committed Suicide Suicide Death Successful Attempt Suicide Attempt Unsuccessful Attempt Perceived Burdensomeness Person Living with Suicidal Thoughts Suicide Ideator or Attempter Acquired or Behavior Capacity for Suicide Suicide Completed Suicide Thwarted Belongingness ( Describe the Behavior) Manipulative, Cry for Help, Suicidal Gesture High risk for suicide Working with Dealing with Suicidal Person death or serious attempt Thomas Joiner’s model of suicide risk, 2006 @sspencerthomas 3

  4. 1/4/2018 Upstream approaches Goals: � Build Protective Factors � Prevent Problems midstream Downstream Goals: Goals: � Early Identification � Manage crises � Link to care � Restore functioning Strategic Suicide Prevention �� ���� “Making Suicide Prevention a Health and Safety Priority” ���� �� ��� ���� ���� �� ������� ������������������ !��"����� $����"�%������ ���������������������� ���� ���� ������ ���� �������� �� ������������ ��������� ����������� ������������ ���� ���������&�� � ���� �� ����������� ������� ��� ����������� �� ����� ��� �������� ��������� ��������������� �� #��������� �������������� ��������� ��� ������������ ��� ����� ���������� �� ������� �������'�������� ���� ��� ����� ���������� � ��� �������� ��������� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���������� ����� ���� ������� �������� ������� �������� �������� ��������������������������� ���������������� ������� �!��"!#��$���������������������������% Adapted from SPRC/TJF Source: Knox, K, et al., Risk of Suicide and related adverse outcomes after exposure to a suicide programme in the US Air Force: cohort study. British Medical Journal, December 13, 2003. 4

  5. 1/4/2018 Results Table 3: Comparison of the effects of risk for suicide and related adverse outcomes in the USAF population prior to implementation of the program (1990-1996) and after implementation of the program (1996-2002). Relative Risk (RR) Risk Reduction (1- Outcome and 95% CI RR) Excess Risk (RR-1) ↓ 33% Suicide .67 [.5702, .8017] -- ↓ 51% ����; ��������������������������������������� Homicide .48 [.3260, .7357] ↓ 18% Accidental Death .82 [.7328, .9311] -- �������<��9 ↓ 54% Severe Family Violence .46 [.4335, .5090] -- Moderate Family ↓ 30% Violence .70 [.6900, .7272] -- 1.18 [1.1636, ↑ 18% Mild Family Violence 1.2040] -- ���������9�������������� � ���8�!�8�� 0'#����� 1��� 7'�&�#1!�#���2�&&�&��?���7�������"�$����'�81��� 0�2##��'��#&' ����$��'�1��0'6�@���3�8��!� � �#1�0�!0!���8�!�� ��/���6���0"�$4�?3#�A0����0�0#�7�#�����!8� 0� =>�������9������������� $#$��0@ � �1!�#����1' '3���0"#1&"0����3�"'�0#!���'0"��1' '3� %�������������� �"�����"�� �������9�B�.�������� >@ �#�0��1' '3�����#����3#�A0����0�0#�3'� �#�0��1' '3�����#����0����#0"�!� )@ �#�0��1' '3�����#����"�6����� "#�#&' ����!#2��$����# '��� ������������������������������������������������ .@ �!#2��$�����3��##!�$�0"#3��8#!� #�'�&�C ����0"'�&����� �!#8���'#������!��0!�'��3�0#�0� 7�� .* ��6'3�D#2�� 5

  6. 1/4/2018 ��������)**> /E��6# ����2��6'�'2����2��6'�'#��!����"�!��'���#��"�$��'���0���'�&� 8#!��!3��210�0"�!��'��&!��0�!'�7�'��"#�3'�&�2� 7���3�F1�0�"#�'�&�8#!� 0"��2��0�4� � �3��#88����������' ���!��'3��0���3�����#8� E�"�6'#!�������0"���!6' �������!���#!3�����0"� ���0�$ � �!#��'�&�0"��G1��'0���"��$ � /��!8� 0����!���'#����!�4 ���������������� ��������� �'&"�!��31 �0'#�����0�! /���H��������������������������������9���� ���E�����:4 5��������� What is ? %�������������� 6

Download Presentation
Download Policy: The content available on the website is offered to you 'AS IS' for your personal information and use only. It cannot be commercialized, licensed, or distributed on other websites without prior consent from the author. To download a presentation, simply click this link. If you encounter any difficulties during the download process, it's possible that the publisher has removed the file from their server.

Recommend


More recommend