Epidemiology of suicide in Ottawa Jacqueline Willmore - - PowerPoint PPT Presentation

Epidemiology of suicide in Ottawa

Jacqueline Willmore Epidemiologist, Ottawa Public Health January 16, 2014

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Deaths by suicide, Ottawa

Year <25 years 25+ years Total 2008 4 65 69 2009 8 55 63 2010 8 62 70 2011 9 65 74 2012* 9 53 62 Average 7.6 60 67.6

*Preliminary data Data sources: 2008-2009 Office of the Registrar General, 2010-2012 Office of the Chief Coroner

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29.9 10.1 6.3

10 20 30

Russian Japan France Switzerland Sweden Canada USA Germany Australia UK

Age-adjusted suicide rate, selected countries, 2004

Source: Based on the WHO Mortality Database as of 1 June 2010

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Age-adjusted suicide rate, Canada vs. Ontario vs. Ottawa, 1986-2009

12.4 4.2 6.1 11.7 8.4 14.2 10.7

2 4 6 8 10 12 14 16

Rate per 100,000 Population

Source: Ontario Mortality Data 1986-2009, Inteillihealth Extracted September 14 , 2012, Health Planning Branch, Ontario MOHLTC Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87). Canadian data from: http://www.statcan.gc.ca/pub/82-624-x/2012001/article/desc/11696-01-desc- eng.htm Data Note: Mortality rates are age standardized to the 1991 Canadian population

Ottawa Ontario Canada

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Crude suicide rate, male vs. female, Ottawa, 1986-2012

20.1 9.5 5.6 4.9 12.7 4.6 6.7*

5 10 15 20 25

Rate per 100,000 Population

Source: Ontario Mortality Data 1986-2009, Intellihealth Ontario MOHLTC. Extracted September 14, 2012, Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87). 2010-2012 data from the Office of the Chief Coroner. *2012 data are preliminary.

Male Female Both Sexes

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Age-specific suicide rate, male vs. female, Ottawa, 2005 to 2009

8.2 16.0 2 4 6 8 10 12 14 16 18 10-14 15-19 20-24 25-29 30-39 40-49 50-64 65+

Rate per 100,000 population

Age group

Source: Ontario Mortality Data 2005-2009, Intellihealth Ontario MOHLTC . Extracted September 14, 2012. Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87). Analyzed by Ottawa Public Health.

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Methods of suicide vary by sex and age: Ottawa, 2008-2009

0% 10% 20% 30% 40% 50% 60% Males Females 0% 10% 20% 30% 40% 50% 60% 15 to 39 40 to 59 60 and older

Firearm Hanging Poisoning Jumping Other

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Married are least likely to commit suicide: Ottawa, 2008-2009

2 4 6 8 10 12 14 Single Divorced Widowed Married Rate per 100,000

2.3x

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A leading cause of death: Ottawa, 2009

 Suicide is 2nd leading cause of death

among our youth (15-24y), behind motor vehicle traffic collisions

• 2nd among 20-44y
• 7th among 45-64y

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A leading cause of years

• f life lost: Ottawa, 2009

Rank Disease PYLL 1 Heart disease 2,853 2 Cancer of lung and bronchus 2,519 3 Perinatal conditions 2,008 4 Suicide 1,785 5 Cancer of lymph and blood 1,310

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3yr moving average, male vs. female, aged 15-24y, Ottawa, 1986-2009

1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Female Rate 3.8 4.5 4.5 2.6 2.6 4.6 4.0 4.0 4.1 4.8 6.8 4.8 4.0 2.5 3.1 3.1 3.6 4.1 4.6 3.4 2.2 3.3 Male Rate 18.1 17.2 14.9 10.0 8.8 8.3 13.6 13.1 15.1 9.9 9.2 7.8 7.0 7.4 7.8 5.9 5.2 4.0 5.0 6.0 6.5 7.0

0.0 5.0 10.0 15.0 20.0 25.0 30.0

Age-specific rate per 100,000 Female Rate Male Rate

Source: Ontario Mortality Data 1986-2009, Intellihealth. Extracted September 14 , 2012, Health Planning Branch, Ontario MOHLTC. Analyzed by Ottawa Public Health. Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87)

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The bigger picture

 For every 1 suicide…

• 8 hospitalizations due to self-harm
• 19 ER visits due to self-harm

 In the past year…

• 4% of Ontarians 15+ had suicidal

thoughts & 6% have a mood disorder

(2012 CCHS)

• 13% of Ottawa high school students

seriously considered suicide

(2013 OSDUHS)

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Summary of suicide in Ottawa

 Decrease in the long term (1986-2012)  Increase in the shorter term (2003-2012)  Highest rates in mid-life  Males > females at all ages  Think Global  Learn Local

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Thank you!

Check out Ottawa.ca/healthreports Jacqueline.willmore@ottawa.ca