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Indiana Violent Death Reporting System (INVDRS) Advisory Board - PowerPoint PPT Presentation

Indiana Violent Death Reporting System (INVDRS) Advisory Board Meeting September 15, 2017 Rachel Kenny, MPH, INVDRS PI & Epidemiologist Division of Trauma and Injury Prevention 1 Email Questions: INVDRS@isdh.in.gov INVDRS@isdh.in.gov 2


  1. Data Availability and Deadlines Data Year Death Certificate Data Complete INVDRS Data-CDC Deadline 2015 Sept. 2016 (prelim), June 2017 January 2017 (final) 2016 Sept. 2017 (prelim), June 2018 January 2018 (final) 2017 Sept. 2018 (prelim), June 2019 January 2019 (final) Etc. 54 Email Questions: INVDRS@isdh.in.gov

  2. 2016 Records Collection • Coroner Reports Received: 52% • LE Reports Received: 57% 55 Email Questions: INVDRS@isdh.in.gov

  3. Death Certificate Data for Violent Deaths 56 Email Questions: INVDRS@isdh.in.gov

  4. Manner of Death by Year 2015 2016 1200 1036 977 1000 800 Death Count 600 506 405 400 206 183 200 0 Homicide Suicide Undetermined 57 Email Questions: INVDRS@isdh.in.gov

  5. 2015 Manner of Death by Age Group Homicide Suicide Undetermined 100% 10 12 32 41 15 39 34 90% 80% Percentage of Deaths 109 70% 35 60% 167 172 144 50% 187 163 40% 30% 52 101 20% 107 10% 53 41 33 18 0% <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group 58 Email Questions: INVDRS@isdh.in.gov

  6. 2016 Manner of Death by Age Group Homicide Suicide Undetermined 100% 14 19 38 35 29 45 90% 26 80% Percentage of Deaths 70% 125 162 33 60% 172 172 210 162 50% 40% 30% 55 121 20% 135 84 10% 49 32 26 0% <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group 59 Email Questions: INVDRS@isdh.in.gov

  7. 2015-2016 Percentage of Death Manner by Gender Male Female 90.0% 1554 80.0% 669 70.0% 226 Percentage of Deaths 60.0% 50.0% 159 466 40.0% 30.0% 373 20.0% 10.0% 0.0% Suicide Homicide Undetermined 60 Email Questions: INVDRS@isdh.in.gov

  8. Breakdown: Suicides 61 Email Questions: INVDRS@isdh.in.gov

  9. Counties with Most Resident Suicides: 2015- 2016 1. Marion — 276 9. Porter — 50 2. Lake — 129 10. Madison — 44 3. Allen — 87 11. Hendricks — 43 4. St. Joseph — 80 12. Monroe — 43 5. Hamilton — 76 13. Johnson — 37 6. Vanderburgh — 62 14. Tippecanoe — 37 7. Vigo — 52 15. Clark — 31 8. Elkhart — 51 62 Email Questions: INVDRS@isdh.in.gov

  10. Suicide Counts by Month 2015 2016 2017 120 100 80 Death Count 60 40 20 0 63 Email Questions: INVDRS@isdh.in.gov

  11. Suicide Count by Age Group and Year 2015 Suicide 2016 Suicide 250 210 187 200 172 172 172 167 163 162 162 Death Count 144 150 125 109 100 50 35 33 0 <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group 64 Email Questions: INVDRS@isdh.in.gov

  12. 2015 Suicide Rate by Age Group 25.00 20.71 20.17 19.16 20.00 18.11 14.49 15.00 Rate 8.86 10.00 5.00 2.09 0.00 <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group Rates per 100,000. 65 Email Questions: INVDRS@isdh.in.gov

  13. 2015 Suicide Rate by Gender Male Female 40.0 34.4 35.0 32.6 31.8 29.4 30.0 27.1 25.0 21.6 Rate 20.0 15.0 10.1 8.5 10.0 7.2 7.1 5.7 3.8 5.0 2.5 1.7 0.0 <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group Rates per 100,000. 66 Email Questions: INVDRS@isdh.in.gov

  14. 2015 Suicide rates by race and sex White African-American Crude Rate 15.38 7.23 Male 24.99 12.71 Female 6.01 2.12 *Unstable Rate Rates per 100,000. 67 Email Questions: INVDRS@isdh.in.gov

  15. 2015-2016 Marital Status Suicide 1% 6% Divorced 23% Married, but seperated Married/Civil Union/Partnership 1% 36% Never Married Unknown Widowed 33% 68 Email Questions: INVDRS@isdh.in.gov

  16. 2015-2016 Education Level Suicide 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% <= 8th Grade 3.6% 9th-12th Grade 13.8% HS or GED 48.4% Associate 6.3% Some College Credit 15.7% Bachelor 8.0% Master 2.2% Doctorate 1.6% Unknown 0.4% 69 Email Questions: INVDRS@isdh.in.gov

  17. Breakdown: Homicides 70 Email Questions: INVDRS@isdh.in.gov

  18. Counties with Most Homicides (2015-2016) 1. Marion — 325 9. Howard — 9 2. Lake — 133 10. Vigo — 9 3. Allen — 79 11. LaPorte — 8 4. St. Joseph — 40 12. Madison — 8 5. Elkhart — 25 13. Johnson — 7 6. Delaware — 17 14. Porter — 7 7. Vanderburgh — 16 15. Hamilton — 6 8. Warrick — 10 71 Email Questions: INVDRS@isdh.in.gov

  19. Homicide Counts by Month 2015 2016 2017 60 50 40 Death Count 30 20 10 0 72 Email Questions: INVDRS@isdh.in.gov

  20. Homicides by Age Group and Year 2015 2016 160 135 140 121 120 100 99 Death Count 100 84 80 55 52 60 50 49 39 33 32 40 26 18 20 0 <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group 73 Email Questions: INVDRS@isdh.in.gov

  21. 2015-2016 Homicide by Gender/Age Male Female 200 189 188 180 160 140 120 Death Count 105 100 80 69 65 60 49 47 41 31 31 31 40 19 16 13 20 0 <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group 74 Email Questions: INVDRS@isdh.in.gov

  22. 2015 Homicide Rate by Age Group 12.00 11.40 10.00 8.68 8.00 6.07 Rate 6.00 4.44 3.62 4.00 3.23 1.66 2.00 0.00 <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group Rates per 100,000. 75 Email Questions: INVDRS@isdh.in.gov

  23. 2015 Age and Gender Homicide Rate Male Female 25 23.57 20 18.06 15 Rate 9.47 10 7.91 7.56 4.71 4.6 5 3.59 2.84 2.85 2.67 2.16 1.36 0.95 0 <18 18-24 25-34 35-44 45-54 55-64 >65 Age Group Rates per 100,000. 76 Email Questions: INVDRS@isdh.in.gov

  24. 2015 Homicide rates of White and African American Hoosiers: A look at the disparity. Crude Rate 2.7 31.7 Males 3.7 54.8 Females 1.7 10.3 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Rates per 100,000. Rate per 100,000 77 Email Questions: INVDRS@isdh.in.gov

  25. 2015 - 2016 Marital Status of Homicide Victims 3% Divorced 12% 1% Married, but seperated 13% Married/Civil Union/Partnership Never Married 71% Widowed 78 Email Questions: INVDRS@isdh.in.gov

  26. 2015-2016 Education Level of Homicide Victims <= 8th Grade 9.8% 9th-12th Grade 28.9% HS or GED 39.9% Associate 4.1% Some College Credit 11.7% Bachelor 3.4% Master 0.7% Doctorate 0.1% Unknown 1.5% 79 Email Questions: INVDRS@isdh.in.gov

  27. 2015-2016 Manner of Death by Education Level Suicide Homicide Percentage 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 3.6% <= 8th Grade 9.8% 13.8% 9th-12th Grade 28.9% 48.4% HS or GED 39.9% 6.3% Associate 5.2% 15.7% Some College Credit 11.7% 8.0% Bachelor 3.4% 2.2% Master 0.7% 1.6% Doctorate 0.1% 0.4% Unknown 1.5% 80 Email Questions: INVDRS@isdh.in.gov

  28. Child Section 81 Email Questions: INVDRS@isdh.in.gov

  29. 2015-2016 Child (<18) Deaths by Manner 2015 2016 80 75 69 70 60 47 Death Count 50 44 40 30 21 18 20 10 6 1 0 Homicide Suicide Undetermined Accident 82 Email Questions: INVDRS@isdh.in.gov

  30. <18 Manner of Death 2015 & 2016 Male Female 120 98 100 80 Death Count 63 60 40 28 26 20 19 20 7 0 0 Homicide Suicide Undetermined Accident 83 Email Questions: INVDRS@isdh.in.gov

  31. Manner of Death by Age Group <10 10-14 15-17 90 82 80 73 70 60 Death Count 49 50 40 34 30 18 20 13 10 3 3 2 2 2 0 0 Accident Undetermined Homicide Suicide 84 Email Questions: INVDRS@isdh.in.gov

  32. 2015 Child Suicide Rate Rate 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 10-14 1.8 Age Range 15-17 13.5 Rates per 100,000. 85 Email Questions: INVDRS@isdh.in.gov

  33. 2015 Child Homicide Rate Rate 0.0 1.0 2.0 3.0 4.0 5.0 6.0 <10 5.7 Age Range 10-14 1.8 15-17 4.5 Rates per 100,000. 86 Email Questions: INVDRS@isdh.in.gov

  34. 2015 INVDRS Data Data limited to Allen, Lake, Madison, Marion, St. Joseph, and Vanderburgh Counties 87 Email Questions: INVDRS@isdh.in.gov

  35. Data Quality Checks • CDC checked our 2015 pilot county data for potential errors, such as: – Weapon type missing – Poisoning as cause of death but no substance listed as having caused the death – If Suspect in Homicide is an intimate partner, ensuring the IPV circumstance is checked 88 Email Questions: INVDRS@isdh.in.gov

  36. Data Completeness Check • CDC will soon be sending us a report on our data that outlines the percentage of our cases with circumstances and other categories. • Our completeness comparison to grant expectations. 89 Email Questions: INVDRS@isdh.in.gov

  37. Data Sources • 402 Suicides – 389 with coroner report abstracted – 226 with law enforcement abstracted – 229 with both abstracted • At least one circumstance was known for 273 of the suicides. 90 Email Questions: INVDRS@isdh.in.gov

  38. Data Sources • 313 Homicides – 313 with coroner report abstracted – 124 with law enforcement abstracted – 121 with both abstracted • At least one circumstance was known for 173 of the homicides. 91 Email Questions: INVDRS@isdh.in.gov

  39. Limitations • First Year of Data • Missing LE/Coroner Reports • Quality of LE/Coroner Reports • Can’t speculate on more rural Indiana counties 92 Email Questions: INVDRS@isdh.in.gov

  40. SUICIDE CIRCUMSTANCES 93 Email Questions: INVDRS@isdh.in.gov

  41. Weapon Type for Suicide Decedents Percentage 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Firearm 54.5 Hanging/Strangulation/Suffocation 23.4 Poisoning 14.9 Sharp Instrument 3.5 Other 2.5 Motor Vehicle 1.2 94 Email Questions: INVDRS@isdh.in.gov

  42. Suicide Circumstances-Mental Health and Substance Abuse % All Suicides % of Suicides with at least 1 Circumstance 70% 66% 60% 55% 50% 45% Percentage 37% 40% 30% 23% 18% 20% 16% 12% 10% 0% Depressed Mood MH Problem Alcohol Problem Other Substance Abuse 95 Email Questions: INVDRS@isdh.in.gov

  43. Mental Health Diagnoses-150 • 105 Depression • 17 Bipolar • 8 Schizophrenia • 6 PTSD 96 Email Questions: INVDRS@isdh.in.gov

  44. Suicide Circumstances-Life Stressors % All Suicides % of Suicides with at least 1 Circumstance 30% 28% 27% 25% 21% 19% 20% 19% Percentage 15% 14% 15% 10% 9% 9% 8% 10% 8% 6% 6% 6% 5% 5% 3% 2% 0% 97 Email Questions: INVDRS@isdh.in.gov

  45. Argument Timing Breakdown During Argument With 24 hours of Argument 12 38 98 Email Questions: INVDRS@isdh.in.gov

  46. Suicide Circumstances-Suicide Specific % All Suicides % of Suicides with at least 1 Circumstance 50% 45% 45% 40% 40% 37% 35% 31% 29% Percentage 30% 27% 25% 25% 19% 20% 15% 10% 3% 5% 2% 0% Recent Suicide History of Disclosed Left a Note History of Suicide Intent Suicidal 99 Attempts Thoughts

  47. Disclosed Intent to Whom Breakdown Current or Former Partner Other Family Member Friend 12, 15% 37, 48% 29, 37% 100 Email Questions: INVDRS@isdh.in.gov

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