System Jolene DeFiore-Hyrmer Ohio Violence and Injury Prevention - PowerPoint PPT Presentation

Ohio Violent Death Reporting System Jolene DeFiore-Hyrmer Ohio Violence and Injury Prevention Program Ohio Department of Health

What is OH-VDRS?  OH-VDRS is a state-based surveillance system that collects data from law enforcement, coroners and medical examiners, vital statistics, and crime laboratories about incidents of violent deaths and then links the information in one centralized database.

Purpose of OH-VDRS  OH-VDRS collects information about the circumstances surrounding and contributing to violent deaths in Ohio in effort to better understand and prevent them.  The goal of OH-VDRS is to provide high quality data for the development and evaluation of violence prevention strategies at the state and local level.

OH-VDRS Objectives • To link records to describe in detail the circumstances that may contribute to a violent death • To identify violent deaths occurring in the same incident to help describe the circumstances of multiple homicides or homicide – suicides • To provide timely preliminary information on violent deaths • To better characterize the relationship of the victim to the suspect

OH-VDRS Data Uses  Identify and understand  Detect specific types of violent death risk violent death factors o Intimate partner violence o Mental health o Gang violence problems o Drug-related violence o History of child o Suicide pacts maltreatment/trauma o Hate crimes o History of substance abuse  Group and study violent o Intimate partner death incidents – multiple violence victims o Homicides followed by  Use the data to drive suicide prevention o School shootings recommendations

Background • Ohio was funded by CDC in 2009 to implement the National Violent Death Reporting System • Data collection began with 2010 deaths • 2,409 violent death (2011) 1,528 suicides (63%) o 623 homicides (26%) o 28 unintentional firearms (<1%) o 22 legal intervention (1%) o 209 undetermined (9%) o

Implementation of OH-VDRS Challenges 88 Counties • Home rule state o No Centralized Coroner/ME system o Majority of Coroners elected (86) • 2 Counties have Medical Examiners • 960 law enforcement agencies o 88 County Sheriffs • Municipalities • Townships • State Universities • State and Metro Park Rangers • Ohio Highway Patrol • Ohio Public Record Laws • Confidentiality of information provided by (data reporter-law enforcement and o coroners)

Solutions Solutions: • Phased in data collection of coroner and law enforcement data over 3 year period Year 1- 2010 Data o • 12 counties (67% of all Ohio violent deaths) Year 2- 2011 Data o • 23 counties (84% of all Ohio violent deaths) Year 3-2012 Data o • 88 counties (100% all Ohio of violent deaths)

Solutions • Promoted and expanded use of electronic records systems for coroners Assisted with providing web-based Coroner Reporting Software to mid-size o counties that stored records on paper o 2011- 8 counties o 2013- 9 counties Increased OH-VDRS access to data o Increased data quality o

Solutions • Legislation- Ohio Revised Code 3701.93-3701.9314 o Established OH-VDRS to : • Monitor the incidence and causes of the various types of violent deaths; • Make appropriate epidemiologic studies of the violent deaths; • Analyze trends and patterns in, and circumstances related to, the violent deaths; • With the assistance of the advisory group established pursuant to section recommend actions to prevent violent death o Protects Confidentiality of Data o Requires public agencies to report data

Importance of Partnerships • Essential to implementation of OH-VDRS • Created awareness among data reporters • Increased credibility of OH-VDRS • Fostered collaborations

OH-VDRS Advisory Board • • Union County Coroner’s Office Ohio State Coroners Association • Lucas County Coroner’s Office • Ohio Association of Chiefs of Police • Summit County Coroner’s Office • Office Criminal Justices Services, • Montgomery County Coroner’s Ohio Department of Public Safety Office • Ohio Emergency Medical Services, • BCI Criminal Intelligence Unit, Ohio Department of Public Safety Ohio Attorney General’s Office • Ohio Public Health Association • Ohio Domestic Violence Network • The Ohio State University • Ohio Child Fatality Review • Kent State University, College of • Department of Vital Statistics, Public Health Ohio Department of Health • • Ohio Suicide Prevention Foundation Ohio Violence and Injury Prevention Partnership • Akron Children's Hospital • Ohio Family Violence Prevention • Stark County Coroner’s Office Project, Health Policy Institute • Franklin County Coroner’s Office • Association of Ohio Health • Hamilton County Coroner’s Office Commissioners

Partnership- Ohio State Coroners Association • Increased awareness among county coroners • OH-VDRS Advisory Board • Presented at annual conferences • Collaborated on providing web-based Coroner Reporting Software • Increased OH-VDRS access to data • Increased data quality • Advocate of OH-VDRS legislation • Protected confidentiality • Required reporting of violent death data

Partnership- Ohio Association of Chiefs of Police • Increased awareness among local law enforcement • OH-VDRS Advisory Board • Presented at annual meeting • Coordinated regional meetings • Sent correspondence to all members supporting OH-VDRS • New Chiefs Orientation • Included OH-VDRS information in training

Ohio Suicide Prevention Foundation • Advisory Board member • Ohio Suicide Prevention Foundation Strategic plan o Addressing surveillance, epidemiology and prevention research o Includes action to collaborate with state partners to improve consistency and quality of data reported to OH- VDRS o Collaboration in producing a document that describes the burden of suicide in Ohio including county level data.

Successes o 98% of coroner reports and 77% of law enforcement reports abstracted for the Year 1 Counties (2010 data., N=1,451deaths) o 99% of coroner and 84% of law enforcement reports collected for Year 2 Counties(2011 data N=2,035 deaths)

Data Products & Projects

2010 Surveillance Report

Method of Death for Suicide Victims by Sex for Selected Ohio Counties, 2010 400 379 350 330 300 250 219 Male 200 177 Female Total 138 150 100 70 68 53 49 42 39 50 14 0 Firearm Poisoning Hanging/Strangulation Other *Other method refers to suicide deaths from falls, non-powder guns, drowning, fire/burns, motor vehicles, other transport vehicles and sharp instruments. Selected Ohio counties in 2010 included Franklin, Cuyahoga, Montgomery, Trumbull, Butler, Lucas, Lorain, Union, Mahoning, Stark, Hamilton and Summit counties. Sources: Ohio Department of Health, OH-VDRS and Vital Statistics

Circumstances of Suicide Victims by Sex for Selected Ohio Counties, 2010 1 Male Female Total Circumstance Number % Number % Number % Alcohol Problem 107 18.6 20 12.2 127 17.2 Crisis 153 26.7 38 23.2 191 25.9 Depression 240 41.8 65 39.6 305 41.3 Health Problem 94 16.4 20 12.2 114 15.5 History of Mental Issues 180 31.4 86 52.4 266 36.0 Intimate Partner Problem 183 31.9 41 25.0 224 30.4 Job Problem 84 14.6 16 9.76 100 13.6 Financial Problem 77 13.4 12 7.32 89 12.1 Current Mental Problem 281 49.0 111 67.7 392 53.1 Other Argument 77 13.4 25 15.2 102 13.8 Left a Suicide Note 209 36.4 69 42.7 278 37.7 Substance Use 110 19.2 38 23.2 148 20.1 Suicide Attempt History 106 18.5 54 32.9 160 21.7 Suicide Intent 188 32.8 39 23.8 227 30.8 Currently Receiving 153 26.7 79 48.2 232 31.4 Treatment 1 The denominator used for calculating percentage of specific circumstances is based on the number of suicide victims reporting at least one circumstances. Suicide victims may report more than one circumstance. Nearly 94 percent of suicide victims had circumstances available. Selected Ohio counties in 2010 included Butler, Cuyahoga, Franklin, Hamilton, Lorain, Lucas, Mahoning, Montgomery, Stark, Summit Trumbull and Union counties. Sources: ODH, OH-VDRS and Vital Statistics

Toxicology Results for Suicide Victims for Selected Ohio Counties, 2010. Male Female Total Positive Toxicology Test Number Percent Number Percent Number Percent Amphetamines 9 1.52 4 2.4 13 1.7 Antidepressants 77 13.0 63 37.3 140 18.4 Cocaine 46 7.8 11 6.5 57 7.5 Marijuana 73 12.3 18 10.7 91 12.0 Opiates 99 16.7 53 31.4 152 20.0 Alcohol 179 30.2 39 23.1 218 28.7 The denominator for toxicology results is based on the number of suicide victims tested for each respective substance (n=761). It is possible for a suicide victim to test positive for more than one substance. Selected Ohio counties in 2010 included Franklin, Cuyahoga, Montgomery, Trumbull, Butler, Lucas, Lorain, Union, Mahoning, Stark, Hamilton and Summit counties. Sources: Ohio Department of Health, OH-VDRS and Vital Statistics

Method of Death for Homicide Victims by Sex for Selected Ohio Counties, 2010 90 78.8 80 72.9 70 60 48.2 50 Percent Male Female 40 Total 30 20 15.7 14.4 13.3 8.9 8.4 8.1 7.9 10 6.5 5.3 4.8 4.5 2.3 0 Firearm Hanging/Strangulation Sharp Instrument Personal Weapons Other