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.

• 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 Objectives

OH-VDRS Data Uses

 Detect specific types of violent death

• Intimate partner violence
• Gang violence
• Drug-related violence
• Suicide pacts
• Hate crimes

 Group and study violent death incidents – multiple victims

• Homicides followed by

suicide

• School shootings

 Identify and understand violent death risk factors

• Mental health

problems

• History of child

maltreatment/trauma

• History of substance

abuse

• Intimate partner

violence

 Use the data to drive prevention 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%)
• 623 homicides (26%)
• 28 unintentional firearms (<1%)
• 22 legal intervention (1%)
• 209 undetermined (9%)

Implementation of OH-VDRS

Challenges

• 88 Counties
• Home rule state
• No Centralized Coroner/ME system
• Majority of Coroners elected (86)
• 2 Counties have Medical Examiners
• 960 law enforcement agencies
• 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

coroners)

Solutions

Solutions:

• Phased in data collection of coroner

and law enforcement data over 3 year period

• Year 1- 2010 Data
• 12 counties (67% of all Ohio violent deaths)
• Year 2- 2011 Data
• 23 counties (84% of all Ohio violent deaths)
• Year 3-2012 Data
• 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

counties that stored records on paper

• 2011- 8 counties
• 2013- 9 counties
• Increased OH-VDRS access to data
• Increased data quality

Solutions

• Legislation- Ohio Revised Code 3701.93-3701.9314
• 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

• Protects Confidentiality of Data
• 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

• Ohio State Coroners Association
• Ohio Association of Chiefs of Police
• Office Criminal Justices Services,

Ohio Department of Public Safety

• Ohio Emergency Medical Services,

Ohio Department of Public Safety

• Ohio Public Health Association
• The Ohio State University
• Kent State University, College of

Public Health

• Ohio Suicide Prevention Foundation
• Akron Children's Hospital
• Stark County Coroner’s Office
• Franklin County Coroner’s Office
• Hamilton County Coroner’s Office
• Union County Coroner’s Office
• Lucas County Coroner’s Office
• Summit County Coroner’s Office
• Montgomery County Coroner’s

Office

• BCI Criminal Intelligence Unit,

Ohio Attorney General’s Office

• Ohio Domestic Violence Network
• Ohio Child Fatality Review
• Department of Vital Statistics,

Ohio Department of Health

• Ohio Violence and Injury

Prevention Partnership

• Ohio Family Violence Prevention

Project, Health Policy Institute

• Association of Ohio Health

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

• Addressing surveillance, epidemiology and prevention

research

• Includes action to collaborate with state partners to

improve consistency and quality of data reported to OH- VDRS

• Collaboration in producing a document that describes the

burden of suicide in Ohio including county level data.

Successes

• 98% of coroner reports and 77% of law

enforcement reports abstracted for the Year 1 Counties (2010 data., N=1,451deaths)

• 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

*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

330 70 177 39 49 68 42 14 379 138 219 53 50 100 150 200 250 300 350 400 Firearm Poisoning Hanging/Strangulation Other Male Female Total

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 Treatment 153 26.7 79 48.2 232 31.4

Circumstances of Suicide Victims by Sex for Selected Ohio Counties, 20101

• 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

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

Toxicology Results for Suicide Victims for Selected Ohio Counties, 2010.

78.8 2.3 7.9 4.5 6.5 48.2 15.7 13.3 8.4 14.4 72.9 4.8 8.9 5.3 8.1 10 20 30 40 50 60 70 80 90 Firearm Hanging/Strangulation Sharp Instrument Personal Weapons Other Percent Male Female Total

Method of Death for Homicide Victims by Sex for Selected Ohio Counties, 2010

Male Female Total Circumstance Number Percent Number Percent Number Percent Argument 16 5.6 3 5.1 19 5.5 Crisis in Past Two Weeks 12 4.2 7 11.9 19 5.5 Drug Involvement 36 12.6 1 1.7 37 10.8 Associated with Another Crime 100 35.1 11 18.6 111 32.3 Intimate Partner Problem 10 3.5 32 54.2 42 12.2 Intimate Partner Violence 15 5.3 32 54.2 47 13.7 Other Argument 83 29.1 11 18.6 94 27.3 Other Substance Problem 47 16.5 11 18.6 58 16.9 Used Weapon 33 11.6 1 1.7 34 9.9 Alcohol Suspected 6 2.11 1 1.7 7 2.0

Common Circumstances of Homicide Victims by Sex for Selected Ohio Counties, 2010

The denominator used for calculating percentage of specific circumstances is based on the number of homicide victims reporting circumstances (n=344). Homicide victims may report more than one circumstance. 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

Male Female Total Positive Toxicology Test Number Percent Number Percent Number Percent Amphetamines 5 1.5 1 1.3 6 1.5 Antidepressants 6 1.8 4 5.1 10 2.4 Cocaine 37 11.0 9 11.5 46 11.1 Marijuana 153 45.5 11 14.1 164 39.6 Opiates 40 11.9 7 9.0 47 11.4 Alcohol 99 29.5 15 19.2 114 27.5

The denominator used for calculating percentage of specific circumstances is based on the number of homicide victims who were tested for each respective substance (n=414). It is possible for a homicide 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

Toxicology Results for Homicide Victims for Selected Ohio Counties, 2010.

Ongoing/Future Projects

• Academic Partnerships
• Epidemiological Analysis of Homicides in Ohio
• Ohio Suicide Prevention Foundation
• Comprehensive analysis of suicide in Ohio including county

level data for targeting prevention interventions.

• Safe States
• NVDRS all state report

Thank You

Contact Information: Jolene DeFiore-Hyrmer Violence and Injury Prevention Ohio Department of Health Jolene.dhyrmer@odh.ohio.gov 614-644-0135