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Complete Indicator Report of SuicideDefinitionNumber of resident deaths resulting from the intentional use of force against oneself per 100,000 population. ICD-10 codes X60-X84, Y87.0, *U03.NumeratorNumber of deaths resulting from the intentional use of force against oneself.DenominatorTotal number of persons in the population of Utah.Data Interpretation IssuesICD stands for the International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. National Center for Health Statistics used to classify causes of death, such as suicide, on death certificates. These codes are updated every decade or so to account for advances in medical technology. The U.S. is currently using the 10th revision (ICD-10) to code causes of death. The 9th revision (ICD-9) is still used for hospital and emergency department visits.Why Is This Important?From 2007 to 2011, Utah's age-adjusted suicide rate was 17.1 per 100,000 persons. This is an average of 428 suicides per year. Utah has one of the highest age-adjusted suicide rates in the U.S. It is the leading cause of death for Utahns ages 1 to 44 years old in 2011.Completed suicides are only part of the problem. More people are hospitalized or treated in an emergency room for suicide attempts than are fatally injured. The most recent data show that 2,579 Utahns were seen in emergency departments (2010) and 1,431 Utahns were hospitalized for self-inflicted injuries (2011). According to the 2011 Youth Risk Behavior Survey, during the past 12 months before the survey, 7.2% of Utah high school students attempted suicide one or more times and 3.1% of these students suffered an injury, poisoning, or an overdose that had to be treated by a doctor or nurse. Data from the 2005-2007 Behavioral Risk Factor Surveillance Data showed that 4.6% of Utahns 18 years and older reported thoughts of hurting themselves or that they would be better off dead. Males and females 85 years and older had the highest prevalence (8.0% and 12.4%), followed by males and females 18-24 years of age (7.1% and 9.1%). All suicide attempts should be taken seriously. Those who survive suicide attempts are often seriously injured and many have depression and other mental health problems. Suicide is a complex public health issue where victims may be blamed and family members stigmatized. Consequently, suicide is not openly discussed making it difficult to collect meaningful data that is vital to suicide prevention efforts. Healthy People Objective MHMD-1:Reduce the suicide rateU.S. Target: 10.2 suicides per 100,000 State Target: 13.3 suicides per 100,000 population Other ObjectivesHealthy People 2020 Objective IVP-41Reduce nonfatal intentional self-harm injuries -U.S. Target: 112.8 emergency department visits per 100,000 population -State Target: 91.7 emergency department visits per 100,000 population Healthy People 2020 Objective MHMD-2 Reduce suicide attempts by adolescents -U.S. Target: 1.7% -State Target: 6.5% How Are We Doing?The 2011 Utah age-adjusted suicide rate was 19.0 per 100,000 population. In the last five years, males (27.1 per 100,000 population) had a significantly higher suicide rate than females (7.3 per 100,000 population).In Utah from 2007 to 2011, males had higher suicide rates than females in every age group. Males and females 45-54 years of age had the highest suicide rates among other age groups (45.4 and 13.2 per 100,000 population). From 2007 to 2011, Southeastern Utah Local Health District had significantly higher age-adjusted suicide rates than the state rate. Among Utah Small Areas, South Salt Lake, Other Southwest District, Downtown Ogden, Carbon/Emery Counties, Murray, Ben Lomond, and West Valley East had significantly higher age-adjusted suicide rate than the state rate. How Do We Compare With U.S.?Utah's suicide rate has been consistently higher than the national rate. From 2006 to 2010, according to the National Center for Health Statistics, the age-adjusted suicide rate for the U.S. was 11.5 per 100,000 population while Utah's age-adjusted suicide rate was 16.8 per 100,000 population during the same time period.What Is Being Done?The UDOH Violence and Injury Prevention Program (VIPP) is funded by the U.S. Centers for Disease Control and Prevention (CDC) to implement the Utah Violent Death Reporting System (UTVDRS). UTVDRS is a data collection and monitoring system that will help Utahns better understand the public health problem of violence by informing decision makers about the magnitude, trends, and characteristics of violent deaths such as suicide, and to evaluate and continue to improve state-based violence prevention policies and programs. Data are collected from the Office of the Medical Examiner, Vital Records, and law enforcement agencies and are linked together to help identify risk factors, understand circumstances, and better characterize perpetrators of violent deaths. UTVDRS is currently in its eighth year of data collection.The Violence and Injury Prevention Program (VIPP) has partnered with the Division of Substance and Mental Health (DSAMH) to facilitate the Suicide Prevention Coalition. Available ServicesAll Counties, 24 Hours:National Suicide Prevention Lifeline (800) 273-TALK (8255) Mobile Crisis Outreach Team - Salt Lake County 801-587-3000 National Alliance on Mental Illness (NAMI) Utah http://www.namiut.org/inform-yourself/suicide-prevention 801-323-9900 Toll Free 877-230-6264 Utah Suicide & Crisis Hotline http://www.suicidehotlines.com/utah.html 801-587-3000 Valley Mental Health Suicide Prevention - Crisis Service http://www.valleymentalhealth.org/Services.aspx Salt Lake County 801-261-1442, Toll Free 800-537-8739 Summit County 435-649-9079, Toll Free 800-537-8739 Tooele County 435-843-3520, after hours/weekends 435-882-5600 Permission to Grieve: For Survivors of a Loved One's Suicide http://health.utah.gov/vipp/pdf/Suicide/grievebooklet_final0605.pdf Other Program InformationThe Violence and Injury Prevention Program (VIPP) is a trusted and comprehensive resource for data related to violence and injury. Through education, this information helps promote partnerships and programs to prevent injuries and improve public health. VIPP goals are to a) focus prevention efforts on reducing intentional and unintentional injury, b) conduct education aimed at increasing awareness and changing behaviors that contribute to the occurrence of injury, c) strengthen local health department capacity to conduct local injury prevention programs, d) promote legislation, policy changes, and enforcement that will reduce injury hazards and increase safe behaviors, e) collaborate with private and public partners, and f) improve the Utah Department of Health capacity to collect mortality and morbidity data from multiple sources and conduct injury epidemiology for use in prevention planning, implementation, and evaluation.Related IndicatorsRelevant Population CharacteristicsIn the last five years, males had a significantly higher suicide rate than females in every age group.Related Relevant Population Characteristics Indicator Reports:
Risk FactorsMany conditions and stressors may be related to suicide including:-Previous suicide attempt(s) -History of depression or other mental illness -Alcohol or drug abuse -Family history of suicide or violence -Physical illness -Local epidemics of suicide Source: http://www.cdc.gov/ViolencePrevention/suicide/riskprotectivefactors.html (accessed 1/15/2013) Related Risk Factors Indicator Reports:
Health Status OutcomesSuicide, by definition is fatal. Those who attempt suicide and survive may have serious injuries like broken bones, brain damage, or organ failure. Also, people who survive often have depression and other mental health problems.Source: http://www.cdc.gov/violenceprevention/pdf/Suicide-FactSheet-a.pdf (accessed 1/15/2013) Related Health Status Outcomes Indicator Reports:
Graphical Data ViewsSuicide by Sex and Year, Utah and U.S., 1999-2011
Record Count: 50
Data NotesSuicides are determined using ICD-10 codes X60-X84, Y87.0, *U03. Data are age-adjusted to the U.S. 2000 standard population.Data SourcesUtah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau. National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS).Suicide by Local Health District, Utah, and U.S. 2007-2011
Record Count: 14
Data NotesSuicides are determined using ICD-10 codes X60-X84, Y87.0, *U03. Data are age-adjusted to the U.S. 2000 standard population.Data SourcesUtah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau. National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS).Suicide by Utah Small Area, 2007-2011
Record Count: 65
Data Notes*Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. For more information, please go to http://health.utah.gov/opha/IBIShelp/DataSuppression.pdf. Only three years of data (2009-2011) for West Jordan West/Copperton, West Jordan Northeast, and West Jordan Southeast. Data for West Jordan North and West Jordan/Copperton are from 2007-2008. All other rates are based on five years of data 2007-2011. Suicides are determined using ICD-10 codes X60-X84, Y87.0, *U03. Data are age-adjusted to the U.S. 2000 standard population. A description of the Utah Small Areas may be found on IBIS at the following URL: http://ibis.health.utah.gov/query/Help.html.Data SourcesUtah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. The population estimates were produced by staff in the Utah Department of Health Center for Health Data. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups.Suicide by Age Group and Sex, Utah, 2007-2011
Record Count: 20
Data Notes*Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. For more information, please go to http://health.utah.gov/opha/IBIShelp/DataSuppression.pdf. Suicides are determined using ICD-10 codes X60-X84, Y87.0, *U03.Data SourcesUtah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau.Suicide by Method of Injury and Sex, Utah, 2007-2011
Record Count: 30
Data NotesSuicide methods are defined using ICD-10 codes as follows: Firearm X72-X74, Poison X60-X69, Suffocation X70. Data are age-adjusted to the U.S. 2000 standard population.Data SourcesUtah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health. Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau.Suicide Risk Among High School Students by Risk Factor and Sex, Utah, 2011
Record Count: 8
Data SourcesUtah Youth Risk Behavior Surveillance System, Utah Department of Health.References and Community ResourcesThe Utah Violent Death Reporting System links data from multiple sources to help identify risk factors and understand circumstances in violent deaths, including suicides. For more information visit http://www.health.utah.gov/vipp/NVDRS/Overview.htmlUtah Violence and Injury Prevention Plan http://www.health.utah.gov/vipp/pdf/Combined%20plan_Draft.pdf 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action http://www.surgeongeneral.gov/library/reports/national-strategy-suicide-prevention/full-report.pdf Suicide Prevention Resource Center http://www.sprc.org/states/utah Centers for Disease Control and Prevention Suicide Fact Sheets http://www.cdc.gov/ViolencePrevention/suicide/ Substance Abuse and Mental Health Services Administration http://www.samhsa.gov/prevention/suicide.aspx More Resources and LinksEvidence-based community health improvement ideas and interventions may be found at the following sites:
Additional indicator data by state and county may be found on these Websites:
Medical literature can be queried at the PubMed website. For an on-line medical dictionary, click on this Dictionary link.
Page Content Updated On 01/18/2013,
Published on 03/11/2013
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