Complete Indicator Profile - Suicide Mortality Rate - Ages 15-24 (HA2020 Leading Health Indicator: 7A)

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State of Alaska

Complete Indicator Profile of Suicide Mortality Rate - Ages 15-24 (HA2020 Leading Health Indicator: 7A)

Definition

The rate of deaths resulting from the intentional use of force against oneself among those aged 15-24. Suicide mortality is defined as the number of deaths resulting from the intentional use of force against oneself per 100,000 population of that age group, in this case ages 15-24. The definition of suicide is "death arising from an act inflicted upon oneself with the intent to kill oneself." ICD-9 codes: E950-E959. ICD-10 codes: *U03, X60-X84, Y87.0.

Numerator

Number of deaths of ages 15-24 resulting from the intential use of force against oneself.

Denominator

Midyear resident population of 15-24 year olds for the same calendar year.

Why Is This Important?

The economic and human cost of suicidal behavior to individuals, families, communities and society makes suicide a serious public health problem. Alaska had the highest age-adjusted suicide rate in the nation in 2010, the most recent year for which national data are currently available.[1] During the 2005-2009 period, suicide was the leading cause of death among Alaskans aged 15-44 years and the sixth leading cause of death overall in Alaska.[2] Between 2007 and 2011, Alaska's suicide rates continued to be the highest among males, young adults, American Indian/Alaska Native people, and persons living the rural regions of the state.[1] Mental illness and other life stressors are highly associated with suicide.

Other Objectives

Healthy Alaskans 2020 Target: 43.2 per 100,000 for ages 15-24.

What Is Being Done?

The Statewide Suicide Prevention Council (http://dhss.alaska.gov/suicideprevention/Pages/default.aspx) advises the governor and legislature on issues relating to suicide. In collaboration with communities, faith-based organizations, and public-private entities, the Council works to improve the health and wellness of Alaskans by reducing suicide and its effect on individuals and communities.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. Below are the strategies identified for enhancing mental health support systems.

Strategy 1:
Create supportive environments that promote resilient, healthy, and empowered individuals, families, schools, and communities (universal prevention).

Evidence Base:
The World Health Organization holds that "a supportive environment is of paramount importance for health. The two are interdependent and inseparable" (Sundsvall Statement on Supportive Environments for Health, 1991). Supportive environments can help protect people from risk factors for poor health, encourage participation in health care and health promotion, expand individuals' health competencies and self-reliance, and support person-centered health care. Stigma and attitudes about help-seeking (specifically seeking treatment or services for mental health conditions) are key barriers to promoting mental and emotional health and preventing mental illness. Creating communities that de-stigmatize depression and mental illness and encourage people to seek mental health services when needed can increase the number of people accessing services.

Sources:
Segal DL, Coolidge FL, Mincic MS, O'Riley A. Beliefs about mental illness and willingness to seek help: a cross-sectional study. Aging Ment Health. 2005; 9(4):363-367.
Reynders A, Kerkhof AJFM, Molenberghs G, Van Audenhove C. Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Social Psychiatry and Psychiatric Epidemiology. 2014; 49(2): 231-239.

Strategy 2:
Enhance clinical and community preventive services to ensure availability of timely treatment and support services (indicated prevention).

Evidence Base:
Nearly half of individuals who die by suicide had a diagnosable mental health disorder. Timely access to appropriate mental health and substance use disorder treatment services as close to home as possible is essential to preventing suicide. Not all behavioral health professions provide or require suicide-specific education for licensure. Yet, outpatient and community behavioral health providers often provide services to individuals at risk of suicide and so are in a position to help prevent suicide. Evidence-based training that strengthens clinical competencies to address suicide risk and ideation can reduce suicide among people receiving behavioral health services.
Primary and specialty health care providers also have a role to play in suicide prevention. Appropriate assessment and referral for services is needed in a variety of health care settings. Integrating behavioral health care with primary care can help ensure timely access to appropriate services, especially for patients experiencing mental health disorders. For example, the Community Preventive Services Task Force, DHHS recommends collaborative care for the management of depressive disorders.

Sources:
National Research Council. Reducing Suicide: A National Imperative. Washington, DC: The National Academies Press, 2002.
Community Preventive Services Taskforce: http://www.thecommunityguide.org/mentalhealth/CollabCare_Recommendation.pdf

Strategy 3:
Allocate resources to suicide prevention efforts proven effective through evidence based on surveillance, research, and evaluation.

Evidence Base:
Prioritizing funding for evidence-based suicide prevention practices helps to ensure that limited public resources are used to the maximum benefit of communities.

Source:
National Registry of Evidence Based Programs and Practices (NREPP): http://www.nrepp.samhsa.gov

Available Services

Alaska:
Careline Alaska http://carelinealaska.com/
Call anytime, toll-free: 1-877-266-4357 (HELP)

SouthEast Alaska Regional Health Consortium (SEARHC) 1-877-294-0074 24/7 help line

Identity, Inc. 907-258-4777 (ANC) GLBTQ help line
1-888-901-9876 (statewide)

National:
National Suicide Prevention Hotline http://www.suicidepreventionlifeline.org/
Call 24/7 1-800-273-8255

The Trevor Project 1-866-488-7386
GLBTQ crisis hotline
www.thetrevorproject.org

Other Program Information

Casting the Net Upstream: Promoting Wellness to Prevent Suicide is the Alaska State Suicide Prevention Plan, 2012-2017 (http://dhss.alaska.gov/SuicidePrevention/Documents/pdfs_sspc/SSPC_2012-2017.pdf) Annual Implementation Report 2014 (http://dhss.alaska.gov/SuicidePrevention/Documents/pdfs_sspc/CTN2014-Implementation.pdf)

Casting the Net Upstream Goals:
Goal 1. Alaskans accept responsibility for preventing suicide.
Goal 2. Alaskans effectively and appropriately respond to people at risk of suicide.
Goal 3. Alaskans communicate, cooperate, and coordinate suicide prevention efforts.
Goal 4. Alaskans have immediate access to the prevention, treatment, and recovery services they need.
Goal 5. Alaskans support survivors in healing.
Goal 6. Quality data and research is available and used for planning, implementation, and evaluation of suicide prevention efforts.



Related Indicators

Related Relevant Population Characteristics Indicator Profiles:


Related Health Care System Factors Indicator Profiles:


Related Risk Factors Indicator Profiles:


Related Health Status Outcomes Indicator Profiles:




Graphical Data Views

Suicide mortality rate per 100,000, ages 15-24, all Alaskans, Alaska Natives, and U.S., 2000-2020

::chart - missing::

Alaska Comparisons Year Suicide mortality per 100,000 ages 15-24 (Crude Rate) Numer- ator
Record Count: 50
All Alaskans 2000 54.5
All Alaskans 2001 25.9
All Alaskans 2002 33.5
All Alaskans 2003 33.5
All Alaskans 2004 41.2
All Alaskans 2005 26.7
All Alaskans 2006 37.2
All Alaskans 2007 30.4
All Alaskans 2008 38.9
All Alaskans 2009 33.5
All Alaskans 2010 46.0 49
All Alaskans 2011 34.0 36
All Alaskans 2012 34.1 36
All Alaskans 2013 41.4
Alaska Natives 2000 **
Alaska Natives 2001 69.9
Alaska Natives 2002 114.3
Alaska Natives 2003 114.4
Alaska Natives 2004 120.4
Alaska Natives 2005 69.3
Alaska Natives 2006 103.0
Alaska Natives 2007 79.8
Alaska Natives 2008 108.1
Alaska Natives 2009 103.4
Alaska Natives 2010 117.0
Alaska Natives 2011 95.7
Alaska Natives 2012 102.0
Alaska Natives 2013 95.3
U.S. 2000 10.2
U.S. 2001 9.9
U.S. 2002 9.8
U.S. 2003 9.6
U.S. 2004 10.3
U.S. 2005 9.9
U.S. 2006 9.7
U.S. 2007 9.6
U.S. 2008 9.9
U.S. 2009 10.0
U.S. 2010 10.5
U.S. 2011 11.0
U.S. 2012 11.1
U.S. 2013 11.1
Healthy Alaskans Goal 2013 43.2
Healthy Alaskans Goal 2014 43.2
Healthy Alaskans Goal 2015 43.2
Healthy Alaskans Goal 2016 43.2
Healthy Alaskans Goal 2017 43.2
Healthy Alaskans Goal 2018 43.2
Healthy Alaskans Goal 2019 43.2
Healthy Alaskans Goal 2020 43.2

Data Notes

Healthy Alaskans 2020 Target: 43.2 per 100,000 for ages 15-24.

Rates for Alaska Natives for years 2001, 2005, and 2007, are based on fewer than 20 occurrences and are statistically unreliable. The values should be used with caution.

Data Sources

  • Alaska Bureau of Vital Statistics, Division of Public Health, Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


References and Community Resources

References:
1. Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics Reports Vol. 61, Number 4, May 8, 2013.
2. Alaska Bureau of Vital Statistics.

Resources:
American Association of Suicidology http://www.suicidology.org/

Centers for Disease Control and Prevention Suicide Fact Sheets http://www.cdc.gov/ViolencePrevention/suicide/

National Institute of Mental Health - Suicide Prevention http://www.nimh.nih.gov/health/topics/suicide-prevention/index.shtml

Statewide Suicide Prevention Council http://dhss.alaska.gov/suicideprevention/Pages/default.aspx

Suicide Prevention Resource Center http://www.sprc.org/

Substance Abuse and Mental Health Services Administration
http://www.samhsa.gov/prevention/suicide.aspx

More Resources and Links

Alaska and national goals may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Evidence-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 06/30/2015, Published on 08/07/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Sun, 30 August 2015 11:54:00 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov".

Content updated: Fri, 7 Aug 2015 10:00:16 AKDT