Complete Indicator Profile of Suicide Mortality Rate - Ages 25+ (HA2020 Leading Health Indicator: 7B)
DefinitionThe rate of deaths resulting from the intentional use of force against oneself among those aged 25 and older. Suicide mortality rate is defined as the number of resident deaths resulting from the intentional use of force against oneself per 100,000 population for the age group, in this case ages 25 and older. 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.
NumeratorNumber of deaths of individuals 25 and older resulting from the intentional use of force against oneself.
DenominatorMid-year resident population of ages 25 and older for the same calendar year.
Data Interpretation IssuesThe suicide mortality data for those 25 years of age and older are undergoing a review in August 2014 and may change as a result of updated information.
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. 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. 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. Mental illness and other life stressors are highly associated with suicide.
Other ObjectivesHealthy Alaskans 2020 Target: 23.5 suicides per 100,000 aged 25 and older
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 PracticesAs 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.
Create supportive environments that promote resilient, healthy, and empowered individuals, families, schools, and communities (universal prevention).
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.
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.
Enhance clinical and community preventive services to ensure availability of timely treatment and support services (indicated prevention).
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.
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
Allocate resources to suicide prevention efforts proven effective through evidence based on surveillance, research, and evaluation.
Prioritizing funding for evidence-based suicide prevention practices helps to ensure that limited public resources are used to the maximum benefit of communities.
National Registry of Evidence Based Programs and Practices (NREPP): http://www.nrepp.samhsa.gov
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
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
Other Program InformationCasting 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 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 25 and older, all Alaskans, Alaska Natives, and U.S., 2000-2020
Data NotesHealthy Alaskans 2020 Target: 23.5 suicides per 100,000 aged 25 and older
Data for Alaska Natives from 2001 and 2003 are based upon fewer than 20 occurrences and are considered statistically unreliable. These data should be used with caution.
References and Community ResourcesReferences:
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.
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
More Resources and LinksAlaska 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