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State of Alaska

Complete Health Indicator Report of Suicide Mortality Rate - Ages 25+ (HA2020 Leading Health Indicator: 7B)

Definition

The 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.

Numerator

Number of deaths of individuals 25 and older resulting from the intentional use of force against oneself.

Denominator

Mid-year resident population of ages 25 and older 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.[[br]] [[br]] ---- {{class .SmallerFont 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. [http://dhss.alaska.gov/dph/VitalStats/Documents/stats/death_statistics/leading_causes_census/frame.html/ Leading causes of death].}}

Other Objectives

Healthy Alaskans 2020 Indicator 7.b: Reduce the suicide mortality rate of adults 25 years and older to 23.5 per 100,000 by 2020.

How Are We Doing?

In 2014, the suicide mortality rate for all Alaskans aged 25+ was 27.0 per 100,000. The rate for Alaska Native adults 25+ was 35.7 per 100,000 in 2014. The suicide rate for Alaskan adults 25+ remains higher than the Healthy Alaskans 2020 goal of 23.5 per 100,000.

How Do We Compare With the U.S.?

The national suicide mortality rate for adults 25+ in 2013 was 16.9 per 100,000. Compared to the national average for this age group, the rate for all Alaskans was over 50% higher at 27.0 per 100,000 and over double for Alaska Natives at 35.7% in 2014.

What Is Being Done?

The [http://dhss.alaska.gov/suicideprevention/Pages/default.aspx Statewide Suicide Prevention Council ] 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 Alaska 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. Below are the strategies identified for enhancing mental health support systems. '''Strategy 1:''' [[br]]Create supportive environments that promote resilient, healthy, and empowered individuals, families, schools, and communities (universal prevention). '''Evidence Base:''' [[br]]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:''' [[br]]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. [http://www.thecommunityguide.org/mentalhealth/CollabCare_Recommendation.pdf Community Preventive Services Taskforce] '''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:''' [http://www.nrepp.samhsa.gov National Registry of Evidence Based Programs and Practices (NREPP)]

Available Services

'''Alaska:''' [[br]]Careline Alaska [[br]][http://carelinealaska.com/] [[br]]Call anytime, toll-free: 1-877-266-4357 (HELP) SouthEast Alaska Regional Health Consortium (SEARHC) [[br]]1-877-294-0074 24/7 help line Identity, Inc. [[br]]907-258-4777 (ANC) GLBTQ help line [[br]]1-888-901-9876 (statewide) '''National:''' [[br]]National Suicide Prevention Hotline [[br]][http://www.suicidepreventionlifeline.org/] [[br]]Call 24/7: 1-800-273-8255 The Trevor Project [[br]][http://www.thetrevorproject.org] [[br]]1-866-488-7386 GLBTQ crisis hotline

Health Program Information

[http://dhss.alaska.gov/SuicidePrevention/Documents/pdfs_sspc/SSPC_2012-2017.pdf Casting the Net Upstream: Promoting Wellness to Prevent Suicide is the Alaska State Suicide Prevention Plan, 2012-2017] [http://dhss.alask.gov/SuicidePrevention/Documents/pdfs_sspc/CTN2014-Implementation.pdf Annual Implementation Report 2014 ] Casting the Net Upstream Goals: [[br]]Goal 1. Alaskans accept responsibility for preventing suicide. [[br]]Goal 2. Alaskans effectively and appropriately respond to people at risk of suicide. [[br]]Goal 3. Alaskans communicate, cooperate, and coordinate suicide prevention efforts. [[br]]Goal 4. Alaskans have immediate access to the prevention, treatment, and recovery services they need. [[br]]Goal 5. Alaskans support survivors in healing. [[br]]Goal 6. Quality data and research is available and used for planning, implementation, and evaluation of suicide prevention efforts. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_7_Suicide.pdf].


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Suicide mortality rate per 100,000, ages 25 and older, all Alaskans, Alaska Natives, and U.S., 2000-2020

::chart - missing::

Alaska ComparisonsYearSuicide mortality rate per 100,000 aged 25+ (Age-Adjusted)NoteNumer- ator
Record Count: 53
All Alaskans200021.1
All Alaskans200116.4
All Alaskans200220.7
All Alaskans200320.2
All Alaskans200422.9
All Alaskans200519.2
All Alaskans200619.6
All Alaskans200722.6
All Alaskans200824.0
All Alaskans200919.6
All Alaskans201025.0112
All Alaskans201123.1106
All Alaskans201227.4128
All Alaskans201327.1128
All Alaskans201427.0128
Alaska Natives200048.6
Alaska Natives200128.6Statistically unreliable
Alaska Natives200236.3
Alaska Natives200335.4Statistically unreliable
Alaska Natives200451.8
Alaska Natives200544.7
Alaska Natives200636.3
Alaska Natives200739.5
Alaska Natives200843.8
Alaska Natives200934.8
Alaska Natives201036.423
Alaska Natives201138.725
Alaska Natives201247.531
Alaska Natives201356.037
Alaska Natives201435.724
U.S.200013.7
U.S.200114.3
U.S.200214.7
U.S.200314.5
U.S.200414.6
U.S.200514.6
U.S.200614.7
U.S.200715.3
U.S.200815.7
U.S.200915.9
U.S.201016.3
U.S.201116.6
U.S.201216.9
U.S.201316.9
U.S.2014**
Healthy Alaskans Goal201323.5
Healthy Alaskans Goal201423.5
Healthy Alaskans Goal201523.5
Healthy Alaskans Goal201623.5
Healthy Alaskans Goal201723.5
Healthy Alaskans Goal201823.5
Healthy Alaskans Goal201923.5
Healthy Alaskans Goal202023.5

Data Notes

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.   ** Data not available

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Bureau of Vital Statistics], Division of Public Health, Alaska 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. [http://dhss.alaska.gov/dph/VitalStats/Documents/stats/death_statistics/leading_causes_census/frame.html Leading causes of death]. '''Resources:''' [http://www.suicidology.org/ American Association of Suicidology] [http://www.cdc.gov/ViolencePrevention/suicide/ Centers for Disease Control and Prevention Suicide Fact Sheets] [http://www.nimh.nih.gov/health/topics/suicide-prevention/index.shtml National Institute of Mental Health - Suicide Prevention] [http://dhss.alaska.gov/suicideprevention/Pages/default.aspx Statewide Suicide Prevention Council] [http://www.sprc.org/ Suicide Prevention Resource Center] [http://www.samhsa.gov/prevention/suicide.aspx Substance Abuse and Mental Health Services Administration]

More Resources and Links

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

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

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

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.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 04/06/2016, Published on 04/06/2016
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 Sat, 30 April 2016 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: Wed, 6 Apr 2016 16:20:28 AKDT
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 30 April 2016 16:22:26 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 6 Apr 2016 16:20:28 AKDT