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

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State of Alaska

Complete Indicator Profile 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.

Data Interpretation Issues

The 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.[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.

Reference:
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.

Other Objectives

Healthy Alaskans 2020 Target: 23.5 suicides per 100,000 aged 25 and older

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 adolescent 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



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 25 and older, all Alaskans, Alaska Natives, and U.S., 2000-2020

::chart - missing::

Alaska Comparisons Year Suicide mortality rate per 100,000 aged 25+ (Age-Adjusted) Numer- ator
Record Count: 50
All Alaskans 2000 21.1
All Alaskans 2001 16.4
All Alaskans 2002 20.7
All Alaskans 2003 20.2
All Alaskans 2004 22.9
All Alaskans 2005 19.2
All Alaskans 2006 19.6
All Alaskans 2007 22.6
All Alaskans 2008 24.0
All Alaskans 2009 19.6
All Alaskans 2010 25.0 112
All Alaskans 2011 23.1 106
All Alaskans 2012 27.4 128
All Alaskans 2013 26.9
Alaska Natives 2000 48.6
Alaska Natives 2001 28.6
Alaska Natives 2002 36.3
Alaska Natives 2003 35.4
Alaska Natives 2004 51.8
Alaska Natives 2005 44.7
Alaska Natives 2006 36.3
Alaska Natives 2007 39.5
Alaska Natives 2008 43.8
Alaska Natives 2009 34.8
Alaska Natives 2010 36.4 23
Alaska Natives 2011 38.5
Alaska Natives 2012 47.3
Alaska Natives 2013 55.8
U.S. 2000 13.7
U.S. 2001 14.3
U.S. 2002 14.7
U.S. 2003 14.5
U.S. 2004 14.6
U.S. 2005 14.6
U.S. 2006 14.7
U.S. 2007 15.3
U.S. 2008 15.7
U.S. 2009 15.9
U.S. 2010 16.3
U.S. 2011 16.6
U.S. 2012 16.9
U.S. 2013 16.9
Healthy Alaskans Goal 2013 23.5
Healthy Alaskans Goal 2014 23.5
Healthy Alaskans Goal 2015 23.5
Healthy Alaskans Goal 2016 23.5
Healthy Alaskans Goal 2017 23.5
Healthy Alaskans Goal 2018 23.5
Healthy Alaskans Goal 2019 23.5
Healthy Alaskans Goal 2020 23.5

Data Notes

Healthy Alaskans 2020 Target: 23.5 suicides per 100,000 aged 25 and older

** Data Not Available

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 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


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 04/27/2015, Published on 04/27/2015
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 Fri, 31 July 2015 19:29:02 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: Mon, 27 Apr 2015 12:59:45 AKDT