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State of Alaska

Health Indicator Report of Alaska Violent Death Reporting System (AKVDRS)

Information generated by the AKVDRS is critical for quantifying and tracking the public health burden associated with violence and identifying interventions to reduce this burden.

Data Interpretation Issues

[http://live.laborstats.alaska.gov/pop/index.cfm Alaska population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development]. The Alaska Violent Death Reporting System (AKVDRS) is part of the Centers for Disease Control and Prevention's state-based National Violent Death Reporting System (NVDRS). The AKVDRS has collected information since 2003. It uses a standardized procedure in which information on all Alaska residents and occurrent violent deaths are captured in a relational database. Violent deaths captured include suicide (or self-harm), homicide, legal intervention, unintentional firearm injury, deaths due to undetermined intent, deaths resulting from acts of terrorism, and overdose deaths. Data are abstracted for each case from vital records, medical examiner reports, and law enforcement records. Data may also be pulled from court and medical records. The manner of death may differ across supporting documents for each case, as law enforcement officers and medical examiners conduct separate investigations with differing perspectives on the incident. The AKVDRS abstractor considers all supporting documents and assigns a manner of death that best describes the event. The abstractor-assigned manner of death must match the manner of death from at least one source document. Data are analyzed using the abstractor's assigned manner of death per CDC guidelines. As a result, counts produced by AKVDRS may differ from those of Alaska Vital Statistics, as the abstractor-assigned manner of death may differ from the manner of death listed on the decedent's death certificate.

Definition

Characteristics of violent death in Alaska. Violent deaths are deaths that are due to violence and meet the criteria for being entered into the National Violent Death Reporting System (NVDRS). Deaths are screened for entry into NVDRS using ICD-10 external cause of death codes. The list of ICD-10 codes meeting the NVDRS case definition is provided below. Deaths captured in NVDRS include homicides, suicides, accidental firearm related deaths, legal interventions, acts of terrorism and deaths of undetermined intent. All deaths meeting the NVDRS case definition are included in the system, regardless of the age of the decedent. ICD-10 external cause of death codes meeting the NVDRS case definition: Death <1 year after the injury: X60-X99, Y00-Y09, Y10-Y34, Y35.0-Y35.4, Y35.6-Y35.7, W32-W34, UO1, UO3 Death >1 year after the injury: Y86 determined to be due to firearms, Y87.0- Y87.2, Y89.0, Y89.9, U02.

Numerator

Number of Alaska Violent Death Reporting System (AKVDRS) decedents.

Denominator

Mid-year resident population estimate by age, race, sex and region.

How Are We Doing?

From 2003-2017, rates of all violent deaths and suicide deaths were consistently higher among males than females and among Alaska Native people than among Whites. The rate of all violent death among Alaska Native males increased 55% from 2003 to 2017, from 79.3 deaths per 100,000 persons in 2003 to 123.2 deaths per 100,000 persons in 2017. Comparatively, the rate of all violent death among White males increased 21% during 2003-2017, from 39.5 deaths per 100,000 persons in 2003 to 47.8 deaths per 100,000 persons in 2017. The rates of suicide death among males were consistently 3- to 4-fold higher than the rates among females. The highest rates of suicide death among Alaska Native people were more than double the rates among Whites during the same time period.

How Do We Compare With the U.S.?

In 2016, the age-adjusted rate of violence-related death in Alaska was 33.7 deaths per 100,000 persons, almost twice the United States rate for the same year (19.7 deaths per 100,000 persons). ^1^ Note: Violence-related deaths include deaths due to homicide, legal intervention, and suicide. The suicide rate for Alaska in 2016 was 25.4 deaths per 100,000 persons, also almost twice the United States rate (13.4 deaths per 100,000 persons).^1^ 1. WISQARS Fatal Injury Reports: National, Regional and State (Restricted), 1999-2016. Injury Center, CDC. Available at: https://webappa.cdc.gov/sasweb/ncipc/mortrate.html

What Is Being Done?

The AKVDRS database includes over 700 individual variables per incident to give data providers, data users, and advisory members an in-depth view to violent death in Alaska (i.e. to whom and how it is happening and the relationship between victim, suspect, and weapons). AKVDRS data can then be used to highlight trends and patterns that potentially may be of concern to law enforcement, public health, and others. Dissemination of AKVDRS data include annual state-wide reports on violent deaths in Alaska, web-based statistic reports, and public presentations to describe how violent death in Alaska compares with violent death across the nation. The AKVDRS staff has participated in and presented AKVDRS data at several local and national injury prevention conferences, and the AKVDRS in conjunction with the advisory group members and other data users are exploring the use of additional data fields to collect and analyze state specific data elements.
Page Content Updated On 12/11/2018, Published on 03/07/2019
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 Tue, 23 July 2019 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: Thu, 7 Mar 2019 09:37:47 AKST
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics 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 Tue, 23 July 2019 3:01:05 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Thu, 7 Mar 2019 09:37:47 AKST