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  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 1

    School Suicide Prevention, Intervention, & Postvention

    1

    Stephen E. Brock, Ph.D., NCSPCalifornia State University, [email protected]://www.csus.edu/indiv/b/brocks/916-278-5919

    Bret Harte High SchoolFebruary 26, 2010 (8:00am -3:00pm)Angels Camp, CA

    Workshop Outline

    1. Introductiona) Suicide Statistics

    2. Levels of Suicide Prevention

    3 Primary Prevention

    2

    3. Primary Prevention

    4. Secondary Prevention

    5. Tertiary Prevention

    National Youth Suicide StatisticsFourth leading cause of death among 10-14 year olds in 2006 (N = 216).*Third leading cause of death among 15 to 24 year olds in 2007 (N = 4030).**2007 YRBS*** 14.5% of high school students reported having seriously

    id d i id i th i 12 th

    3

    considered suicide in the prior 12 months. 11.3% reported having made a suicide plan in the prior 12

    months. 6.9% of high school students reported having attempted

    suicide. 2.0% indicated that the attempt required medical attention.

    100 to 200 attempts for each completed youth suicide (vs. 4:1 among the elderly).****

    *National Center for Injury Prevention and Control, 2009, http://webappa.cdc.gov/sasweb/ncipc/leadcaus10.html**National Vital Statistics Reports, 2009, www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_01.pdf***Youth Risk Behavior Surveillance, 2008, www.cdc.gov/mmwr/PDF/ss/ss5704.pdf****Suicide Data Page, 2009, www.suicidology.org/c/document_library/get_file?folderId=228&name=DLFE-142.pdf

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 2

    Other Suicide Facts: All Age Groups(2006 Final National Data)

    Total number of deaths = 33,3001 11th leading cause of death2

    More men die by suicide1 Gender ratio 3.8 male suicides (N = 26,308) for each females

    suicide (N = 6,992)

    Suicide Rate = 11.1/100,000 (males, 17.8; females, 4.6)1

    4

    50.7% of suicides were by firearms. 1,3 Suicide by firearms rate = 5.60 (N = 16,883) Suicide by firearms rate (15-19 yrs) = 3.30 Suicide by firearms rate (15-19 yrs male) = 5.87 Suicide by firearms rate (15-19 yrs female) = 0.60

    Highest suicide rate is among white men over 85 (43.44/100,0003vs 7.32/100,000 among 15-19 year olds3). However the 6th highest rate is among American Indian/Alaskan Native

    15-19 year old males3.1Suicide Data Page, 2009, www.suicidology.org/c/document_library/get_file?folderId=228&name=DLFE-142.pdf2National Vital Statistics Reports, 2009, www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_01.pdf3 National Center for Injury Prevention and Control (2009), http://webappa.cdc.gov/sasweb/ncipc/mortrate10_sy.html

    Suicide Rates by County

    5

    Source: http://www.cdc.gov/violenceprevention/suicide/statistics/suicide_map.html

    Suicide Rate Ranges15 to 23.6 (12)12.4 to 15 (10)11.6 to 12.4 (6)10.2 to 11.6 (12)

    US Suicide Rates by State

    6

    6 to 10.2 (11)

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 3

    Suicide Rates by State (2006 Final Data)Rank State (2005 rank) # Rate1 Wyoming(4T) 116 22.52 Alaska (3) 135 20.13 Montana (1) 189 20.04 Nevada (2) 486 19.55 New Mexico (4T) 352 18.0

    7

    6 South Dakota (9) 125 16.07 Arizona (8) 979 15.98 Oregon (10) 579 15.69 Colorado (6) 730 15.410 Idaho (7) 222 15.2National Total 32,637 11.043 California (42) 3,334 9.1

    Source: McIntosh (2008)

    California Suicide Rates

    8

    10

    12

    14

    per 1

    00,0

    00)

    0

    2

    4

    6

    8

    Suic

    ide

    Rat

    e (p

    5-12 13-15 16-20 Total8

    Suicide Rates by Region

    9

    Source: www.suicidology.org/c/document_library/get_file?folderId=228&name=DLFE-143.pdf

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 4

    Suicide Rates by Country

    World Health Organization (most recent year available; as of 2009) http://www.who.int/mental health/preventio

    10

    http://www.who.int/mental_health/prevention/suicide_rates/en/index.html

    World Wide Suicide Rates

    11

    Male Suicide Rates by Country

    12

    Male Suicide Rates58.8 to 73.7 (4)44.1 to 58.8 (5)29.4 to 44.1 (6)14.7 to 29.4 (25)0 to 14.7 (48)

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 5

    Female Suicide Rates by Country

    13

    Female Suicide Rates14.4 to 17.9 (4)10.8 to 14.4 (10)7.2 to 10.8 (15)3.6 to 7.2 (19)0 to 3.6 (40)

    40

    50

    60

    World Suicide Rates by Age & Gender (2000 data)

    (per

    100,

    000)

    14

    0

    10

    20

    30

    5-14 yrs 15-24 yrs 25-34 yrs 35-44 yrs 45-54 yrs 55-64 yrs 65-74 yrs 75+ yrs

    Males Females

    \

    Suic

    ide

    Rat

    e

    Source: WHO (2002)

    30

    35

    40

    45

    50

    US Suicide Rates by Age & Gender(2006 data)

    (per

    100,

    000)

    15

    0

    5

    10

    15

    20

    25

    5-9 yrs 10-14 yrs

    15-19 yrs

    20-24 yrs

    25-29 yrs

    30-34 yrs

    35-39 yrs

    40-44 yrs

    45-49 yrs

    50-54 yrs

    55-59 yrs

    60-64 yrs

    65-69 yrs

    70-74 yrs

    75-79 yrs

    80-84 yrs

    85+

    Males Females Both Genders

    Suic

    ide

    Rat

    e

    Source: NCIPC (2009)

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 6

    Suicide Methods:10-14 Year Olds (2004 data)

    hod

    16

    0 50 100 150 200 250

    Suffication Firearm Poisoning Other

    Source: NCIPC (2007)

    Met

    Suicide Methods:15-24 Year Olds (2004 data)

    hod

    17

    0 500 1000 1500 2000 2500

    Firearm Suffocation Poisoning FallOther Cut/pierce Transportation DrowningFire/burn Unspecified

    Source: NCIPC (2007)

    Met

    h

    Male Suicide Rates by Age & Ethnicity (2006 data)

    30

    35

    40

    45

    50

    e (p

    er 1

    00,0

    00)

    18

    Source: NCIPC (2009)

    0

    5

    10

    15

    20

    25

    05-09 yrs

    10-14 yrs

    15-19 yrs

    20-24 yrs

    25-29 yrs

    30-34 yrs

    35-39 yrs

    40-44 yrs

    45-49 yrs

    50-54 yrs

    55-59 yrs

    60-64 yrs

    65-69 yrs

    70-74 yrs

    75-79 yrs

    80-84 yrs

    85+ yrs

    White Black AmI nd/AK Native Asian/Pac Islander All Groups

    Suic

    ide

    Rat

    e

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 7

    Female Suicide Rates by Age & Ethnicity (2006 data)

    6

    8

    10

    12

    (per

    100,0

    00)

    19

    Source: NCIPC (2009)

    0

    2

    4

    05-09 yrs

    10-14 yrs

    15-19 yrs

    20-24 yrs

    25-29 yrs

    30-34 yrs

    35-39 yrs

    40-44 yrs

    45-49 yrs

    50-54 yrs

    55-59 yrs

    60-64 yrs

    65-69 yrs

    70-74 yrs

    75-79 yrs

    80-84 yrs

    85+

    White Black AmI nd/AK Native Asian/Pac Islander All Groups

    Suic

    ide

    Rat

    e

    15-19 Year Old USA Suicide Rates Over Time

    101214161820

    e(p

    er 1

    00,0

    00)

    20

    02468

    1950 1960 1970 1980 1990 1995 2000 2005 2006

    Male Female Overall

    Source: NCIPC (2009))

    Suic

    ide

    Rat

    e

    16-20 Year Old California Suicide Rates Over Time

    101214161820

    e(p

    er 1

    00,0

    00)

    21

    02468

    10

    1991

    1992

    1993

    1994

    1995

    1996

    1997

    1998

    1999

    2000

    2001

    2002

    2003

    2004

    2005

    2006

    2007

    Source: CDPH (2010)

    Suic

    ide

    Rat

    e

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 8

    Percent1 of 9-12 Grade Students with an Injurious Suicide2 Attempt (YRBS)

    2

    2.5

    3

    3.5

    4

    22

    0

    0.5

    1

    1.5

    1991 1993 1995 1997 1999 2001 2003 2005 2007

    Male Female Total

    1Response is for the 12 months preceding the survey2A suicide attempt that required medical attention

    Youth Risk Behavior Survey (2008)

    Calaveras County: 1991-2006

    Nonfatal Self-Inflicted Hospitalized Injuries

    4

    5

    6

    0

    1

    2

    3

    13 to 15 16 to 20 All Youth

    Percent1 of 9-12 Grade Students with a Suicide Attempt2 (YRBS)

    6

    8

    10

    12

    14

    rcen

    t

    24

    0

    2

    4

    6

    1991 1993 1995 1997 1999 2001 2003 2005 2007

    Male Female Total

    Per

    1Response is for the 12 months preceding the survey2A suicide attempt that did not necessarily require medical attention

    Youth Risk Behavior Survey (2008)

  • School Suicide Prevention, Intervention, & Postvention Bret Harte High SchoolFebruary 26, 2010

    Stephen E. Brock. Ph.D., NCSP, LEP 9

    Percent1 of 9-12 Grade Students with a Suicide Plan2 (YRBS)

    15

    20

    25

    30

    25

    0

    5

    10

    1991 1993 1995 1997 1999 2001 2003 2

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