School Suicide Prevention, Intervention, & prevention... · PDF fileSchool Suicide...

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, Sacramentobrock@csus.eduhttp://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

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)

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

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)

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)

Suicide Methods:10-14 Year Olds (2004 data)
hod
16
0 50 100 150 200 250
Suffication Firearm Poisoning Other
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
Met
h
Male Suicide Rates by Age & Ethnicity (2006 data)
30
35
40
45
50
e (p
er 1
00,0
00)
18
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

Female Suicide Rates by Age & Ethnicity (2006 data)
6
8
10
12
(per
100,0
00)
19
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

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)

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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