Indiana Violent Death Reporting System (INVDRS) Advisory Board - - PowerPoint PPT Presentation

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Indiana Violent Death Reporting System (INVDRS) Advisory Board - - PowerPoint PPT Presentation

Feb 10, 2024 343 likes •1.44k views

Indiana Violent Death Reporting System (INVDRS) Advisory Board Meeting September 15, 2017 Rachel Kenny, MPH, INVDRS PI & Epidemiologist Division of Trauma and Injury Prevention 1 Email Questions: INVDRS@isdh.in.gov INVDRS@isdh.in.gov 2

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Indiana Violent Death Reporting System (INVDRS) Advisory Board Meeting

September 15, 2017

Rachel Kenny, MPH, INVDRS PI & Epidemiologist Division of Trauma and Injury Prevention

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Email Questions: INVDRS@isdh.in.gov

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INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Agenda

  • Introductions
  • Drug Overdose Grants Update-Jessica

Schultz

  • Program Updates
  • Data Presentation

– 2015-2017 Violent Death Demographics – 2015 INVDRS Pilot Counties

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Email Questions: INVDRS@isdh.in.gov

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Introductions

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Email Questions: INVDRS@isdh.in.gov

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New INVDRS Staff

  • Records Consultants

– Brittany Armstrong – Patricia Dotson – Anita McCormick-Peyton

  • Intern-Vincent Gallagher

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Email Questions: INVDRS@isdh.in.gov

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2018 meeting dates

  • 1 p.m.-3 p.m. EST in Rice

Auditorium

– March 16th – September 21st

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Email Questions: INVDRS@isdh.in.gov

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Program Updates

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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2017 Reverse Site Visit

  • May 16th-May 18th
  • New Orleans, LA
  • Attendees: NVDRS-funded states and

CDC staff Rachel and Ryan attended.

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Email Questions: INVDRS@isdh.in.gov

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2017 Safe States Annual Meeting

  • September 12-14, 2017
  • Aurora, Colorado
  • Strong focus in Data presentation and

violence prevention

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Email Questions: INVDRS@isdh.in.gov

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Sessions Attended

  • Making your Data Work for You
  • Advanced Data Analysis Approaches
  • Innovative ways to Communicate Data
  • Building Capacity for Systems Thinking

among Injury and Violence Preventions

  • Link Data to Save Lives: Using NVDRS

to Prevent Suicide and Firearm Injury

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Email Questions: INVDRS@isdh.in.gov

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Sessions Attended

  • Preventing Suicide Across the National

Spectrum

  • Expanding the Scope of NVDRS

Analyses

  • Addressing Firearm Violence with

Public Health Strategies

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Email Questions: INVDRS@isdh.in.gov

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Suicide in Indiana Report

Reminder!

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Email Questions: INVDRS@isdh.in.gov

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11 Leading Causes of Death, Indiana, 2011-2015

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Suicide Attempts

  • For every suicide death there is on

average 25 suicide attempts

  • For every youth suicide death there is
  • n average 100-200 youth suicide

attempts

– 14,500-29,000 Hoosier youths attempted suicide in Indiana between 2011 and 2015

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

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Other topics in Report

  • Suicide in the U.S.
  • Additional maps/geographic

distributions

  • Special Populations
  • Protective factors
  • Risk factors

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Email Questions: INVDRS@isdh.in.gov

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Data Sources

  • ISDH Mortality Reports, 2011–2015. Epidemiology

Resource Center,

  • CDC WISQARS and WONDER databases
  • Indiana Hospital Association, Hospital Discharge

Inpatient Data, 2011-2015.

  • Indiana Hospital Association, Hospital Discharge

Outpatient/ED Data, 2011-2015.

  • Indiana Youth Risk Behavior System Survey, 2011

and 2015.

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Email Questions: INVDRS@isdh.in.gov

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Report available at:

http://www.in.gov/isdh/25396.htm

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Email Questions: INVDRS@isdh.in.gov

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RECENT GRANT APPLICATIONS

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Email Questions: INVDRS@isdh.in.gov

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Grant activities

  • Prescription Drug Overdose: Prevention for States

– Applied for year 2 (base and supplement) – Applied for a Program Expansion: 7/2017

  • Enhanced State Surveillance of Opioids

– Originally awarded but not funded, funding starts September 1 – Applied for supplement: 7/2017

  • First Responder Comprehensive Addiction and

Recovery Act

– Applied 7/2017

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Email Questions: INVDRS@isdh.in.gov

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Prescription Drug Overdose Prevention for States 2017 Program Expansion

Activity 1.1: Building Capacity and Infrastructure to Enhance Use

  • f INSPECT Data

Activity 1.2: INSPECT Expansion into Electronic Health Records in High Opioid- Prescribing Facilities Activity 2.1: Piloting of an Overdose Fatality Review Activity 2.2: Collecting Adverse Childhood Experiences Data through the 2018 Behavioral Risk Factor Surveillance System Activity 4.1: Overdose Rapid Response Plan to Address Overdose Clusters in Five Pilot Counties

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Email Questions: INVDRS@isdh.in.gov

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Enhanced State Opioid Overdose Surveillance (ESOOS)

Originally applied 6/2016, funded 9/2017

  • 1. Increase the timeliness of aggregate nonfatal opioid
  • verdose reporting
  • 2. Increase the timeliness of fatal opioid overdose and

associated risk factor reporting

  • 3. Disseminate surveillance findings to key stakeholders

working to prevent or respond to opioid overdoses

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Email Questions: INVDRS@isdh.in.gov

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ESOOS 2017 Supplemental

1 year supplemental opportunity Activity 1: Implement comprehensive toxicology testing Activity 2: Linking INSPECT data to opioid-related

  • verdose deaths during coroner investigations

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Email Questions: INVDRS@isdh.in.gov

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First Responder - Comprehensive Addiction and Recovery Act (FR CARA)

Program will: 1) Provide resources through the Indiana Naloxone Kit Distribution Program for First Responders in rural communities; 2) Train first responders on carrying and administering naloxone; and 3) Expand the Indiana Recovery and Peer Support Initiative for referral to appropriate treatment and recovery communities. As of 9/14/2017, Funding Decision Pending

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Email Questions: INVDRS@isdh.in.gov

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2018 IPAC Meetings

Meetings: 10 a.m. – 12 p.m. EST

  • March 16
  • Spring Conference, TBD
  • July 20 (webcast)
  • September 21
  • November 16

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Email Questions: INVDRS@isdh.in.gov

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2017 IPAC Meetings

Meetings: 10 a.m. – 12 p.m. EST

  • November 17

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Email Questions: INVDRS@isdh.in.gov

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Upcoming Events

  • Indiana Emergency Response Conference, Sept. 20-23
  • National Traumatic Brain Injury Awareness Month
  • National Suicide Prevention Week, Sept. 10-16
  • Child Passenger Safety Week, Sept. 17-23
  • Falls Prevention Awareness Day, Sept. 22
  • National Seat Check Saturday, Sept. 23

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Email Questions: INVDRS@isdh.in.gov

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Upcoming Events

  • Public Safety + Public Health Opioid Conference, Sept 27
  • Domestic Violence Awareness, October
  • National Bullying Prevention Month, October
  • 8th Annual Prescription Drug Abuse & Heroin

Symposium, October 30-31

  • 2017 Labor of Love Summit, Nov. 15
  • 2017 Midwest Injury Prevention Alliance Summit,

November 30-December 1

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Email Questions: INVDRS@isdh.in.gov

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Public Safety + Public Health Opioid Conference

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  • September 27th from 8:30 a.m.

to 4:30 p.m. at the Ritz Charles

  • No registration fee required and

breakfast and lunch are provided

  • Learn more:

https://www.eventbrite.com/e/publi c-safety-public-health-opioid- conference-tickets-36838582191

Email Questions: INVDRS@isdh.in.gov

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2017 Midwest Injury Prevention Alliance Summit

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2018 EMS Medical Director’s Conference

Email Questions: INVDRS@isdh.in.gov

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2017 Labor of Love Summit

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  • November 15, J.W. Marriott in downtown Indy
  • More info: http://www.infantmortalitysummit-indiana.org/

Email Questions: INVDRS@isdh.in.gov

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Thank you for your attention!

Jessica Schultz, MPH Injury Prevention Epidemiologist Consultant Email: JSchultz@isdh.in.gov Phone: 317-617-4155

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Email Questions: INVDRS@isdh.in.gov

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Data Provider Progress

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Email Questions: INVDRS@isdh.in.gov

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Coroners

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  • 76 signed data

sharing agreements

Questions/Comments: Joboyle@isdh.in.gov

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Connections?

  • Boone
  • Jefferson
  • Jennings
  • Knox
  • Miami
  • Noble
  • Owen
  • Posey
  • Sullivan
  • Switzerland
  • Warren
  • Warrick
  • Wells
  • White

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Please contact: JObyle@isdh.in.gov

Email Questions: INVDRS@isdh.in.gov

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Challenges

Agencies Declining to Participate in INVDRS

  • Monticello PD
  • Elkhart County SD
  • Goshen PD
  • Elkhart PD
  • Cass County SD (~5)
  • Gibson County SD (~14)
  • Harrison County SD (~17)
  • Mishawaka PD (~42)
  • Montgomery SD
  • New Albany PD (~45)
  • Starke County SD (~14)
  • Steuben County SD (~6)

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Email Questions: INVDRS@isdh.in.gov

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Challenges

Agencies Not Yet Participating

– White County coroner and sheriff – Jasper County SD – Demotte PD – St. Joseph County SD – Osceola PD – Salem PD

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Email Questions: INVDRS@isdh.in.gov

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Successes

  • 45 Coroner DSA’s in January 2017 to

76 today

  • Elkhart County Coroner is participating

and we have already received their reports

  • Indiana State Police have been

approved to participate and we are now waiting for their records

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Email Questions: INVDRS@isdh.in.gov

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Data Abstraction & Records Collection

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Email Questions: INVDRS@isdh.in.gov

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Data Availability and Deadlines

Data Year Death Certificate Data Complete INVDRS Data-CDC Deadline 2015

  • Sept. 2016 (prelim),

January 2017 (final) June 2017 2016

  • Sept. 2017 (prelim),

January 2018 (final) June 2018 2017

  • Sept. 2018 (prelim),

January 2019 (final) June 2019 Etc.

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Email Questions: INVDRS@isdh.in.gov

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2016 Records Collection

  • Coroner Reports Received: 52%
  • LE Reports Received: 57%

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Email Questions: INVDRS@isdh.in.gov

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Death Certificate Data for Violent Deaths

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Email Questions: INVDRS@isdh.in.gov

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405 977 183 506 1036 206 200 400 600 800 1000 1200 Homicide Suicide Undetermined

Death Count

Manner of Death by Year

2015 2016

Email Questions: INVDRS@isdh.in.gov

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52 101 107 53 41 33 18 35 109 167 172 187 163 144 15 10 41 32 39 34 12 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% <18 18-24 25-34 35-44 45-54 55-64 >65 Percentage of Deaths Age Group

2015 Manner of Death by Age Group

Homicide Suicide Undetermined

Email Questions: INVDRS@isdh.in.gov

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55 121 135 84 49 32 26 33 125 162 172 210 162 172 26 19 38 35 45 29 14 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% <18 18-24 25-34 35-44 45-54 55-64 >65 Percentage of Deaths Age Group

2016 Manner of Death by Age Group

Homicide Suicide Undetermined

Email Questions: INVDRS@isdh.in.gov

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Email Questions: INVDRS@isdh.in.gov

1554 669 226 373 466 159 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% Suicide Homicide Undetermined Percentage of Deaths

2015-2016 Percentage of Death Manner by Gender

Male Female

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Breakdown: Suicides

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Email Questions: INVDRS@isdh.in.gov

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Counties with Most Resident Suicides: 2015- 2016

  • 1. Marion — 276
  • 2. Lake — 129
  • 3. Allen — 87
  • 4. St. Joseph — 80
  • 5. Hamilton — 76
  • 6. Vanderburgh — 62
  • 7. Vigo — 52
  • 8. Elkhart — 51
  • 9. Porter — 50
  • 10. Madison — 44
  • 11. Hendricks — 43
  • 12. Monroe — 43
  • 13. Johnson — 37
  • 14. Tippecanoe — 37
  • 15. Clark — 31

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Email Questions: INVDRS@isdh.in.gov

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20 40 60 80 100 120 Death Count

Suicide Counts by Month

2015 2016 2017

Email Questions: INVDRS@isdh.in.gov

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35 109 167 172 187 163 144 33 125 162 172 210 162 172 50 100 150 200 250 <18 18-24 25-34 35-44 45-54 55-64 >65 Death Count Age Group

Suicide Count by Age Group and Year

2015 Suicide 2016 Suicide

Email Questions: INVDRS@isdh.in.gov

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2.09 8.86 19.16 20.17 20.71 18.11 14.49 0.00 5.00 10.00 15.00 20.00 25.00 <18 18-24 25-34 35-44 45-54 55-64 >65 Rate Age Group

2015 Suicide Rate by Age Group

Email Questions: INVDRS@isdh.in.gov

Rates per 100,000.

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2.5 21.6 32.6 31.8 34.4 27.1 29.4 1.7 7.1 5.7 8.5 7.2 10.1 3.8 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 <18 18-24 25-34 35-44 45-54 55-64 >65 Rate Age Group

2015 Suicide Rate by Gender

Male Female

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Email Questions: INVDRS@isdh.in.gov

Rates per 100,000.

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15.38 24.99 6.01 7.23 12.71 2.12

Crude Rate Male Female

2015 Suicide rates by race and sex

White African-American

*Unstable Rate Rates per 100,000.

Email Questions: INVDRS@isdh.in.gov

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23% 1% 33% 36% 1% 6%

2015-2016 Marital Status Suicide

Divorced Married, but seperated Married/Civil Union/Partnership Never Married Unknown Widowed

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Email Questions: INVDRS@isdh.in.gov

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3.6% 13.8% 48.4% 6.3% 15.7% 8.0% 2.2% 1.6% 0.4% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% <= 8th Grade 9th-12th Grade HS or GED Associate Some College Credit Bachelor Master Doctorate Unknown

2015-2016 Education Level Suicide

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Email Questions: INVDRS@isdh.in.gov

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Breakdown: Homicides

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Email Questions: INVDRS@isdh.in.gov

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Counties with Most Homicides (2015-2016)

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Email Questions: INVDRS@isdh.in.gov

  • 1. Marion — 325
  • 2. Lake — 133
  • 3. Allen — 79
  • 4. St. Joseph — 40
  • 5. Elkhart — 25
  • 6. Delaware — 17
  • 7. Vanderburgh — 16
  • 8. Warrick — 10
  • 9. Howard — 9
  • 10. Vigo — 9
  • 11. LaPorte — 8
  • 12. Madison — 8
  • 13. Johnson — 7
  • 14. Porter — 7
  • 15. Hamilton — 6
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10 20 30 40 50 60 Death Count

Homicide Counts by Month

2015 2016 2017

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Email Questions: INVDRS@isdh.in.gov

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50 99 100 52 39 33 18 55 121 135 84 49 32 26 20 40 60 80 100 120 140 160 <18 18-24 25-34 35-44 45-54 55-64 >65 Death Count Age Group

Homicides by Age Group and Year

2015 2016

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Email Questions: INVDRS@isdh.in.gov

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65 189 188 105 69 49 31 41 31 47 31 19 16 13 20 40 60 80 100 120 140 160 180 200 <18 18-24 25-34 35-44 45-54 55-64 >65 Death Count Age Group

2015-2016 Homicide by Gender/Age

Male Female

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Email Questions: INVDRS@isdh.in.gov

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3.23 8.68 11.40 6.07 4.44 3.62 1.66 0.00 2.00 4.00 6.00 8.00 10.00 12.00 <18 18-24 25-34 35-44 45-54 55-64 >65 Rate Age Group

2015 Homicide Rate by Age Group

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Email Questions: INVDRS@isdh.in.gov

Rates per 100,000.

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3.59 23.57 18.06 9.47 7.56 7.91 2.84 2.85 4.6 4.71 2.67 1.36 2.16 0.95 5 10 15 20 25 <18 18-24 25-34 35-44 45-54 55-64 >65 Rate Age Group

2015 Age and Gender Homicide Rate

Male Female

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Email Questions: INVDRS@isdh.in.gov

Rates per 100,000.

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2.7 31.7 3.7 54.8 1.7 10.3 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Rate per 100,000

2015 Homicide rates of White and African American Hoosiers: A look at the disparity.

Crude Rate Males Females

Email Questions: INVDRS@isdh.in.gov

Rates per 100,000.

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Email Questions: INVDRS@isdh.in.gov

12% 1% 13% 71% 3%

2015 - 2016 Marital Status of Homicide Victims

Divorced Married, but seperated Married/Civil Union/Partnership Never Married Widowed

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9.8% 28.9% 39.9% 4.1% 11.7% 3.4% 0.7% 0.1% 1.5% <= 8th Grade 9th-12th Grade HS or GED Associate Some College Credit Bachelor Master Doctorate Unknown

2015-2016 Education Level of Homicide Victims

79

Email Questions: INVDRS@isdh.in.gov

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3.6% 13.8% 48.4% 6.3% 15.7% 8.0% 2.2% 1.6% 0.4% 9.8% 28.9% 39.9% 5.2% 11.7% 3.4% 0.7% 0.1% 1.5% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% <= 8th Grade 9th-12th Grade HS or GED Associate Some College Credit Bachelor Master Doctorate Unknown

Percentage

2015-2016 Manner of Death by Education Level

Suicide Homicide Email Questions: INVDRS@isdh.in.gov

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Child Section

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Email Questions: INVDRS@isdh.in.gov

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69 47 18 1 75 44 21 6 10 20 30 40 50 60 70 80 Homicide Suicide Undetermined Accident Death Count

2015-2016 Child (<18) Deaths by Manner

2015 2016

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Email Questions: INVDRS@isdh.in.gov

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98 63 19 7 26 28 20 20 40 60 80 100 120 Homicide Suicide Undetermined Accident Death Count

<18 Manner of Death 2015 & 2016

Male Female

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Email Questions: INVDRS@isdh.in.gov

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2 34 49 2 2 13 18 3 3 82 73 10 20 30 40 50 60 70 80 90 Accident Undetermined Homicide Suicide Death Count

Manner of Death by Age Group

<10 10-14 15-17

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Email Questions: INVDRS@isdh.in.gov

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1.8 13.5 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 10-14 15-17 Rate Age Range

2015 Child Suicide Rate

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Email Questions: INVDRS@isdh.in.gov

Rates per 100,000.

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5.7 1.8 4.5 0.0 1.0 2.0 3.0 4.0 5.0 6.0 <10 10-14 15-17 Rate Age Range

2015 Child Homicide Rate

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Email Questions: INVDRS@isdh.in.gov

Rates per 100,000.

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2015 INVDRS Data

Data limited to Allen, Lake, Madison, Marion,

  • St. Joseph, and

Vanderburgh Counties

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Email Questions: INVDRS@isdh.in.gov

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Data Quality Checks

  • CDC checked our 2015 pilot county

data for potential errors, such as:

– Weapon type missing – Poisoning as cause of death but no substance listed as having caused the death – If Suspect in Homicide is an intimate partner, ensuring the IPV circumstance is checked

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Email Questions: INVDRS@isdh.in.gov

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Data Completeness Check

  • CDC will soon be sending us a report
  • n our data that outlines the percentage
  • f our cases with circumstances and
  • ther categories.
  • Our completeness comparison to grant

expectations.

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Email Questions: INVDRS@isdh.in.gov

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Data Sources

  • 402 Suicides

– 389 with coroner report abstracted – 226 with law enforcement abstracted – 229 with both abstracted

  • At least one circumstance was known

for 273 of the suicides.

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Email Questions: INVDRS@isdh.in.gov

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Data Sources

  • 313 Homicides

– 313 with coroner report abstracted – 124 with law enforcement abstracted – 121 with both abstracted

  • At least one circumstance was known

for 173 of the homicides.

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Email Questions: INVDRS@isdh.in.gov

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Limitations

  • First Year of Data
  • Missing LE/Coroner Reports
  • Quality of LE/Coroner Reports
  • Can’t speculate on more rural Indiana

counties

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Email Questions: INVDRS@isdh.in.gov

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SUICIDE CIRCUMSTANCES

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Email Questions: INVDRS@isdh.in.gov

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54.5 23.4 14.9 3.5 2.5 1.2 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Firearm Hanging/Strangulation/Suffocation Poisoning Sharp Instrument Other Motor Vehicle Percentage

Weapon Type for Suicide Decedents

Email Questions: INVDRS@isdh.in.gov

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45% 37% 16% 12% 66% 55% 23% 18% 0% 10% 20% 30% 40% 50% 60% 70% Depressed Mood MH Problem Alcohol Problem Other Substance Abuse Percentage

Suicide Circumstances-Mental Health and Substance Abuse

% All Suicides % of Suicides with at least 1 Circumstance

Email Questions: INVDRS@isdh.in.gov

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Mental Health Diagnoses-150

  • 105 Depression
  • 17 Bipolar
  • 8 Schizophrenia
  • 6 PTSD

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Email Questions: INVDRS@isdh.in.gov

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14% 2% 6% 6% 5% 19% 10% 19% 6% 21% 3% 8% 9% 8% 27% 15% 28% 9% 0% 5% 10% 15% 20% 25% 30% Percentage

Suicide Circumstances-Life Stressors

% All Suicides % of Suicides with at least 1 Circumstance

Email Questions: INVDRS@isdh.in.gov

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12 38

Argument Timing Breakdown

During Argument With 24 hours of Argument

Email Questions: INVDRS@isdh.in.gov

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2% 19% 25% 27% 31% 3% 29% 37% 40% 45% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% Recent Suicide History of Suicide Attempts Disclosed Intent Left a Note History of Suicidal Thoughts Percentage

Suicide Circumstances-Suicide Specific

% All Suicides % of Suicides with at least 1 Circumstance

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100

37, 48% 29, 37% 12, 15%

Disclosed Intent to Whom Breakdown

Current or Former Partner Other Family Member Friend

Email Questions: INVDRS@isdh.in.gov

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HOMICIDE CIRCUMSTANCES

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Email Questions: INVDRS@isdh.in.gov

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80% 6% 6% 4% 4% 1%

Weapon Type for Homicide Decedents

Firearm Blunt Instrument Sharp Instrument Personal Weapons Hanging/Strangulation/Suf focation Other

Email Questions: INVDRS@isdh.in.gov

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13% 13% 10% 7% 6% 5% 5% 4% 3% 3% 3% 2% 24% 23% 18% 13% 10% 10% 9% 8% 5% 5% 5% 3%

0% 5% 10% 15% 20% 25% Percentage

Homicide Circumstances

% All Homicides % of Homicides with at least 1 Circumstance

Email Questions: INVDRS@isdh.in.gov

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Precipitated by Other Crime Breakdown

  • Burglary= 6 homicides
  • Drug Trade= 6 homicides
  • Robbery= 7 homicides

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Email Questions: INVDRS@isdh.in.gov

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SLIDE 105

What else would you like to see?

Activity!

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Email Questions: indianatrauma@isdh.in.gov Email Questions: INVDRS@isdh.in.gov

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SLIDE 106

2018 meeting dates

  • 1 p.m.-3 p.m. EST in Rice

Auditorium

– March 16th – September 21st

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Email Questions: INVDRS@isdh.in.gov

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SLIDE 107

Call to Action

  • Send interested parties to ISDH

Division of Trauma and Injury Prevention

  • INVDRS@isdh.in.gov
  • INVDRS PI & Epidemiologist

Rachel Kenny 317-233-8197 rkenny@isdh.in.gov

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