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Suicide and Self-Inflicted Injury in Maine. Erika Lichter, ScD University of Southern Maine/ Maine CDC. One year in Maine (2007)…. 158 people died by suicide (Maine Vital Records, 2007) 1,094 were hospitalized for a self-inflicted injury (Maine Hospital Discharge Data, 2007) - PowerPoint PPT Presentation
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Suicide and Self-Inflicted Injury in Maine
Erika Lichter, ScDUniversity of Southern Maine/
Maine CDC
One year in Maine (2007)….• 158 people died by suicide (Maine Vital Records, 2007)
• 1,094 were hospitalized for a self-inflicted injury (Maine Hospital Discharge Data, 2007)
• 1,911 were treated in the emergency department for a self-inflicted injury (Maine Hospital Outpatient Discharge Data, 2007)
• 6,700 high school students and 27,000 adults considered suicide in the previous 12 months (Maine Youth Risk Behavior Survey, 2007 and Maine BRFSS 2009)
• 2,800 high school youth and 4,000 adults attempted suicide in the past 12 months.
(Maine Youth Risk Behavior Surveyand Maine BRFSS 2009)
Five Leading Causes of Death in Maine, 2003-2007
15-19 years 20-24 years 25-34 35-44 45-54
Unintentional Injury
Unintentional Injury
Unintentional Injury
Unintentional Injury
Malignant neoplasm
Suicide Suicide Suicide Malignant neoplasm
Heart Disease
Malignant neoplasm
Malignant neoplasm
Malignant neoplasm
Heart Disease Unintentional Injury
Heart Disease Heart Disease Heart Disease Suicide Suicide
Homicide Homicide Homicide Diabetes Mellitis
Liver Disease
Source: CDC NCIPC, WISQARS
Suicide Mortality
Suicide Mortality by County, Maine
Suicide Mortality 1994-2007, 5-year averages
Source: CDC NCIPC, WISQARS
Preliminary Suicide Deaths from Medical Examiner
Year Number of Suicide Deaths
2003-2007 1662008 1862009 187January- June 2010 72
Source: Maine Office of the Medical Examiner
Suicide by sexMaine, 2003-2007
Source: CDC NCIPC, WISQARS
Suicide by sex, Maine, 1997-2007
Source: CDC NCIPC, WISQARS
Suicide rates by age Maine, 2003-2007
Source: CDC NCIPC, WISQARS
Suicide by ageMaine, 2003-2007
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+0
5
10
15
20
25
0
20
40
60
80
100
120
Rate per 100,000 Number of suicide deaths
Age
Num
ber o
f Sui
cide
Dea
ths
Rate
per
100
,000
Source: CDC NCIPC, WISQARS
Suicide and Race/Ethnicity, 2000-2007Race/ethnicity
Number of Suicide Deaths
Population Total
2000-2007
Rate per 100,000
Age-adjusted rate per 100,000
White Non-Hispanic 1,279 10,051,742 12.7 12.1Black/African American Non-Hispanic
5* 92,471 5.4 4.5Native American 11* 65,332 16.8 17.2Asian/Pacific Islander 6* 91,139 6.6 9.5Hispanic 4* 102,999 3.9 4.1*estimates may not be reliable
Source: CDC NCIPC, WISQARS
Methods of Suicide Death, Maine, 2003-2007
10-1415-19
20-2425-34
35-4445-54
55-6465-74
75-84 85+0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
OtherPoisoningSuffocationFirearm
Source: CDC NCIPC, WISQARS
Methods of Suicide by Sex, 2003-2007
Source: CDC NCIPC, WISQARS
Hospitalization and ED visits for self-inflicted injury
• For every suicide death in Maine in 2007 (n=191), there were:– 6 people (n=1,095) hospitalized for a self-inflicted
injury– 10 people (n=1,911) who visit an emergency
department for a self-inflicted injury
Source: Maine Inpatient and Outpatient Hospital Discharge Data
Hospitalization and Outpatient ED visits for Self-inflicted injury, Maine, 2000-2008
Source: Maine Inpatient and Outpatient Hospital Discharge Data
Hospitalizations and Outpatient ED by Sex, Maine, 2008
Source: Maine Inpatient and Outpatient Hospital Discharge Data
Hospitalization and ED visits by Sex, Maine, 2000-2008
2000 2001 2002 2003 2004 2005 2006 2007 20080
5
10
15
20
25
Female EDMale EDFemale HospitalizationMale Hospitalization
Age-
adju
sted
Rat
e pe
r 10,
000
Source: Maine Inpatient and Outpatient Hospital Discharge Data
Hospitalizations and Outpatient ED visit rates by Age, Maine 2008
10-14 15-19 20-24 25-34 34-64 65+0
10
20
30
40
50
60
4.8
18.0 17.113.5
9.5
2.2
10.5
57
46.6
28
9.1
0.6
InpatientOutpatient ED
Age Group
Rate
per
10,
000
Source: Maine Inpatient and Outpatient Hospital Discharge Data
Methods of Self-inflicted injury Maine, 2008
Inpatient Outpatient ED0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
72.1
37.3
11.537.6
14 23
FirearmSuffocationOtherCuttingPoisoning
Source: Maine Inpatient and Outpatient Hospital Discharge Data
Self-reported Suicidal Behavior/Risks
• Ideation• Attempts that don’t require medical treatment• Depression• Non-suicidal self-inflicted injury
• Maine Integrated Youth Health Survey/YRBS• Maine Behavioral Risk Factor Surveillance System
Past year self-reported suicide ideation and attempts, Maine
Considered Planned Attempted Depressive Symptoms
Diagnosed depression
0
5
10
15
20
25
30
2.4 1.80.4
21.8
13.811.8
9
24.1
Adults (BRFSS 2006-2007) High School Students (MIYHS 2009)
Perc
ent
Suicidal behavior in Maine HS students, 2009
Source: MIYHS 2009
Depression and non-suicidal self-injury, Maine HS students, 2009
Source: MIYHS
Suicidal ideation, attempts, and depression among Maine HS students
2001 2003 2005 2007 20090
5
10
15
20
25
30
ConsideredAttemptedDepressionPe
rcen
t
Source: 2001-2007 YRBS and 2009 MIYHS YRBS Module
Lifetime suicide and non-suicidal self-injury, Maine 7th & 8th graders, 2009
Source: MIYHS
Summary• Maine’s suicide rates have not changed
significantly over time.• The highest number of suicide deaths occur
among adult males age 40-59.• Self- hospitalizations and outpatient visits for self-
inflicted injury are increasing.• Female youth and young adults are most likely to
be treated for a self-inflicted injury.• Self-reported ideation and attempts among youth
increased in 2009.
Conclusion
Suicide, self-inflicted injury, and depression are public health
problems that affect Maine residents of all ages.
Maine HS students who considered or attempted suicide by sex, 2001-2009
