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Public Health Council March 11, 2015 Suicide in Massachusetts Carlene Pavlos, Director Bureau of Community Health and Prevention Alan Holmlund, Director, MDPH Suicide Prevention Program

Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

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Page 1: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

Public Health CouncilMarch 11, 2015

Suicide in Massachusetts

Carlene Pavlos, DirectorBureau of Community Health and Prevention

Alan Holmlund, Director, MDPH Suicide Prevention Program

Page 2: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

424 432 468 455513 503 538

600 588 624

140 183 181 194 181 170 181 212 202135

0100200300400500600700

Num

ber

of D

eath

s

Year

Figure 1. Suicides and Homicides in MA, 2003-2012

Homicides

Suicides

Page 3: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention
Page 4: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

4

86 94110

153

109

3519 14

020406080

100120140160180

5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Nu

mb

er

of

Su

icid

es

Age Group (years)

Figure 3A: Suicides in MA, by Age Group, 2012 (N=624)

Page 5: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

6.6

3.5 5.

7 8.0

6.1

2.9

11.6

17.6 20

.4 22.9

20.2

11.5 13

.1

22.7

0.0

5.0

10.0

15.0

20.0

25.0

5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Ra

te p

er

100,

000

Pe

rso

ns

Age Group (years)

Figure 3B: Rate of Suicides in MA by Sex and Age Group, 20124

FemaleMale

Page 6: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

21.0

129.

3

96.0

104.

3

96.6

59.4

24.2

12.7 15

.5

4.0

77.0 89

.5

83.9

81.4

53.9

18.1

11.4

34.0

0.020.040.060.080.0

100.0120.0140.0

5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Ra

te p

er

100,

000

Pe

rso

ns

Age Group (years)

Figure 4. Hospital Discharge Rates for Nonfatal Self-inflicted Injury by Sex and Age Group, MA

Residents, FY2013 (N=4,258)

Females

Males

Page 7: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention
Page 8: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention
Page 9: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

16%

16%

22%

25%

34%

47%

0% 10% 20% 30% 40% 50%

Job and/or Financial Problem

History of suicide attempts

Intimate partner problem

Alcohol and/or Other SubstanceProblem

Current Treatment for Mental Illness

Current Mental Health Problem

Percent of Suicides

Cir

cum

stan

ce

Figure 7. Circumstances Associated with Suicide in MA, 20128

Page 10: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

Figure 9. Suicidal Thinking and Behavior among MA High School Students, YRBS, 2013

2

6

1112

14

0

2

4

6

8

10

12

14

16

Non-suicidalself injury

Seriouslyconsidered

suicide

Made asuicide plan

Attemptedsuicide

Attemptedsuicide w ith

injury

Perc

ent o

f Res

pond

ents

Page 11: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

2.9 6.7

19.2

32.9

49.5

0

10

20

30

40

50

60

0 1 2 3 4-5*

Pe

rcen

t of

stud

ents

who

a

ttem

pted

sui

cide

9

Number of Victimization Types

Figure 10. Attempted Suicide by Number of Victimization Types, YRBS, 2011, 2013

Page 12: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

Special Populations•Mental illness and substance abuse•Veterans•Elders•Men and women of working age•LGBT•Survivors•Attempters

Page 13: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

Department of Veterans Services

Page 14: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention
Page 15: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

Collaborations•MA Coalition for Suicide Prevention•Funding Support to state agencies

Department of Veterans ServicesExecutive Office of Elder AffairsDepartment of Mental Health

•Partnerships•Community Coalitions

Page 16: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

Education and Training•Gatekeeper training•Behavioral Health Professionals•Health Professionals•Comprehensive system-wide approaches

•Annual two day conference

Page 17: Suicide in Massachusetts - Mass.Gov Blogblog.mass.gov/publichealth/wp-content/uploads/sites/11/2015/03/PHC-Suicide.pdfCarlene Pavlos, Director Bureau of Community Health and Prevention

PolicyAn Act to Reduce Gun Violence

Mandatory SP Training in schoolsM.D. Training in means reductionHarm reduction in Gun safety courseData collection and analysisMaterial for consumers at gun dealersTask force to protect good samaritans

Valor Act 2 – referrals for veterans at hospitals