1. Florida Linking Individuals Needing Care (FL LINC)

2. Suicide is a Major Concern in Florida Florida’s suicide rate higher than national average (13.8 vs. 12.93 per 100,000) Overall number of suicides has increased 24% over last ten years Suicide is 3 rd leading cause of death among youth (ages 10-24) Suicide is the 2 nd leading cause of death among young adults (ages 25-34) Florida Department of Health Vital Statistics, 2014 CDC WISQARS Fatal Injury Data, 2014

3. Youth Suicide Rates Florida: 7.4 per 100,000 National: 8.51 per 100,000 19 Florida counties above national rate Florida Department of Health Vital Statistics, 2014 CDC WISQARS Fatal Injury Data, 2014

4. Youth Suicide Rates 280 children/youth died by suicide in Florida in 2014 One life lost every 32 hours Florida Department of Health Vital Statistics, 2014

5. Youth Suicide Attempts 4,752 ED visits for suicide attempts 1,909 hospitalizations for suicide attempts Florida Department of Health Florida Injury Surveillance System, 2013

6. Unreported Suicide Attempts Many suicide attempts do not end in death or serious injury YRBSS – Youth risk behavior data Youth Risk Behavior Surveillance System Division of Adolescent and School Health, CDC

7. 2013 Florida YRBSS Data In previous 12 months: Seriously considered suicide – 13.9% Planned how they would attempt suicide – 10.4% Attempted suicide one or more times – 7.7% Attempt resulting in medical treatment – 2.7 % Youth Risk Behavior Surveillance System, 2013 Division of Adolescent and School Health, CDC

8. Un-treated or Under-treated mental health is the major risk factor for suicide Of those who die from suicide, more than 90 percent have a diagnosable mental disorder An estimated 2-15 % of persons who have been diagnosed with major depression die by suicide estimated 3-20% of persons who have been diagnosed with bipolar disorder die by suicide

9. Suicide risk highest in depressed individuals: ◦ who feel hopeless about the future, ◦ those who have just been discharged from the hospital, ◦ those who have a family history of suicide ◦ those who have made a suicide attempt in the past. ** Most who attempt suicide have seen a health care or social service professional in past 3 months

10. Mental Health In Pregnant Women And New Mothers Suicide accounts for up to 20% of maternal deaths Perinatal women who die by suicide: ◦ Depression is the leading diagnosis ◦ Is mostly un-treated despite contact with healthcare professionals ◦ Use more lethal means than non-pregnant women ◦ Occasionally kill their infant as well ◦ Significantly more likely to abuse and neglect child

11. Suicide Prevention Funding in Florida A group of researchers have applied for funding to help with the problem Funding is typically 85% service provision

12. History of Suicide Prevention Efforts in Florida 2007: Suicide prevention efforts began in Albuquerque, New Mexico 2007: Discussions with SOSP Director to address suicide rates in Florida & past attempts to apply for state funding Jason Foundation

13. History of Suicide Prevention Efforts in Florida 2008-2011: USF awarded 1.5 million through SAMHSA to pilot test multi-component suicide prevention program in Duval County, Florida 2011-2014: USF awarded additional 1.44 million through SAMHSA to expand implementation of the state suicide prevention plan into 3 Florida regions Garret Lee Smith (GLS) grant Substance Abuse and Mental Health Services Administration (SAMHSA)

14. Youth Suicide Prevention Efforts in Florida TODAY ! 2014-2019: USF (in partnership with SOSP, FCCMH, UCF) awarded funding through SAMHSA (3.68 million) to further expand implementation of the state suicide prevention plan into various regions in FL Garret Lee Smith (GLS) grant Substance Abuse and Mental Health Services Administration (SAMHSA)

15. Purpose of FL LINC Project Key Aims (1) Gatekeeper training (2) Care coordination services (3) Youth coping skills enhancement (4) Family training (5) MHP skill development (6) Postvention training for school settings

16. Advancing Suicide Prevention Efforts through Data & Surveillance

17. Surveillance as a Priority Surveillance ◦ Ongoing, systematic collection, analysis, interpretation, and dissemination of data about a health-related event for use in public health action to reduce morbidity and to improve health ◦ SAMHSA Priority

18. Surveillance as a Priority Existing Data Collection Florida Injury Surveillance System - Vital Records (Death Certificates) - Hospital Discharge Data - Emergency Department Discharge Data Limited to hospital reported attempts obtained by suicidal injuries Many systems/agencies may already collect and use this data, but without an integrated system to share data

19. Why is Surveillance So Important? Suicide prevention and intervention work is greatly informed by data and surveillance! Data collection and sharing promotes: ◦ Understanding the problem ◦ Assessing impact of existing services ◦ Identification of gaps/barriers ◦ Identification of areas to target efforts ◦ Effective use of funds

20. How the Children’s Cabinet Can Help! Advocate for state-level change ◦ Create data surveillance task force Identify state-level partners ◦ Pursue future federal surveillance funding Advocate for improved surveillance ◦ Pool multiple sources ◦ Use data to guide prevention/intervention efforts

21. Thank you!! Heather A. Flynn, PhD Department of Behavioral Sciences and Social Medicine Florida State University College of Medicine For further information contact: Mike Hansen, Florida Council for Community Mental Health mike@fccmh.org -or- Kim Gryglewicz, PhD, University of Central Florida kgryglew@ucf.edu