1. Connecticut and National Suicide Data: For General Audiences Robert H. Aseltine, Jr., PhD, Professor Sara Wakai, PhD, Assistant Professor, University of Connecticut Health Center Prepared for CTSAB Annual Meeting September 26, 2013

2. Data Sources Official Statistics: – Office of the Chief Medical Examiner (OCME), State of Connecticut – National Vital Statistics Reports (CDC) Hospital Data: – Connecticut Hospital Inpatient Discharge Database (CT DPH)

3. Data Sources Survey Data: Behavior Survey (CDC) – Youth Risk Behavior Survey (CDC) – National Survey on Drug Use and Health (SAMHSA)

4. The National and Connecticut Overview (2010) 38,364 Suicides in U.S. 1.6 Percent of All U.S. Deaths 10 th Leading Cause of U.S. Deaths 342 Suicides in Connecticut in 2010 CT Ranked 45 out of 50 states Source: McIntosh, J. L., & Drapeau, C. W. (AAS, 2012), OCME

5. Deaths by Suicide Office of the Chief Medical Examiner (OCME), State of Connecticut National Vital Statistics Reports (CDC)

6. Average Number of Suicides In CT Per Year 2004-2012 Average Total: 300 (SD= 48.1) Range: 250 (2007) to 367 (2011) Average Female: 65 (SD= 17.8) Average Male: 235 (SD= 31.2) Source: OCME

7. Number of Suicides In CT by Year 2004 - 2012 Source: OCME

8. Connecticut Suicide Rate by Age 2012 Rate: Per 100,000 Source: OCME, DPH

9. Connecticut Suicide Rate by Race 2012 Rate: Per 100,000 Source: OCME, DPH

10. Number of Suicides by Month 2004 and 2012

11. Number & Rate of Suicide by CT County 2012 CountynPopulationRate/100,000 Middlesex26166,04315.7 Litchfield27188,78914.3 Windham14118,15111.9 Tolland17152,50711.2 Hartford99894,70511.1 New London30273,50211.0 New Haven69861,1138.0 Fairfield69925,8997.5 Total3513,580,7099.8 Rate: Per 100,000 Source: OCME, DPH

12. Hospitalization for Self-Injury CT Hospital Inpatient Discharge Database (DPH)

13. Source: CT HIDD (DPH)

14. Rate: Per 100,000 Source: CT HIDD, DPH

15. Comparing Rates of Suicide to Hospitalizations for Self Injury, by CT County (2012) Sources: OCME, CT HIDD (DPH)

16. Age Differences in Rates of Hospitalizations for Self Injury (2012) Sources: OCME, CT HIDD (DPH)

17. Age Differences in Rates of Hospitalizations for Self Injury (2012) Sources: OCME, CT HIDD (DPH)

18. Self-Report Data Youth Risk Behavior Survey (CDC) National Survey on Drug Use and Health (SAMHSA)

19. 2011 Youth Risk Behavior Survey Results Percent of students who felt sad or hopeless almost every day for two plus weeks in a row, past 12 months

20. 2011 Youth Risk Behavior Survey Results Percent of students who seriously considered attempting suicide during the past 12 months Source: CDC

21. 2009 Youth Risk Behavior Survey Results Percent of students who made a plan about how they would attempt suicide during the past 12 months Source: CDC

22. 2011 Youth Risk Behavior Survey Results Percent of students who actually attempted suicide one or more times during the past 12 months Source: CDC

23. 2009 Youth Risk Behavior Survey Results Percent of students who made a suicide attempt during the past 12 months that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse Source: CDC

24. Youth Risk Behavior Survey Results: US Percent of students who seriously considered attempting suicide during the past 12 months (1991 – 2011) Source: CDC

25. Youth Risk Behavior Survey Results: US Percent of students who attempted suicide during the past 12 months (1991 – 2011) Source: CDC

26. Suicidal Thoughts and Behavior Among Adults (2008-2009) Thought Plan Attempt Percent 95% CI Percent 95% CI Percent 95% CI US3.7(3.5-3.9)1.0(0.9-1.1).5 (0.4-0.5) CT4.3(3.2-5.8)1.2(0.6-2.3)1.0(0.5-1.9) Source: CDC, MMWR 2011

27. Suicidal Thoughts Among Adults, by Gender (2008-2009) Male Female Percent95% CI Percent95% CI US 3.5(3.2-3.8)3.9(3.7-4.2) CT 4.6(2.7-7.7)4.0(2.6-6.3) Source: CDC, MMWR 2011

28. Suicidal Thoughts Among Adults, by Race (2008-2009 ) White Black Hispanic Percent 95% CI Percent 95% CI Percent 95% CI US 3.9 (3.7-4.1) 3.5 (3.1-4.0) 3.0(2.6-3.6) CT 4.6(3.2-6.6).8(.3-2.5)6.3(3.0-12.7) Source: CDC, MMWR 2011

29. Suicidal Thoughts and Behavior Among Adults by Age (2008-2009) 18-29 Years 30+ Years Percent95% CIPercent95% CI US5.7(5.4-6.0)3.1(2.9-3.4) CT6.2(3.6-10.5)3.8(2.5-5.9) Source: CDC, MMWR 2011

30. Acknowledgements We are grateful to the Office of the Chief Medical Examiner (OCME), State of Connecticut and the CT Department of Public Health for assistance in obtaining data for this presentation.

31. Contact Information Robert H. Aseltine, Jr., PhD Professor, Division of Behavioral Sciences and Community Health Director, Institute for Public Health Research University of Connecticut Health Center 263 Farmington Avenue, MC 3910 Farmington, CT 06030-3910 Tel: (860) 679-3282 aseltine@uchc.edu Sara Wakai, PhD Assistant Professor, Department of Medicine Division of Public Health and Population Sciences University of Connecticut Health Center 270 Farmington Ave Suite 262- MC6210 Farmington, CT 06032 Phone: 860-679-5503 swakai@uchc.edu