Selfinflicted injury SII Results from 1 st 6

Why the SII screen? n n 2 nd NEISS screen on SII – 3

Purpose n n To discuss how CDC uses data To show results from 1

Approximate ratio of Suicides to Non-fatal Self. Inflicted Injuries Suicides 30, 000 1: 4

Method Used in Suicide and Self-inflicted Injuries (SII) SII ED Visit data are from

SII Results n 1 st 6 weeks June 1 – July 12, 2004 u

SII Results: Age and Sex distribution NEISS-AIP, June 1 -July 12, 2004, N=521

SII - Method Used NEISS-AIP, June 1 -July 12, 2004, N=517

SII - Intent NEISS-AIP, June 1 -July 12, 2004, N=519

SII – Risk factors mentioned in patient notes Frequency Percent Previous self-harm 131 25.

SII - Poisonings NEISS-AIP, June 1 -July 12, 2004, N=343

Conclusions + Questions n n Useful and interesting data New national information Intent –

If you have any questions about including a case or about completing the data

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Self-inflicted injury (SII): Results from 1 st 6 weeks Malinda Steenkamp, M. Phil Division of Violence Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention

Why the SII screen? n n 2 nd NEISS screen on SII – 3 pilots (Thank you!) Aims More info - persons with self-inflicted injury presenting to EDs u Identify substances - self-harm poisonings u Track substances over time u Early warning system - emerging problems u To inform more in-depth studies u

Purpose n n To discuss how CDC uses data To show results from 1 st 6 weeks u n (June 1 – July 12, 2004; 521 cases) To discuss problem areas or uncertainties u Intent (coding exercise)

Approximate ratio of Suicides to Non-fatal Self. Inflicted Injuries Suicides 30, 000 1: 4 : 9 : ? SII Admissions 129, 000 SII ED Visits 265, 000 Self-harm not treated – many more SII ED Visit data are from 2000, NEISS-AIP; SII Admissions data are from 1999, NIS-HCUP; Suicide data are from 2000, NCHS Vital Statistics

Method Used in Suicide and Self-inflicted Injuries (SII) SII ED Visit data are from 2000, NEISS-AIP; SII Admissions data are from 1999, NIS-HCUP; Suicide data are from 2000, NCHS Vital Statistics

SII Results n 1 st 6 weeks June 1 – July 12, 2004 u 521 cases u 54% Females u 70% Younger than 40 years u

SII Results: Age and Sex distribution NEISS-AIP, June 1 -July 12, 2004, N=521

SII - Method Used NEISS-AIP, June 1 -July 12, 2004, N=517

SII - Intent NEISS-AIP, June 1 -July 12, 2004, N=519

SII – Risk factors mentioned in patient notes Frequency Percent Previous self-harm 131 25. 1% Depression 316 60. 7% Bipolar disorder 41 7. 9% Anxiety disorder 34 6. 5% Borderline personality 13 2. 5% Hx of alcohol abuse 65 12. 5% Hx of other substance abuse 71 13. 6% Other psychiatric illness 55 10. 6% 152 29. 2% Other risk factor(s) Average per patient 1. 7 NEISS-AIP, June 1 -July 12, 2004, N=521 . .

SII - Poisonings NEISS-AIP, June 1 -July 12, 2004, N=343

Conclusions + Questions n n Useful and interesting data New national information Intent – coding exercise Questions?

If you have any questions about including a case or about completing the data sheet, please feel free to call, email or fax Malinda Steenkamp Tel: 770 -488 -4476 msteenkamp@cdc. gov