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Numerator

Number of deaths due to suicide (ICD-10 codes *U03, X60-X84, Y87.0)

Denominator

Number of persons

Methodology

Suicide is an important public health problem. In the United States, decisions about whether deaths are listed as suicides on death certificates are usually made by a coroner or medical examiner. The definition of suicide is "death arising from an act inflicted upon oneself with the intent to kill oneself." ICD-9 codes: E950-E959. ICD-10 codes: *U03, X60-X84, Y87.0.

Suicides may be undercounted because of difficulty in the determination of suicidal intent by coroner or medical examiner.

Estimates based on fewer than 20 deaths are considered unreliable and are not displayed.

FOR SINGLE DATA YEARS: Death rates are calculated based on the resident population of the United States for the data year involved. For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

FOR MULTIPLE DATA YEARS: Death rates are calculated based on the sum of the resident populations for each of the data years involved (e.g. the denominator of a rate for 2008-2010 combined is the sum of the population estimates for 2008, 2009, and 2010). For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

At the National level this Indicator uses Age-Adjustment Groups:

  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+

Trend Issues

Mortality data by marital status were not available for 60% of Georgia’s records in 2008 and 94% of Georgia’s records in 2009. Therefore, 2008 and 2009 data by marital status should be interpreted with caution.

Caveats

Suicide is not a recordable cause of death for persons less than five years old

References

Anderson, R.N.; Minino, A.M.; Hoyert, D.L.; Rosenberg, H.M.; Comparability of cause of death between ICD-9 and ICD-10: Preliminary estimates. National Vital Statistics Reports. Vol. 49 No.2. Hyattsville, MD: National Center for Health Statistics, 2001.

Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002.

Interventions

Screening and Treatment for Major Depressive Disorder in Children and Adolescents

The USPSTF recommends screening of adolescents (12-18 years of age) for major depressive disorder (MDD) when systems are in place to ensure accurate diagnosis, psychotherapy (cognitive-behavioral or interpersonal), and follow-up.

Collaborative Care for the Management of Depressive Disorders

Collaborative care aims to increase primary care providers' knowledge and skills, improve client understanding and awareness of depressive disorders, and to reorganize the system of care into an optimal environment for management of depression and depressive disorders.

Interventions to Reduce Depression Among Older Adults: Clinic-based Depression Care Management

Clinic-based depression care management involves: active screening for depression; measurement-based outcomes; case management; and, education, antidepressant treatment and/or psychotherapy, and a supervising psychiatrist.

Interventions to Reduce Depression Among Older Adults: Home-based Depression Care Management

Home-based depression care management involves screening, measurement-based outcomes, care managers, case management, education, and a supervising psychiatrist.

Reducing Psychological Harm from Traumatic Events: Cognitive-behavioral Therapy for Children and Adolescents (Individual & Group)

Cognitive-behavioral therapy (CBT) is used to reduce psychological harm among children and adolescents who have psychological symptoms resulting from exposure to traumatic events.