1. Suicide Prevention Data Workgroup Feb 23, 2012 Santa Clara County Mental Health Department (SCCMHD) Suicide Prevention Program

2. Agenda Partnership with Medical Examiner/Coroner’s Office Suicide Data 2009 - 2010 Methodology Employed Factors Impacting Suicide Data Analysis Results Discussion and Next Steps

3. Methodology Employed Redacted data received from coroner’s office Data entry from case reports Data modification & preparation for analysis SPSS Version 19.0 used to analyze the data Objective was to establish bottom-line

4. Factors Impacting Suicide Demographic Factors – Gender – Age – Race / Ethnicity – Martial Status When? – Time of year – Time of day Means of death Where? – City of Residence – Place of Death History – Mental Health Diagnosis – Drug/Alcohol Usage – Suicidal Communication – Prior Attempts – Physical Health Employment

5. Suicides 2009 – 2010 By Gender FemaleMaleTotal Number% % Year20094228.0%10872.0%150 20103423.0%11477.0%148 Suicide Rate 2010= 8.22 Per hundred Thousand

6. Percentage of Suicides 2009 – 2010 by Age Category

7. Percentage of Suicides 2009 – 2010 by Race/Ethnicity

8. Ethnicity: Options in QPR Module African American Alaska Native American Indian Asian Indian Chinese Filipino Guamanian or Chamorro Hispanic Japanese Korean Native Hawaiian Other Other Asian/Pacific Islander Samoan Vietnamese White

9. 2009 versus 2010 Suicides by Marital Status

10. Percentage of Suicides 2009 – 2010 by Marital Status/Relationships

11. Suicides 2009 – 2010 by Month

12. Suicides 2009 – 2010 by City

13. Suicides 2009 – 2010 by Location or Circumstances

14. Suicides 2009 – 2010 by Means of Death

15. Suicides 2009 – 2010 by Mental Health Condition

16. Percentage of Suicides 2009 – 2010 by Drug & Alcohol Usage

17. Suicides 2009 – 2010 by Suicidal Communication written note no communication

18. Percentage of 2009 – 2010 Suicides by Prior Attempts

19. Status of Treatment Received 2009 2010 TotalFemaleMaleTotal Treatment Number % Yes08132114.2% Yes and in support group 00110.7% extensive left over meds - not taking them 00110.7% medical record00110.7% No06172315.5% refused treatment01010.7% Unknown150198110067.6% Total15034114148100.0%

20. Discussion What further analysis is desired? Are there other variables or factors that should be studied? Who should see this report; who should it be distributed to? What should be done with recommendations? Define possible options for major variables? What else?

21. Next Steps Reviewing 2011 data case reports

22. Contact Information Victor Ojakian Chair, Suicide Prevention Oversight Committee Victor.Ojakian@hhs.sccgov.org Phone: (408)569-3933

23. Data Workgroup Contacts Shashank Joshi, MD Co-Chair svjoshi@stanford.edu Phone: 650/ 725-7924 ________________________________________________________________ Elena Tindall Suicide Prevention Coordinator Elena.Tindall@hhs.sccgov.org Phone: (408) 793-5843 Jo Coffaro Co-Chair jcoffaro@hospitalcouncil.net Phone: (916) 296-7363 ______________________________________________________________ Anita Mukherjee, Ed.D. Suicide Prevention Associate Anita.Mukherjee@hhs.sccgov.org Phone: (408) 793-5864