1. Promoting Independence in Agriculture AANTWStressDepressionSuicide10.3107.ppt (Rev. 10.1807b)

2. Promoting Independence in Agriculture Signs & Symptoms of Stress, Depression, & Suicidal Thinking in Farm/Ranch Families & What to Do October 31, 2007, 1:45-3:15, Sacramento, CA By Robert J. Fetsch, Ph.D., Extension Specialist, Human Development & Family Studies Colorado State University Director, Colorado AgrAbility Project

3. Promoting Independence in Agriculture

4. Farming and Ranching are among the most dangerous occupations in the U.S. HANDOUT: Farm and Ranch Family Stress and Depression: A Checklist and Guide for Making Referrals

5. Promoting Independence in Agriculture What do you think the leading external causes of death on Colorado ranches/farms have been?

6. Promoting Independence in Agriculture What do you think the leading external causes of death on Colorado ranches/farms have been? 1) Suicide 2) Animals 3) Tractors

7. Promoting Independence in Agriculture Farming and Ranching are among the most dangerous occupations in the U.S. Historically, the leading external cause of death on Colorado farms and ranches has been: 1) suicide, 2) animal incidents, and 3) tractor rollovers (1). (1) T. Daniels (personal communication, August 22, 2000).

8. Promoting Independence in Agriculture Farming and Ranching are among the most dangerous occupations in the U.S. Between 2000 and 2004 the external cause of death for one out of five Colorado farmers and ranchers who died was suicide. Source: K. Bol, e-mail communication, October 20, 2005, Health and Statistics Section of Colorado Department of Health and Environment.

9. Promoting Independence in Agriculture Farming and Ranching are among the most dangerous occupations in the U.S. Colorado ranked 7 th in U.S. for all suicides @ 16.0/100,000 in 2003. (1) U.S. suicide rate was 10.7/100,000 in 2004. (2) Sources: (1) National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006 http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf (2) National Vital Statistics Reports, Vol. 54, No. 19, June 28, 2006 http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_19.pdf

10. Suicide rates per 100,000 population by state and US Source: Retrieved April 5, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

11. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

12. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

13. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

14. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

15. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

16. Suicide rates per 100,000 population by state and US Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

17. Suicide rates per 100,000 population by state and US Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

18. Suicide rates per 100,000 population by state and US Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

19. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

20. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

21. Suicide rates per 100,000 population by state and US Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html

22. Promoting Independence in Agriculture Suicide Death Rates, United States, 2003

23. Promoting Independence in Agriculture Suicide Death Rates, United States, 2004

24. Promoting Independence in Agriculture STATENUMBER of SUICIDESRATE Wyoming10921.7 Montana18019.6 Nevada43419.4 Alaska12419.1 New Mexico34318.3 Oregon59216.6 Colorado72816.0 Idaho21715.9 Arizona84015.1 West Virginia26614.7 Utah33614.3 * National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006 http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf 2003 U. S. Suicide Rate by State Top Quintile

25. Promoting Independence in Agriculture STATENUMBER of SUICIDESRATE Alaska15523.6 Montana17518.9 Nevada44018.9 New Mexico35618.7 Wyoming8817.4 Colorado79717.3 Idaho23616.9 West Virginia28515.7 Utah37715.6 Oregon55515.5 Arizona88015.3 * National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006 http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf 2004 U. S. Suicide Rate by State Top Quintile

26. National Institute of Mental Health Current Suicide Rates in U. S.

27. Promoting Independence in Agriculture Men aged between 35-54 years account for 50% of suicides between 1999-2002. (1) Every 11 days another Coloradoan dies from a completed suicide. (2) (1)Retrieved October 24, 2005 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.htmlhttp://webapp.cdc.gov/sasweb/ncipc/mortrate.html (2)Retrieved October 24, 2005 from http://www.suicideresourcecenter.org/about.htmhttp://www.suicideresourcecenter.org/about.htm Western Mountain States have the highest suicide death rates.

28. Promoting Independence in Agriculture Western Mountain States have the highest suicide death rates. The risk of suicide death increases among older men and is especially high for 75 years plus. Most are white and not married.

29. Promoting Independence in Agriculture What are risk and protective factors? Unemployment and job loss (risk) Living alone (risk) Recent Hispanic immigration (protective) Colorado Trust, 2002, pp. 66-67.

30. Promoting Independence in Agriculture What are common predictors of suicide? Source: Colorado Trust, 2002, p. 8 Being an older, white male with risk increasing with age—1/2 suicide deaths are by white males 35 years+. Work problems, unemployment—1/3 who commit suicide are unemployed at the time of their death.

31. Promoting Independence in Agriculture Farming and Ranching are among the most dangerous occupations in the U.S. HANDOUT: Farm and Ranch Family Stress and Depression: A Checklist and Guide for Making Referrals

32. Promoting Independence in Agriculture How do I find resources for depression? HANDOUT: Take advantage of the resources on the AgrAbility Resource List.

33. Promoting Independence in Agriculture How do I find resources for depression? Call 1-800-SUICIDE 24 x 7 for a live trained person to talk with and to find local resources.

34. Promoting Independence in Agriculture How do I find resources for depression? To find Marriage & Family Therapists, http://therapistlocator.net To find Colorado counselors & therapists, https://www.doradls.state.co.us/alison.php

35. Promoting Independence in Agriculture Be careful out there. Take good care of yourselves!

36. Promoting Independence in Agriculture Thank you very much!

37. Promoting Independence in Agriculture U.S. Suicide Statistics (2004) Breakdown by Gender / Ethnicity / Age Groups All Ages CombinedElderly (65+ yrs)Youth (15-24 yrs) Group Number of Suicides Rate of Suicide Elderly Suicides Elderly Suicide Rate Youth Suicides Youth Suicide Rate Nation32,43911.15,19814.34,31610.4 Men25,56617.74,39729.03,59616.8 Women6,8734.68013.87203.6 Whites29,25112.34,92415.43,61011.0 Nonwhites3,1885.82746.27067.9 Blacks2,0195.21484.84657.2 White Men23,08119.64,18031.13,01617.9 White Women6,1705.17444.05943.8 Nonwhite Men2,4859.321712.458012.8 Nonwhite Women7032.4572.21262.8 Black Men1,6559.013411.339612.2 Black Women3641.814*0.7692.2