1. OHIO DEPARTMENT OF HEALTH Gun Violence in Ohio: Findings from the Ohio Violent Death Reporting System (OH-VDRS)

2. Purpose of NVDRS According to CDC, more than 50,000 people die from acts of violence, each year in the US. Of those 50,000 deaths, 32,000 are suicides and 18,000 are homicides In 2002, CDC implemented the National Violent Death Reporting System(NVDRS) NVDRS collects risk factors on all deaths from violence, specifically suicides, homicides and unintentional firearm, legal intervention, terrorism and undetermined intent.

3. NVDRS Implementation By 2006, had 17 states: Alaska, California (3 sites) Colorado, Georgia, Kentucky, Maryland, Massachusetts, New Jersey, New Mexico, North Carolina, Oklahoma, Oregon, Rhode Island,South Carolina, Utah, Virginia and Wisconsin. California dropped out In 2010, added 2 more states: Michigan and Ohio

4. Data Sources Required Data Sources  Death certificate  Coroner/Medical Examiner’s records  Law enforcement Reports Additional Data Sources  Crime lab reports  Child Fatality Review (CFR) data  Court documents

5. CDC Requirements For OH-VDRS CDC has time deadlines for entry of Primary Sources Death Certificate (within 6 months after date of death) Coroner Report (within 18 months after date of death) Police Report (within 18 months after date of death)

6. CDC Categories for Collected Variables Incident Information Personal Information Death Certificate Variables Coroner/Medical Examiner Variables Toxicology Variables Weapon Variables Circumstance Variables

7. Delaware Madison Union Licking Fairfield Pickaway Fayette Clark Champaign Logan Hardin Allen Hancock Wyandot Marion Crawford Huron Richland Ashland Morrow Knox Coshocton Tuscarawas Carroll Harrison Belmont Guernsey Muskingum Monroe NoblePerry Morgan Washington Athens Hocking Meigs Gallia Vinton Jackson Lawrence Scioto Adams Pike Ross Highland Shelby Miami Montgomery Greene Darke Preble Mercer Auglaize Van Wert Paulding Defiance Williams Putnam Henry Fulton Wood Lucas Ottawa Sandusky Seneca Erie Lorain Cuyahoga Medina Wayne Holmes Lake Geauga Ashtabula Trumbull Portage Summit Stark Mahoning Columbiana Jefferson Clinton Brown Clermont Warren Butler Hamilton Franklin Ohio Violent Deaths by County, 2010 – Data Phase-In 1 30 Year 1 - 2010 (66%) Year 2 - 2011 (85%) Year 3 - 2012 (100%) 5 15 23 14 12 3 3 24 18 214 2 339 1 5 6 7 11 14 10 8 22 63 13 3 2 10 8 5 21 106 3 9 6 4 6 4 4 9 169 20 6 11 5 5 1 19 7 5 15 28 13 39 10 28 4 8 3 7 4 7 7 23 12 55 2 10 275 34 10 37 21 75 113 1 4 4 8 1 3 7 11 19 5 7 56 27 1 Includes homicides, suicides and deaths from undetermined intent, unintentional firearms, legal intervention. There were no terrorism-related deaths in 2010.

8. OH-VDRS Data, 2010-11

9. Firearm-Related Violent Deaths by Violent Death Type, Ohio, 2010-11

10. Firearm-Related Violent Deaths by Age and Sex, Ohio, 2010-11

11. Firearm-Related Violent Deaths by Race/Ethnicity and Sex, Ohio, 2010-11

12. Firearm-Related Violent Deaths Rates by Race/Ethnicity and Sex, Ohio, 2010-11

13. Firearm-Related Violent Deaths by Location, Ohio, 2010-11 Injury LocationMaleFemaleTotalPercent House/Apartment 1,3942531,647 70.6% Street/Road 1769185 7.9% Natural Area 38846 2.0% Parking Lot/Garage 37138 1.6% Motor Vehicle 88896 4.1% Bar/Nightclub 170 0.7% Park/Playground 29635 1.5% Unknown 48755 1.5% Other 19619215 9.2%

14. Firearm-Related Suicides

15. Suicide Age-Specific Rates by Sex, Ohio, 2010-11 *Rates are suppressed for counts less than 10. Male – 1,253 Female – 174 Total – 1,431

16. Suicide Demographics by Race/Ethnicity and Sex, Ohio, 2010-2011 Rates are suppressed for counts less than 10. Male – 1,253 Female – 174 Total – 1,431

17. Percentage of Suicides with Mental Health Circumstance by Sex, 2010-11, OH-VDRS 1 Denominator contains only suicides with known circumstances restricted to year1 and year 2 counties Male – 759 Female – 111 Total – 870

18. Percentage of Suicides with Life Stressor Circumstance by Sex, 2010-11, OH-VDRS 1 1 Denominator contains only cases with known circumstances for year 2 counties. Male – 759 Female – 111 Total – 870

19. Percentage of Suicides with Suicide Event Circumstance by Sex, 2010-11, OH-VDRS 1 Denominator contains only suicides with known circumstances for year one and year two counties. Male – 759 Female – 111 Total – 870

20. Percentage of Suicides with Positive Toxicology Results by Sex, 2010-11, OH-VDRS 1 Denominator contains only cases with toxicology results for year two counties. Male – 792 Female – 115 Total – 907

21. Firearm-Related Homicides

22. Homicide Demographics, OH-VDRS, 2010-11: Age-Specific Rates *Rates are suppressed for counts less than 10. Male – 688 Female – 129 Total – 817

23. Homicide Demographics, OH-VDRS, 2010-11 1 : Race/Ethnicity Rates are suppressed for counts less than 10. Male – 688 Female – 129 Total – 817

24. Percentage of Homicides with Crime-Related Circumstance by Sex, 2010-11, OH-VDRS 1 Denominator contains only cases with known circumstances for year one and year two counties. Male – 518 Female – 85 Total – 604

25. Percentage of Homicides with Arguments and Conflicts Circumstance by Sex, 2010-11, OH-VDRS 1 Denominator contains only cases with known circumstances for year two counties. Male – 518 Female – 85 Total – 604

26. Percentage of Homicides with Positive Toxicology Results by Sex, 2010-11, OH-VDRS Male – 611 Female – 94 705

27. 2010 OH-VDRS Report First annual report of the OH-VDRS Detailed characteristics and circumstances associated with violent deaths in Ohio Data captured include information from death certificates, coroners’ reports as well as law enforcement reports Website: http://www.healthy.ohio.g ov/en/vipp/ohvdrs.aspx http://www.healthy.ohio.g ov/en/vipp/ohvdrs.aspx

28. 2011 OH-VDRS SURVEILLANCE REPORT 6 Major Sections Violent Deaths Suicides Homicides Undetermined Deaths Firearm Related Deaths Merged Incidents Subsections Demographics Methods Locality Circumstances Toxicology Focus on Year 2 counties

29. Additional Analyses/Special Reports Poisoning deaths Suicides among veterans Suicides among the elderly Homicides and Intimate Partner Violence

31. Future Directions 2014 budget increased NVDRS funding to $11 million Potential for significant increase in participation of states

32. Questions?