1. Ohio Department of Health Violence in Ohio: 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. CDC Categories for Collected Variables Incident Information Personal Information Death Certificate Variables Coroner/Medical Examiner Variables Toxicology Variables Weapon Variables Circumstance Variables Hospital Variables

4. 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.

5. OH-VDRS DATA

6. Number of Violent Death Incidents by Incident Type, 2010

8. Violent Deaths Demographics, OH-VDRS, 2010

10. OH-VDRS by Method, 2010

11. SUICIDES OH-VDRS Data

12. Suicide Demographics, OH-VDRS, 2010: Age-Specific Rates Rates are suppressed for counts less than 10.

13. Suicide Demographics, OH-VDRS, 2010: Race/Ethnicity Rates are suppressed for counts less than 10.

14. Suicide Methods by Sex, 2010

15. OH-VDRS Year One Counties by County of Death— Suicides, 2010 County of ResidenceDeathsPopulationCrude RateAge-Adjusted Rate Butler 5136323014.013.1 Cuyahoga 135126945510.6 Franklin 141115994712.212.3 Hamilton 8885534010.310.1 Lorain 3830509712.511.7 Lucas 5446179211.7 Mahoning 232345329.819.65 Montgomery 9253218117.317.1 Stark 6437779316.916.2 Summit 5954136010.910.4 Trumbull 3720811917.816.0 Union 74916514.2- Total 789635801112.412.1 Rates are suppressed for counts less than 10.

16. Percentage of Suicides with Mental Health Circumstance by Sex, 2010, OH-VDRS 1 1 Denominator contains only cases with known circumstances in year one counties.

17. Percentage of Suicides with Life Stressor Circumstance by Sex, 2010, OH-VDRS 1 1 Denominator contains only cases with known circumstances for year one counties.

18. Percentage of Suicides with Suicide Event Circumstance by Sex, 2010, OH-VDRS 1,2 1 Denominator contains only cases with known circumstances for year one counties.

19. Percentage of Suicides with Positive Toxicology Results by Sex, 2010, OH-VDRS 1

20. HOMICIDES OH-VDRS Data

21. Homicide Demographics, OH-VDRS, 2010: Age-Specific Rates Rates are suppressed for counts less than 10.

22. Homicide Demographics, OH-VDRS, 2010: Race/Ethnicity Rates are suppressed for counts less than 10.

23. Homicide Methods by Sex, 2010

24. OH-VDRS Year One Counties by County of Death and Sex — Homicides, 2010 County of ResidenceDeathsPopulationCrude RateAge-Adjusted Rate Butler 103632302.752.89 Cuyahoga 9512694557.487.64 Franklin 11311599479.749.37 Hamilton 778553409.009.24 Lorain 5305097-- Lucas 254617925.415.37 Mahoning 222345329.3810.14 Montgomery 465321818.648.86 Stark 123777933.183.55 Summit 275413604.995.43 Trumbull 4208119-- Union 049165-- Total 43663580116.867.01 Rates are suppressed for counts less than 10.

25. Percentage of Homicides with Crime-Related Circumstance by Sex, 2010, OH-VDRS 1 1 Denominator contains only cases with known circumstances for year one counties.

26. Percentage of Homicides with Arguments and Conflicts Circumstance by Sex, 2010, OH-VDRS 1 1 Denominator contains only cases with known circumstances for year one counties.

27. Percentage of Homicides with Positive Toxicology Results by Sex, 2010, OH-VDRS 1,2 1 Denominator contains only cases with known circumstances for year two counties. 2 These results are based on preliminary data and may change upon final ICD10 coding and abstractor confirmation, as of 04-15-2013

28. UNDETERMINED OH-VDRS Data

29. Undetermined Deaths Demographics, OH-VDRS, 2010: Age-Specific Rates Rates are suppressed for counts less than 10.

30. Undetermined Death Demographics, OH-VDRS, 2010

31. Undetermined Deaths Methods by Sex, 2010

32. OH-VDRS Year One Counties by County of Death and Sex — Undetermined Deaths, 2010 Rates are suppressed for counts less than 10. County of ResidenceDeathsPopulationCrude RateAge-Adjusted Rate Butler 6363230** Cuyahoga 2212694551.731.75 Franklin 4711599474.05 Hamilton 178553401.992.18 Lorain 6305097** Lucas 9461792** Mahoning 4234532** Montgomery 7532181** Stark 3377793** Summit 135413602.42.17 Trumbull 1208119** Union 049165** Total 13563580112.12

33. Percentage of Undetermined Deaths with Mental Health Circumstance by Sex, 2010, OH-VDRS 1 1 Denominator contains only cases with known circumstances in year one counties.

34. Percentage of Undetermined Deaths with Positive Toxicology Results by Sex, 2010, OH-VDRS 1 1 Denominator contains only cases with toxicology results for year one counties.

35. 2010 OH-VDRS SURVEILLANCE REPORT 6 Major Sections Violent Deaths Suicides Homicides Undetermined Deaths Firearm Related Deaths Merged Incidents Subsections Demographics Methods Locality Circumstances (where applicable) Toxicology (where applicable) Focus on Year 1 counties

36. Additional Analyses/Special Reports Poisoning deaths Violent deaths among veterans Elder suicide Violent Deaths and Intimate Partner Violence

37. Additional Data Tables

38. Suicide Demographics, OH-VDRS, 2010

39. Suicide Demographics, OH-VDRS, 2011

40. Homicide Demographics, OH-VDRS, 2010

41. Homicide Demographics, OH-VDRS, 2011

42. Homicide Demographics, OH-VDRS, 2010

43. Homicide Demographics, OH-VDRS, 2011

44. Undetermined Deaths Demographics, OH-VDRS, 2010

45. Undetermined Deaths Demographics, OH-VDRS, 2011

46. Undetermined Deaths Demographics, OH-VDRS, 2010

47. Undetermined Deaths Demographics, OH-VDRS, 2011

48. U.S and Ohio suicide rates 1 per 100,000 and number of homicides, 2000-2011* 1 Age-adjusted Source: CDC WISQARS, National Center for Injury Prevention and Control (accessed 2/11/10)

49. *Source: Ohio Department of Health, Office of Vital Statistics Increase of 54% in black homicide rate from 2000 to 2007 Suicide numbers and rates per 100,000 by year, race, Ohio, 2000-11*

50. U.S and Ohio homicide rates 1 per 100,000 and number of homicides, 2000-2011* 1 Age-adjusted Source: CDC WISQARS, National Center for Injury Prevention and Control (accessed 2/11/10)

51. *Source: Ohio Department of Health, Office of Vital Statistics Increase of 54% in black homicide rate from 2000 to 2007 Homicide numbers and rates per 100,000 by year, race, Ohio, 2000-08*