142nd APHA Annual Meeting and Exposition

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303080
Witness to Suicide: Using CalEVDRS Data to track public suicides in Los Angeles County in 2010

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Nicolle Perras, MA, MPH , Injury and Violence Prevention Program, Los Angeles County Department of Public Health, Los Angeles, CA
Isabelle Sternfeld, MSPH , Injury and Violence Prevention Program, County of Los Angeles Dept of Public Health, Los Angeles, CA
Introduction

One aspect of suicidal behavior frequently overlooked is that of victims who died by suicide in the presence of another person, regardless of injury mechanism.  We use Los Angeles County (LAC) data entered into the California Electronic Violent Death Reporting System (CalEVDRS) to examine characteristics and precipitating circumstances of suicide victims whose self-inflicted injury was witnessed and resulted in death.

Methods

LAC staff abstracting data into CalEVDRS identified witnessed suicide cases within the narrative of each record.  These cases were then examined to determine the demographics of the victims, the relationship between the victim and the witness(es), and additional circumstances surrounding each death. 

Results

While data entry for 2010 is not yet complete, records have been entered for 511 suicides.  Of these, 19 (4%) were identified as witnessed suicides.  In more than half the cases, the witness(es) did not know the victim.  79% of victims were male, similar to non-witnessed suicides.  Almost all witnessed suicides were White (48%) or Hispanic  (48%), while just 25% of non-witnessed suicides were Hispanic.  While just one witnessed suicide case left a suicide note or reported a history of physical health problem (5%), among non-witnessed cases, over one third left a suicide note and one quarter reported a physical health problem.

Conclusions

Studying these deaths could lend assistance to understanding the impact a witness can have on a suicide.  While witnessed suicides make up only a small portion of all suicides, further information may prove helpful in driving new and/or refining existing prevention efforts.

Learning Areas:

Epidemiology

Learning Objectives:
Identify four variables (demographic or circumstantial) associated with witnessed suicides in Los Angeles County. Describe the similarities and differences between race/ethnicity patterns in witnessed versus private suicides.

Keyword(s): Suicide, Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: For eight years, I have worked as a research analyst for the injury and violence prevention program at the Los Angeles County Department of Public Health. My interests include the interplay between public and mental health, specifically the impact of mental health on chronic disease. I have worked closely with our program epidemiologist on data systems and surveillance activities including the California Electronic Violent Death Reporting System (CalEDVRS) managed by the CA Public Health Department.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.