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Paradise Lost: Suicide Behaviors of Adolescents and Young Adults in Hawaii Compared to the Mainland U.S., 1994-1998

Paradise Lost: Suicide Behaviors of Adolescents and Young Adults in Hawaii Compared to the Mainland U.S., 1994-1998. Chris Hanna C h i l d r e n ’s S a f e t y N e t w o r k Maternal and Child Health Bureau Health resources and Service Administration. Methods.

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Paradise Lost: Suicide Behaviors of Adolescents and Young Adults in Hawaii Compared to the Mainland U.S., 1994-1998

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  1. Paradise Lost: Suicide Behaviors of Adolescents and Young Adults in Hawaii Compared to the Mainland U.S., 1994-1998 Chris Hanna C h i l d r e n ’s S a f e t y N e t w o r k Maternal and Child Health Bureau Health resources and Service Administration

  2. Methods • Descriptive analysis of suicidal behaviors for 1994-1998 using available Internet resources • Web-based Injury Statistics Query and Reporting System • Data gathered to assist in the delivery of technical assistance and program planning to focus MCH and other program resources

  3. Definitions • Adolescents and young adults (10-24 years) • Suicide ICD 9 (950-959.9) • 5 Years (1994-1998) • Mainland (49 states) and Hawaii • All rates per 100,000 • 95% confidence limits

  4. Hawaii 10-24 Demographics • Native Hawaiians 20% • Chinese 10% • Japanese 26% • Filipino 18% • Vietnamese 2% n = 224,223

  5. Suicide as a Public Health Problem • Third leading cause of death of 15-24 year olds in U.S. • Second leading cause of death of 15-24 year olds in HI • Suicide accounts for 7.3% YPLL (15,713 year) • HI ranks 35th in 10-24 year old suicide deaths in US • .4% of U.S. population and .4% of U.S. suicides

  6. Suicide by Age Group

  7. Suicide by Year 10-85+

  8. HI Youth Risk Behavior Surveillance, 1999 • During the previous students reported during the previous 12 months: • 32% felt sad or hopeless for 2 weeks (28%) • 19% seriously considered suicide (females 24.9%)(15%) • 10% attempted suicide (8%) • 4% attempted suicide resulting in injury (2%) • BOLD---National averages • Youth Risk Behavior Surveillance System, CDC

  9. Cost of Completed and Medically Treated Youth Suicides In Hawaii, Ages 0 to 20, 1996 • Medical$ 5,000,000 • Future earnings$16,000,000 • Quality of life $68,000,000 • TOTAL$89,000,000 Compiled by: Children's Safety Network (CSN) Economics and Insurance Resource Center, at the Pacific Institute for Research and Evaluation (PIRE).

  10. Suicide Rates by Ageconfidence limits shown

  11. Suicide by Raceconfidence limits shown

  12. Suicide by Genderconfidence limits shown

  13. Suicide by Methodconfidence limits shown

  14. Suicide by Suffocation • Suffocation (ICD-9) 953 Suicide and self inflicted injury by hanging, strangulation, and suffocation • Most hanging 91-95% • n=51

  15. Suicide by SuffocationRace

  16. Suicide by Suffocation Gender

  17. n= 33 deaths (2.7 rate) Age 10-19 13 20-24 20 Race A/PI 25 (75%) 3.4 A/PI US 2.7 Gender Males 27 (81%) Honolulu County 25 (75%) Firearm type 29 “other and unspecified firearms” (88%) HI Suicide by Firearm

  18. Limitations • Collapsing categories based on small numbers for limited number of years • Limited to death and basic demographic data

  19. Conclusions • Using data bases on the Internet can be used to identify universal, selected, and targeted populations for interventions • CSN is a partner to assist in integrating interventions into MCH and other programs for adolescents and young adults. • Each state may have unique aspects to addressing suicide prevention.

  20. Need for Continuing Research and Surveillance • Factors Influencing Suicide Methods in Hawaii • Hawaii's gun sales laws are among the strongest in the country • No single majority ethnic group and high rate of cultural interaction

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