Epidemiology of suicide in Ottawa Jacqueline Willmore - PowerPoint PPT Presentation

Epidemiology of suicide in Ottawa Jacqueline Willmore Epidemiologist, Ottawa Public Health January 16, 2014

Deaths by suicide, Ottawa Year <25 years 25+ years Total 2008 4 65 69 2009 8 55 63 2010 8 62 70 2011 9 65 74 2012* 9 53 62 Average 7.6 60 67.6 * Preliminary data Data sources: 2008-2009 Office of the Registrar General, 2010-2012 Office of the Chief Coroner 2

Age-adjusted suicide rate, selected countries, 2004 0 10 20 30 Russian 29.9 Japan France Switzerland Sweden Canada 10.1 USA Germany Australia UK 6.3 3 Source: Based on the WHO Mortality Database as of 1 June 2010

Age-adjusted suicide rate, Canada vs. Ontario vs. Ottawa, 1986-2009 16 Rate per 100,000 Population 14.2 14 12.4 Canada 12 10.7 11.7 10 Ontario 8.4 8 6 6.1 Ottawa 4 4.2 2 0 Source : Ontario Mortality Data 1986-2009, Inteillihealth Extracted September 14 , 2012, Health Planning Branch, Ontario MOHLTC Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87). Canadian data from: http://www.statcan.gc.ca/pub/82-624-x/2012001/article/desc/11696-01-desc- eng.htm Data Note : Mortality rates are age standardized to the 1991 Canadian population 4

Crude suicide rate, male vs. female, Ottawa, 1986-2012 25 Rate per 100,000 Population 20.1 20 15 Male 12.7 9.5 10 Both Sexes 5.6 6.7* 4.9 5 4.6 Female 0 Source : Ontario Mortality Data 1986-2009, Intellihealth Ontario MOHLTC. Extracted September 14, 2012, Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87). 2010-2012 data from the Office of the Chief Coroner. *2012 data are preliminary. 5

Age-specific suicide rate, male vs. female, Ottawa, 2005 to 2009 Rate per 100,000 population 18 16.0 16 14 12 10 8.2 8 6 4 2 0 10-14 15-19 20-24 25-29 30-39 40-49 50-64 65+ Age group Source : Ontario Mortality Data 2005-2009, Intellihealth Ontario MOHLTC . Extracted September 14, 2012. Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87). Analyzed by Ottawa Public Health. 6

Methods of suicide vary by sex and age: Ottawa, 2008-2009 60% 60% 50% 50% 40% 40% 30% 30% 20% 20% 10% 10% 0% 0% 15 to 39 40 to 59 60 and older Males Females Firearm Hanging Poisoning Jumping Other 7

Married are least likely to commit suicide: Ottawa, 2008-2009 14 2.3x 12 Rate per 100,000 10 8 6 4 2 0 Single Divorced Widowed Married 8

A leading cause of death: Ottawa, 2009  Suicide is 2 nd leading cause of death among our youth (15-24y), behind motor vehicle traffic collisions • 2 nd among 20-44y • 7 th among 45-64y 9

A leading cause of years of life lost: Ottawa, 2009 Rank Disease PYLL 1 Heart disease 2,853 2 Cancer of lung and bronchus 2,519 3 Perinatal conditions 2,008 4 Suicide 1,785 5 Cancer of lymph and blood 1,310 10

3yr moving average, male vs. female, aged 15-24y, Ottawa, 1986-2009 30.0 Age-specific rate per 100,000 Female Rate 25.0 Male Rate 20.0 15.0 10.0 5.0 0.0 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Female Rate 3.8 4.5 4.5 2.6 2.6 4.6 4.0 4.0 4.1 4.8 6.8 4.8 4.0 2.5 3.1 3.1 3.6 4.1 4.6 3.4 2.2 3.3 Male Rate 18.1 17.2 14.9 10.0 8.8 8.3 13.6 13.1 15.1 9.9 9.2 7.8 7.0 7.4 7.8 5.9 5.2 4.0 5.0 6.0 6.5 7.0 Source : Ontario Mortality Data 1986-2009, Intellihealth. Extracted September 14 , 2012, Health Planning Branch, Ontario MOHLTC. Analyzed by Ottawa Public Health. Suicide (ICD-9: E950.0-E959.9, ICD-10-CA: X60-X84, Y87) 11

The bigger picture  For every 1 suicide… • 8 hospitalizations due to self-harm • 19 ER visits due to self-harm  In the past year… • 4% of Ontarians 15+ had suicidal thoughts & 6% have a mood disorder ( 2012 CCHS ) • 13% of Ottawa high school students seriously considered suicide ( 2013 OSDUHS ) 12

Summary of suicide in Ottawa  Decrease in the long term (1986-2012)  Increase in the shorter term (2003-2012)  Highest rates in mid-life  Males > females at all ages  Think Global  Learn Local 13

Thank you! Check out Ottawa.ca/healthreports Jacqueline.willmore@ottawa.ca 14