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Numerator

Number of deaths due to suicide (ICD-10 codes *U03, X60-X84, Y87.0)

Denominator

Number of persons

Methodology

At the National level this Indicator uses Age-Adjustment Groups:

  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Metro Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+

Suicide is an important public health problem. In the United States, decisions about whether deaths are listed as suicides on death certificates are usually made by a coroner or medical examiner. The definition of suicide is "death arising from an act inflicted upon oneself with the intent to kill oneself." ICD-9 codes: E950-E959. ICD-10 codes: *U03, X60-X84, Y87.0.

Suicides may be undercounted because of difficulty in the determination of suicidal intent by coroner or medical examiner.

Estimates based on fewer than 20 deaths are considered unreliable and are not displayed.

FOR SINGLE DATA YEARS: Rates are calculated based on the April 1 census counts for the censal years (e.g., 2000) and July 1 estimates from the Vintage matching the data year for the postcensal period. For example, for rates of data year 2004, the 2004 population estimates from Vintage 2004 are used as denominator.

FOR MULTIPLE DATA YEARS: Rates are calculated based on sum of data year populations from the Vintage matching the data years.  For example, for rates of data years 2004-2006 combined, the sum of 2004 population from Vintage 2004, 2005 population from Vintage 2005, and 2006 population from Vintage 2006 are used as denominator.

Suicide is not a recordable cause of death for persons less than five years old

References

Anderson, R.N.; Minino, A.M.; Hoyert, D.L.; Rosenberg, H.M.; Comparability of cause of death between ICD-9 and ICD-10: Preliminary estimates. National Vital Statistics Reports. Vol. 49 No.2. Hyattsville, MD: National Center for Health Statistics, 2001.

Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002.

Interventions

Screening and Treatment for Major Depressive Disorder in Children and Adolescents

The USPSTF recommends screening of adolescents (12-18 years of age) for major depressive disorder (MDD) when systems are in place to ensure accurate diagnosis, psychotherapy (cognitive-behavioral or interpersonal), and follow-up.

Collaborative Care for the Management of Depressive Disorders

Collaborative care aims to increase primary care providers' knowledge and skills, improve client understanding and awareness of depressive disorders, and to reorganize the system of care into an optimal environment for management of depression and depressive disorders.

Interventions to Reduce Depression Among Older Adults: Clinic-based Depression Care Management

Clinic-based depression care management involves: active screening for depression; measurement-based outcomes; case management; and, education, antidepressant treatment and/or psychotherapy, and a supervising psychiatrist.

Interventions to Reduce Depression Among Older Adults: Home-based Depression Care Management

Home-based depression care management involves screening, measurement-based outcomes, care managers, case management, education, and a supervising psychiatrist.

Reducing Psychological Harm from Traumatic Events: Cognitive-behavioral Therapy for Children and Adolescents (Individual & Group)

Cognitive-behavioral therapy (CBT) is used to reduce psychological harm among children and adolescents who have psychological symptoms resulting from exposure to traumatic events.