Health Highlight Report for Harding County
Mental Health - Emergency Department Admissions for Self Injury: ED Encounters per 100,000 Population, 2010-2014
Harding County358.5 95% Confidence Interval(35.8 - 681.2)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "DNA" (Data Not Available) will appear if the confidence interval was not published with the IBIS indicator data for this measure.
Statistical StabilityUnstableDescription of Statistical Stability
- Stable = This count or rate is relatively stable and should provide a good estimate of your community risk.
- Unstable = This count or rate is statistically unstable (RSE >0.30), and may fluctuate widely due to random variation (chance).
- Very Unstable = This count or rate is extremely unstable (RSE >0.50). This value should not be used to represent your population risk. You should combine years or otherwise increase the population denominator in this calculation.
- DNA = Data Not Available. The required community value and/or confidence interval was not available for this measure.
New Mexico163.2 U.S. DNADNA=Data not available.
Harding County Compared to State
Description of Dashboard Gauge
Description of the Dashboard GaugeThis "dashboard" type graphic is based on the community data on the right. It compares the community value on this indicator to the state overall value.
The community value is considered statistically significantly different from the state value if the state value is outside the range of the community's 95% confidence interval. If the community's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the community's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the community and state values. When selecting priority health issues to work on, a community should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the community number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The community's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The community's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The community's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The community's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?In New Mexico, suicidal behaviors are a serious public health problem and a major cause of morbidity and mortality. In 2014, suicide was the eighth leading cause of all death in New Mexico, and the second leading cause of death among youth and adults 15-44 years (NCHS). From 2010 to 2014, suicide accounted for an average of 12,712 Years of Potential Life Lost (YPLL) per year in NM among those under 65 years of age. NM ranks fifth of 51 for suicide deaths, and has ranked among the top 10 since 1997.
How Are We Doing?The age-adjusted rate of suicide attempts resulting in emergency room visits has remained relatively stable from 2010 to 2014. From 2010 to 2013, there were 163 visits to the emergency room following self injury for every 100,000 New Mexico residents.
What Is Being Done?The New Mexico Department of Health collects, analyzes, and disseminates suicide death data in order to identify populations with disproportionately high rates of suicide. These data can be used in conjunction with community partners to develop and implement prevention and intervention efforts to reduce suicide deaths. The NMDOH Bureau of Vital Records and Health Statistics collects information on all NM deaths and produces annual suicide statistics. The NM Violent Death Reporting System was implemented in 2005 to add to the understanding of how and why violent deaths occur. This active surveillance system collects comprehensive information about all violent deaths, including suicide, by linking data from death certificates, medical examiner records, and law enforcement reports into one complete record. In addition, the NM Child Fatality Review Program Suicide Panel completes an in-depth case review of suicides among children through age 17 years and makes recommendations about how to prevent future deaths.
Evidence-based PracticesFor reviews of evidence-based practices, please see: -Healthy People Objective: US Preventive Services Task Force: http://www.uspreventiveservicestaskforce.org/ -Centers for Disease Control and Prevention's Community Guide: http://www.thecommunityguide.org/index.html -Substance Abuse and Mental Health Services Administration's National Registry of Evidence-Based Programs and Practices: http://www.nrepp.samhsa.gov/Index.aspx
Healthy People Objective MHMD-2:Reduce suicide attempts by adolescents
U.S. Target: 1.7 suicide attempts per 100
Health Care System Factors:
- Mental Health - Adult Self-reported Mental Distress
- Mental Health - Adult Depression
- Mental Health - Adult Suicide Attempts
- Mental Health - Adult Suicidal Ideation
- Mental Health - Youth Feeling Sad/Hopeless
- Mental Health - Youth Injured in a Suicide Attempt
- Mental Health - Youth Non-Suicidal Self Injury
- Mental Health - Youth Attempted Suicide
- Mental Health - Youth Seriously Considered Suicide
- Mental Health - Youth Who Made a Suicide Plan
Health Status Outcomes:
NoteThe ED dataset is derived from data provided by individual non-federal EDs in NM. Data are available for 2010 through 2014. Only NM residents are included in this report. The denominator is the NM population estimate generated by the University of New Mexico GPS Program. All rates are per 100,000, age-adjusted to the 2000 U.S. standard population.
Data SourcesEmergency Department Dataset, New Mexico Department of Health.
Measure Description for Mental Health - Emergency Department Admissions for Self Injury
Definition: Emergency department (ED) visits for intentional self injury include primary diagnoses of ICD-9 codes E950-E959.
Numerator: The total number of visits by New Mexico residents to EDs for intentional self injury.
Denominator: The estimated mid-year population.