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Complete Health Indicator Report of 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.

Data Interpretation Issues

Only non-federal EDs are included in this measure. Sexual orientation data are not submitted to the ED dataset. Race/ethnicity data are not reported due to the high prevalence of missing entries. Comparable US ED data are not available for this timeframe.

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.

Healthy People Objective: MHMD-2, Reduce suicide attempts by adolescents

U.S. Target: 1.7 suicide attempts per 100

Other Objectives

Mental Health Report Indicator

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 Practices

For 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

Available Services

If you or someone you know is in a life-threatening position, please call 911 To talk to a counselor or ask questions about treatment 24/7, call the New Mexico Crisis Line: 1-855-NMCRISIS (662-7474)[[br]] If you or someone you know is considering suicide, please call one of the following hotlines to talk to someone: *New Mexico Crisis Line: 1-855-NMCRISIS (662-7474) *National Suicide Prevention Lifeline (http://www.suicidepreventionlifeline.org/): 1-800-273-TALK (8255). En Espaol: 1-888-628-9495 *Teen to Teen Peer Counseling Hotline: 1-877-YOUTHLINE (1-877-968-8454) *Native Youth Crisis Hotline: 1-877-209-1266 *Veterans Peer Support Line: 1-877-Vet2Vet (1-800-877-838-2838) *University of New Mexico Agora Crisis Line (http://www.unm.edu/~agora/): 505-277-3013 or 1-866-HELP-1-NM *New Mexico State University Crisis Assistance Listening Line or The CALL: 1-575-646-CALL (2255) or 1-866-314-6841 *Graduate Student Hotline: 1-800-GRADHLP (1-800-472-3457) *Postpartum Depression Hotline: 1-800-PPD-MOMS (1-800-773-6667) *Trans Lifeline: 1/877-565-8860 If you would like to seek treatment, please contact: *OptumHealth NM (www.optumhealthnewmexico.com) for a listing of behavioral health treatment services statewide at 1-866-660-7185 *SAMHSA Treatment Referral Helpline: 1-800-662-HELP (4357), also online at https://findtreatment.samhsa.gov/ *The SKY Center (http://nmsip.org/services/sky-center/): 1-505-473-6191 *Search Providers in Bernalillo County: http://cepr.unm.edu/tools/ABQ-Providers.html *New Mexico Social Service Resource Directory (https://www.nmresourcedirectory.org/SitePages/Home.aspx): 1-800-432-2080 *SHARE New Mexico Resource Directory: http://www.sharenm.org/communityplatform/newmexico/directory/landing *United Way Central New Mexico Referral Service (http://www.referweb.net/uwcnm/): 505-245-1735 Resources for veterans and their families: http://www.mentalhealth.gov/get-help/veterans/index.html For contact information for your local New Mexico Core Service Agency, please visit: http://www.bhc.state.nm.us/pdf/CSA%20FACTS%20AT%20A%20GLANCE_BASIC%20INFO%20AND%20Q&A%208_19[1].pdf To join a support group organized by Optum Health, please register at: https://www.optumhealthnewmexico.com/consumer/en/communitySearch.jsp If you would like to be involved in community suicide prevention, please contact one of the following groups: *New Mexico Suicide Intervention Project (http://nmsip.org/): 505-820-1066 *New Mexico Suicide Prevention Coalition (http://www.nmsuicideprevention.org/): 505-401-9382 *Southern New Mexico Suicide Prevention and Suicide Support Coalition: http://endsuicide.net/

Health Program Information

NM Department of Health, Mental Health Epidemiologist: [to be announced] NM Department of Health, Suicide Prevention Coordinator: Karen Dugas, MPH, 505-827-5146


Related Indicators

Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Emergency Department Admissions for Self Injury by Year, New Mexico, 2010-2014

::chart - missing::
confidence limits

The rate of Emergency Department admissions for self-injury increased significantly from 2013 to 2014 (158.7/100,000 population to 174.9/100,000, respectively).
NM vs. U.S.YearED Encounters per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
New Mexico2010138.9133.6144.22,7352,065,194
New Mexico2011180.1174.1186.13,5772,083,725
New Mexico2012163.6157.9169.33,2382,091,432
New Mexico2013158.7153.1164.33,1522,095,156
New Mexico2014174.9169.0180.93,4432,098,381

Data Notes

The 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 Source

Emergency Department Dataset, New Mexico Department of Health.


Emergency Department Admissions for Self Injury by Age and Sex, New Mexico, 2010-2014

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confidence limits

Females had significantly higher rates of emergency department admissions for self injury than males over all age groups except for those under 1 year of age and those 65 years and older. For both sexes, rates were highest for those between 15 and 24 years of age and then decreased with age.
Sex: Males vs. FemalesAge GroupED Encounters per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
MaleUnder 1 Year1.40.04.3169,306
Male1-1432.228.735.73281,017,688
Male15-24300.2287.9312.42,281759,941
Male25-44215.1207.2223.02,8471,323,776
Male45-6485.480.490.41,1291,321,988
Male65-8425.021.029.0152607,641
Male85+45.529.062.12963,712
MaleNM - All ages131.1128.0134.26,7705,164,052
FemaleUnder 1 Year1.50.04.4167,104
Female1-1478.673.184.2772982,114
Female15-24427.8412.7443.03,051713,114
Female25-44278.0269.0287.13,5901,291,185
Female45-64123.0117.2128.81,7301,406,035
Female65-8429.425.433.5206699,511
Female85+25.315.934.628110,775
FemaleNM - All ages178.0174.4181.69,3785,269,836
AllUnder 1 Year1.50.03.52136,410
All1-1455.051.858.31,1001,999,802
All15-24362.0352.3371.75,3321,473,055
All25-44246.2240.2252.26,4372,614,960
All45-64104.8101.0108.62,8592,728,023
All65-8427.424.630.23581,307,151
All85+32.724.241.257174,487
AllNM - All ages154.8152.4157.216,14810,433,888

Data Notes

The 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 crude rates per 100,000 population.

Data Source

Emergency Department Dataset, New Mexico Department of Health.


Emergency Department Admissions for Self Injury by County, New Mexico, 2010-2014

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confidence limits

Rates of emergency department admissions for self injury ranged from 66.2 per 100,000 population in Union County to 556.8 per 100,000 population in Grant County. Please note that Indian Health Service and Veterans Affairs emergency department visits are not included in these numbers.
CountyED Encounters per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 34
Bernalillo161.5157.1165.95,2953,367,667
Catron128.453.7203.21318,586
Chaves155.6141.7169.6493330,208
Cibola181.8158.5205.1238137,014
Colfax149.1115.8182.48067,456
Curry131.0116.4145.5328248,445
De Baca143.849.7237.8109,915
Dona Ana152.0144.3159.71,6021,069,528
Eddy211.9193.7230.1536275,344
Grant556.8512.3601.3641146,906
Guadalupe230.0167.9292.25523,167
Harding358.535.8681.253,461
Hidalgo207.6143.8271.44223,764
Lea167.4153.2181.7543334,089
Lincoln121.596.2146.997102,419
Los Alamos188.3154.6222.013290,114
Luna199.4172.0226.7214124,911
McKinley70.361.479.1252367,359
Mora310.3230.6390.16424,150
Otero90.279.3101.0276324,929
Quay267.3212.2322.49744,223
Rio Arriba185.5165.5205.5337200,719
Roosevelt82.064.0100.087100,980
Sandoval167.5157.3177.61,057678,335
San Juan75.768.882.7468641,444
San Miguel373.6339.9407.2502145,082
Santa Fe212.1200.5223.61,349731,756
Sierra215.3167.6262.98858,876
Socorro218.1185.4250.718188,908
Taos246.3218.9273.8316166,127
Torrance168.0137.2198.811780,479
Union66.229.9102.61322,559
Valencia169.8156.1183.5608384,968
NM163.2160.6165.716,14510,433,888

Data Notes

The 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 Source

Emergency Department Dataset, New Mexico Department of Health.


Emergency Department Admissions for Self Injury by Health Region, New Mexico, 2010-2014

::chart - missing::
confidence limits

Rates of emergency department admissions for self injury were lowest in the Northwest Region and highest in the Northeast Region. Please note that Indian Health Service and Veterans Affairs emergency department visits are not included in these numbers.
New Mexico Health RegionED Encounters per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 6
Northwest86.380.791.89581,145,817
Northeast221.9213.6230.22,8531,474,591
Metro162.9159.0166.77,0774,511,449
Southeast159.2152.4166.02,1911,445,623
Southwest176.8170.4183.33,0571,856,408
New Mexico163.2160.6165.716,14510,433,888

Data Notes

The 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 Source

Emergency Department Dataset, New Mexico Department of Health.


Emergency Department Admissions for Self Injury by Urban and Rural Counties, New Mexico, 2010-2014

::chart - missing::
confidence limits

Rates of emergency department admissions for self injury were significantly higher in Rural and Mixed Urban/Rural counties compared with Metropolitan and Small Metro counties. Rates were also significantly higher in Metropolitan counties compared with Small Metro counties. Please note that Indian Health Service and Veterans Affairs emergency department visits are not included in these numbers.
Urban Versus Rural CountiesED Encounters per 100,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
Metropolitan Counties162.9159.0166.77,0774,511,449
Small Metro Counties147.1142.1152.13,4192,442,728
Mixed Urban-Rural174.1169.2179.04,8952,992,227
Rural Counties187.2173.3201.0745487,484
New Mexico163.2160.6165.716,14510,433,888

Data Notes

The 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 Source

Emergency Department Dataset, New Mexico Department of Health.

References and Community Resources

-Centers for Disease Control and Prevention Suicide Prevention Facts and Resources: http://www.cdc.gov/ViolencePrevention/suicide/index.html -Substance Abuse and Mental Health Services Administration (SAMHSA) Suicide Prevention Facts and Resources: http://www.samhsa.gov/suicide-prevention -SAMHSA Tribal Training and Technical Assistance Center: http://www.samhsa.gov/prevention/suicide.aspx -World Health Organization Suicide Prevention Facts and Resources: http://www.who.int/topics/suicide/en/ -National Strategy for Suicide Prevention: http://www.surgeongeneral.gov/library/reports/national-strategy-suicide-prevention/index.html -Suicide Prevention Resource Center: http://www.sprc.org/

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 02/02/2017, Published on 02/03/2017
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Thu, 14 November 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Mon, 6 Feb 2017 12:52:14 MST