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Complete Health Indicator Report of Mental Health - Youth Non-Suicidal Self Injury

Definition

Percentage of students in grades 9-12 in a NM public school who reported hurting themselves without intending to die at least one time in the past 12 months.

Numerator

Number of students who answered "1 time", "2 or 3 times","4 or 5 times", or "6 or more times" to the question, "During the past 12 months, how many times did you do something to purposely hurt yourself without wanting to die, such as cutting or burning yourself on purpose?"

Denominator

Total number of respondents who answered the question, "During the past 12 months, how many times did you do something to purposely hurt yourself without wanting to die, such as cutting or burning yourself on purpose?"

Data Interpretation Issues

Rates for 2001 and 2003 are based upon a different sampling methodology than for the years 2005-2017. Since 2005, the NM sampling methodology was consistent with the methodology recommended by CDC and was consistent with other states participating in the YRBSS. The questionnaire item was identical to that used by the national YRBSS questionnaire and other participating YRBSS states' questionnaires. For more information, see "2015 NM-YRRS Survey Results Report: Mental Health and Related Behaviors", available at http://www.youthrisk.org/pdf/YRRS_Mental_Health_Report_2015.pdf.

Why Is This Important?

Anxiety and depression, as well as a range of stressful life events, are correlated with non-suicidal self injury. Non-suicidal self injury is a strong predictor of suicidal behavior, including suicide attempt.

Healthy People Objective: IVP-41, Reduce nonfatal intentional self-harm injuries

U.S. Target: 112.8 injuries per 100,000 population

Other Objectives

Mental Health Report Indicator

How Are We Doing?

In 2015, 20.5% of NM high school students reported non-suicidal self injurious behavior in the past year.

What Is Being Done?

The NM Department of Health continues to analyze and share data, reports, and presentations with each year of completed YRRS surveys. School administrators and youth health advocates utilize this information to guide health promotion and treatment programs for youth in NM. Youth suicide prevention and intervention activities were initially funded by the NM Legislature in June 2005. Implementation of suicide prevention strategies statewide is a significant focus of the NM Department of Health's Office of School and Adolescent Health (OSAH). Suicide prevention activities include: 1) Providing funding for statewide crisis line response to people at risk for suicide. 2) Identifying and developing relationships with existing crisis line operators statewide to enhance statewide suicide crisis response capacity. 3) Raising awareness that suicide is a public health problem and supporting initiatives to decrease stigma surrounding mental health issues. 4) Ensuring screening, early identification, referral and follow-up for suicide risk through Student Health Questionnaires for each student who accesses school-based health centers (SBHC). 5) Offering intensive training and technical assistance for all school-based health centers surrounding identification of signs of suicide, suicide prevention, and crisis response planning. 6) Gatekeeper training for educators, Medical and Behavioral Health providers, community members and youth; Natural Helper Programs; implementation and support for Gay-Straight Alliances; intensive training for school nurses; and psychiatric consultation for school counselors and school-based health center providers. 7) Providing School Health Updates, Head to Toe Conference and other regional trainings to increase awareness and knowledge of the risk factors and warning signs of suicide among school counselors, school health personnel, and behavioral health providers on suicide, crisis response and grief and trauma support in the school setting.

Evidence-based Practices

For reviews of evidence-based practices, please see: -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.samhsa.gov/nrepp

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) 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 -Graduate Student Hotline: 1-800-GRADHLP (1-800-472-3457) -Postpartum Depression Hotline: 1-800-PPD-MOMS (1-800-773-6667) To see if you or your child attends a school with a school-based health center, please visit: http://www.nmasbhc.org/SBHC_Locator.html If you would like to seek treatment, please contact: -PullTogether.org (https://pulltogether.org): 1-800-691-9067 -New Mexico Children, Youth & Families Department (https://cyfd.org) at 1-505-827-8008 -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

The YRRS is a tool to assess the health risk behaviors and resiliency (protective) factors of NM high school and middle school students. The YRRS is part of the national CDC YRBSS, but the survey results have widespread benefits for NM at the state, county, and school district levels. Topic areas for the YRRS include risk behaviors related to alcohol and drug use, unintentional injury, violence, suicidal ideation and attempts, tobacco use, sexual activity, physical activity, and nutrition; resiliency (protective) factors such as relationships in the family, school, community, and with peers; and health status issues such as body weight and asthma. The YRRS is administered to a sample of high schools and middle schools in each school district in the fall of odd-numbered years. All data are self-reported by students who voluntarily complete the survey during one class period. NM Department of Health, Office of School and Adolescent Health Youth Suicide Prevention Program Coordinator: Nancy Kirkpatrick, 505-222-8683 NM Department of Health, Epidemiology and Response Division, Mental Health Epidemiologist: Carol Moss, 505-476-1440


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Youth Engaging in Non-Suicidal Self Injury in the Past Year, Grades 9-12 by Year, New Mexico and U.S. 2013-2017

::chart - missing::
confidence limits

The percentage of New Mexican youth in 2017 who engaged in non-suicidal self injury (20.2%) did not differ meaningfully from that of previous years.
NM vs. U.S.YearPercentage Engaging in Self HarmLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
New Mexico201320.2%19.2%21.2%
New Mexico201520.5%18.9%22.2%1,7138,280
New Mexico201720.2%18.4%22.1%1,1405,674

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.


Youth Non-Suicidal Self Injury by Grade and Sex, New Mexico, 2017

::chart - missing::
confidence limits

Girls consistently had a significantly higher prevalence of non-suicidal self injury compared to boys. Girls in the 9th grade had a significantly higher prevalence of non-suicidal self injury (29.9%) than 12th-grade girls (22.1%).
Grade Level YRRSSex, M/FPercentage with Non-suicidal Self InjuryLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
9th GradeMale10.2%7.7%13.4%80759
9th GradeFemale29.9%25.9%34.3%218763
9th GradeTotal20.0%17.5%22.7%3021,528
10th GradeMale15.8%12.7%19.4%112732
10th GradeFemale27.7%22.8%33.2%225814
10th GradeTotal21.8%18.3%25.6%3381,547
11th GradeMale14.9%12.9%17.2%106689
11th GradeFemale25.9%22.1%30.2%176687
11th GradeTotal20.4%18.6%22.4%2831,378
12th GradeMale13.5%11.0%16.6%78596
12th GradeFemale22.1%19.1%25.5%128595
12th GradeTotal17.8%15.6%20.2%2061,193

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Non-Suicidal Self Injury by Race/Ethnicity, New Mexico, 2017

::chart - missing::
confidence limits

The prevalence of non-suicidal self injury did not differ meaningfully by race/ethnicity.
Race/EthnicityPercentage with Non-suicidal Self InjuryLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 6
American Indian/Alaska Native22.1%19.2%25.3%221989
Asian/Pacific Islander23.4%17.1%31.3%44185
Black/African American24.9%17.4%34.2%49214
Hispanic19.2%17.3%21.1%5122,661
White20.3%17.2%23.8%3081,583
New Mexico20.2%18.4%22.1%1,1405,674

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Non-Suicidal Self Injury by Race/Ethnicity and Sex, New Mexico, 2017

::chart - missing::
confidence limits

Sex: Males vs. FemalesRace/EthnicityPercentage with Non-suicidal Self InjuryLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
MaleAmerican Indian/Alaska Native15.1%12.7%17.8%71509
MaleAsian/Pacific Islander18.2%8.9%33.5%1896
MaleBlack/African American19.4%12.4%29.2%21115
MaleHispanic13.6%11.4%16.2%1681,239
MaleWhite11.8%9.1%15.0%100806
MaleNew Mexico13.5%11.9%15.3%3782,785
FemaleAmerican Indian/Alaska Native29.8%25.3%34.7%147474
FemaleAsian/Pacific Islander30.5%22.6%39.8%2689
FemaleBlack/African American31.1%18.8%46.7%2798
FemaleHispanic24.0%21.3%26.9%3411,418
FemaleWhite29.5%24.5%35.0%207775
FemaleNew Mexico26.8%24.1%29.8%7542,874

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.   The prevalence of non-suicidal self injury among girls was twice that of boys (26.8% and 13.5%, respectively). There was no meaningful difference in the prevalence of non-suicidal self injury by race/ethnicity for either girls or boys.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Non-Suicidal Self Injury by Sexual Orientation, New Mexico, 2017

::chart - missing::
confidence limits

The prevalence of non-suicidal self injury for students who identified as gay or lesbian (45.4%) or bisexual (48.1%) was about three times that of those who identified as straight (15.7%).
Sexual OrientationPercentage with Non-suicidal Self InjuryLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Straight15.7%14.0%17.6%7084,557
Gay or Lesbian45.4%36.4%54.8%72171
Bisexual48.1%42.8%53.4%228470

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Non-Suicidal Self Harm by County, New Mexico, 2017

::chart - missing::
confidence limits

The prevalence of non-suicidal self harm ranged from 12.9% in Socorro County to 31.7% in McKinley County.
CountyPercentage with Self HarmLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 35
Bernalillo21.1%19.5%22.7%7983,703
Catron13.9%7.2%25.2%764
Chaves17.1%13.5%21.4%97538
Cibola23.1%19.7%26.9%198858
Colfax17.3%13.1%22.6%46276
Curry13.2%8.9%19.2%31229
De Baca****
Dona Ana17.6%15.2%20.1%1801,067
Eddy22.6%15.2%32.2%44236
Grant18.7%14.4%23.9%85374
Guadalupe15.8%10.9%22.4%30183
Harding****
Hidalgo17.9%8.6%33.6%27149
Lea18.6%15.8%21.7%123681
Lincoln21.4%17.0%26.6%129624
Los Alamos24.5%20.8%28.7%90347
Luna15.5%9.7%23.8%19131
McKinley31.7%21.1%44.7%104367
Mora15.2%8.4%25.8%1590
Otero22.0%16.1%29.2%133562
Quay19.8%15.4%25.2%57256
Rio Arriba25.5%23.0%28.2%104452
Roosevelt27.6%23.5%32.1%37179
Sandoval18.2%15.3%21.5%2261,199
San Juan21.9%18.8%25.3%195840
San Miguel22.3%19.1%25.9%102469
Santa Fe19.7%17.0%22.6%3921,985
Sierra22.8%15.2%32.7%32147
Socorro12.9%9.9%16.6%30225
Taos25.1%21.2%29.5%197774
Torrance21.4%16.4%27.5%75375
Union16.0%11.0%22.8%21132
Valencia16.3%13.0%20.1%73441
New Mexico20.2%18.4%22.1%1,1405,674

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.   (**) Values suppressed due to small numbers.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Non-Suicidal Self Harm by Health Region, New Mexico, 2017

::chart - missing::
confidence limits

The prevalence of non-suicidal self harm was significantly higher among residents of the Northwest health region (25.6%) compared to those of the Southwest region (18.0%), The prevalence of non-suicidal self harm was also significantly higher among residents of the Northeast region (23.6%) compared to those of the Southwest (18.0%) and Metro (18.7%) regions.
New Mexico Health RegionPercentage with Self HarmLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 6
Northwest25.6%21.4%30.3%231915
Northeast23.6%22.8%24.5%58246
Metro18.7%16.3%21.4%5873,098
Southeast19.9%13.8%27.8%73374
Southwest18.0%15.4%21.0%1911,041
New Mexico20.2%18.4%22.1%1,1405,674

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.


Youth Non-Suicidal Self Harm by Urban and Rural Counties, New Mexico, 2017

::chart - missing::
confidence limits

The prevalence of non-suicidal self harm did not differ meaningfully among residents of urban and rural counties.
Urban Versus Rural CountiesPercentage with Self HarmLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
Metropolitan Counties18.7%16.3%21.4%5873,098
Small Metro Counties20.6%17.0%24.7%2671,283
Mixed Urban-Rural22.3%18.3%26.8%2431,072
Rural Counties19.3%16.0%23.1%43221
New Mexico20.2%18.4%22.1%1,1405,674

Data Notes

The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.

Data Source

New Mexico Youth Risk and Resiliency Survey, New Mexico Department of Health and Public Education Department.

References and Community Resources

For more information about the NM YRRS, please visit http://youthrisk.org/ For more information about the CDC YRBSS, please visit http://www.cdc.gov/HealthyYouth/yrbs/index.htm 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 Indian Child Welfare Association Youth Suicide Prevention Toolkit (http://www.nicwa.org/youthsuicidepreventiontoolkit/) SAMHSA Suicide Prevention Toolkit for High Schools (http://store.samhsa.gov/product/SMA12-4669) ZeroSuicide.org (https://zerosuicide.org) Columbia Suicide Screening Rating Scale (www.cssrs.columbia.edu) Honoring Native Life (honoringnativelife.org) Suicide Prevention Resource Center (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 12/24/2018, Published on 02/13/2019
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 Wed, 26 June 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Wed, 13 Feb 2019 12:25:18 MST