DefinitionEmergency department (ED) visits for intentional self injury include primary diagnoses of ICD-9 codes E950-E959.
NumeratorThe total number of visits by New Mexico residents to EDs for intentional self injury.
DenominatorThe estimated mid-year population.
Data Interpretation IssuesOnly 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 adolescentsU.S. Target: 1.7 suicide attempts per 100
Other ObjectivesMental 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 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
Health Program InformationNM Department of Health, Mental Health Epidemiologist: [to be announced]
NM Department of Health, Suicide Prevention Coordinator: Karen Dugas, MPH, 505-827-5146