Ideation versus Disclosed Intent: Using CalEVDRS data to track precipitating circumstances of suicides in Los Angeles County, 2010 - 2011
We explore the differences in victims who died by suicide, comparing those who voiced general suicidal ideations with those who disclosed specific intent/plans to kill themselves.
Los Angeles County data on suicides for 2010–2011 were abstracted into the California Electronic Violent Death Reporting System (CalEVDRS). Chi square and Fischer’s exact tests were used to compare demographics and precipitating circumstances of suicide victims who had expressed suicidal ideations versus those who disclosed specific intent to kill themselves.
Of 1,549 suicides, 1,424 (92%) had at least one reported circumstance. 282 (18%) expressed non-specific suicidal ideations and 134 (9%) disclosed specific intent to commit suicide; including 32 victims who reported both. Victims who had expressed suicidal ideations in the past were more likely than those who had disclosed specific suicidal intent to be female (25% vs 13%), have a known mental health diagnosis (64% vs 46%), and have received treatment for a mental health problem (16% vs 9%). However, they were less likely to report problems with an intimate partner (16% vs 31%) or leave a suicide note (28% vs 37%).
More suicide victims were likely to express suicidal ideation than disclose specific intent. Victims who voiced non-specific suicidal ideations were different from those who disclosed a specific intent to kill themselves in several ways. Understanding these differences, including demographics, mental health diagnoses, treatment and relationship stressors are essential for prevention and intervention. This information is important for clinicians and service providers along with peers and family members.
Public health or related research
Compare demographic and precipitating circumstances between individuals who died by suicide with known suicidal ideations versus those who disclosed a more specific intent to die before their death.
Keyword(s): Suicide, Data Collection and Surveillance
Qualified on the content I am responsible for because: I have been a research analyst with the County of Los Angeles, Department of Public Health for the past 10 years, specializing in suicide prevention for the last 8. I work on the LA County arm of the California Electronic Violent Death Reporting System (CalEVDRS)run by the CA Department of Public Health. Entering and abstracting cases, problem solving coding definitions/protocol, identifying research questions, analyzing and interpreting data for oral and written presentations.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.