Online Program

Development of a Self-Harm and Death Analysis Review Team and Data System to Identify Trends in Suicides and Drug Poisonings and Inform Community Prevention Activities

Tuesday, November 3, 2015 : 3:00 p.m. - 3:15 p.m.

Amy Schlotthauer, MPH, Emergency Medicine, Injury Research Center, Medical College of Wisconsin, Milwaukee, WI
Jennifer Hernandez-Meier, PhD, MSW, Injury Research Center, Medical College of Wisconsin, Milwaukee, WI
Krystal Rafenstein, Kenosha County Dvision of Health, Kenosha, WI
Debbie Rueber, Kenosha County Division of Health, Kenosha, WI
Amy Zosel, MD, MSCS, Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI
Background: In 2011, The Kenosha County Suicide Prevention Initiative (KCSPI) secured funding to develop and implement a Self-harm and Death Analysis Review Team (SDART). The goal of the SDART is to better identify circumstances surrounding adult suicides and poisoning-related deaths in order to inform recommendations on best practices for effective action and prevention.

Methods/Approach: The SDART was modeled on the National Child Death Review Team strategy, bringing a multidisciplinary team of individuals together to track risk and protective factors related to self harm and drug poisonings. A database was created utilizing 74 recommended data elements from The Centers for Disease Control and Prevention’s Self-Directed Violence Surveillance and Safe States’ Consensus Recommendations for National and State Poisoning Surveillance reports. Data elements capture demographic, death, risk factor, toxicology and drug information.

Results: Twenty-nine representatives from community agencies including law enforcement, the medical examiner’s office, schools, emergency responders, clergy, pharmacy, adult protective services, health care and public health form the SDART. Data elements are populated by organizations participating in SDART at bimonthly team meetings. Data are reviewed annually by the SDART to direct prevention recommendations including increased systematic scene investigations, enhanced resources within the community and discussions on how to meet increased community cultural needs

Conclusions: Development of a SDART has facilitated a new, objective measure of injury and violence, allowing for tracking trends and risk factors in this community. Data from the SDART process have informed a number of community improvements to impact prevention including strengthened organizational relationships and resources.

Learning Areas:


Learning Objectives:
Demonstrate how a multi-disciplinary review team contributes to improved understanding of self-harm and poisoning injuries in a community Describe critical elements of setting up a SDART team in a community Explain elements of a data system designed to track injury patterns related to self-harm and poisoning within a community Identify ways a community uses data to improve community processes intended to serve those at risk for self-harm and poisoning

Keyword(s): Data Collection and Surveillance, Suicide

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in community-based suicide prevention for over seven years serving as an evaluator of programming as well as data analyst of trends in suicide and self-related injury. In this project, I was responsible for creating the surveillance system and assisting with team formation activities.
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.

Back to: 4327.0: Suicide Prevention