State By State Advocacy
 
April 19, 2008  

The Oklahoman

 

Suicide Problems Can Be Fixed, Experts Say

Jeff Raymond

Oklahoma's rate of violent death is one-third higher than the national rate, federal and state reports show. 

The Centers for Disease Control and Prevention last week issued the first detailed statistics on violent death in Oklahoma and 15 other states. The system began in 2003; Oklahoma joined the following year. 

Although the federal report didn't provide state-specific data, the state Health Department last year released its own violent-death report using the figures it submitted to the CDC. 

Violent death is defined as intentional use of physical force, including drugs or poisons, or unintentional use of a gun. 

In 2004 and 2005, the state saw 1,784 violent death incidents, an average of 863 per year. There were 2.4 violent-death incidents per day. A single incident could claim the lives of more than one person. 

The state Health Department uses medical examiner reports, death certificates, police reports and supplemental homicide reports to determine whether deaths were violent. 

Oklahoma averaged 508 suicides per year — 60 percent of its violent deaths. 

The overall rate of violent deaths in Oklahoma averaged over 2004-05 was 33 percent higher than the U.S. rate in 2004. 

"That's largely due to the rates of suicide and the rates of undetermined manner of death,” said Sheryll Brown, an epidemiologist with the state Health Department. 

Undetermined manner of death typically stems from the medical examiner's report and indicates evidence doesn't favor one cause over another.  

Brown said the system used to track violent deaths pulls together information from various sources to provide a comprehensive picture. 

"We can look at information about the victims; we can look at information about the suspects; we can look at information about the weapons” and gather information about circumstances surrounding the deaths, she said. 

Many are suicides
Often, those who died violently took their own lives.

For those in public health and mental health, the report likely is unsurprising, Brown said. For the public, the prevalence of suicide may come as a shock.

"We think of violent deaths as usually homicides,” she said.

Phil Lowe, counseling services coordinator for Youth Services of Tulsa, said suicide is the second-leading cause of death for the young and a leading cause of death for senior citizens.

Oklahoma, he said, is a regional leader in suicide prevention efforts and was among the first states to receive a federal grant for that purpose. Instead of focusing on certain groups or communities, Oklahoma's approach has been to train people to train others to look for suicide warning signs and how to intervene when they recognize them.

Friends, loved ones and medical professionals often miss critical cues. Moreover, asking someone if he or she is about to commit suicide is difficult.

"What we teach people is you ask it pretty straight-up,” Lowe said. 

Lowe attributed the state's suicide rate to untreated depression and lack of mental health services in rural areas.

Breaking up with a boyfriend or girlfriend often triggers suicidal thoughts in the young, whereas being diagnosed with illness often does so in the elderly. Add drugs and alcohol, and things become volatile. 

"It's a problem,” Lowe said of suicide, "but it's a very preventable problem.” 

Jessica Hawkins, a suicide prevention program manager for the Oklahoma Department of Mental Health and Substance Abuse Services, said mental health and suicide are stigmatized and seldom discussed. Most people, she said, don't know what warning signs to look for or where to send a suicidal person for help. 

Hawkins said it's incorrect to assume a suicidal person can't be stopped. 

"Most people who seek out help and get it are never suicidal again in their life,” she said


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