promoting independence in agriculture aantwstressdepressionsuicide10.3107.ppt (rev. 10.1807b)
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Promoting Independence in Agriculture
AANTWStressDepressionSuicide10.3107.ppt (Rev. 10.1807b)
Promoting Independence in Agriculture
Signs & Symptoms of Stress, Depression, & Suicidal Thinking in Farm/Ranch Families
& What to DoOctober 31, 2007, 1:45-3:15, Sacramento, CA
By Robert J. Fetsch, Ph.D., Extension Specialist,
Human Development & Family Studies
Colorado State University Director, Colorado AgrAbility Project
Promoting Independence in Agriculture
Promoting Independence in Agriculture
Farming and Ranching are among the most dangerous occupations in the U.S.
• HANDOUT: Farm and Ranch Family Stress and Depression: A Checklist and Guide for Making Referrals
Promoting Independence in Agriculture
What do you think the leading external causes of death on Colorado ranches/farms
have been?
Promoting Independence in Agriculture
What do you think the leading external causes of death on Colorado ranches/farms have been?
• 1) Suicide
• 2) Animals
• 3) Tractors
Promoting Independence in Agriculture
Farming and Ranching are among the most dangerous occupations in the U.S.
• Historically, the leading external cause of death on Colorado farms and ranches has been: 1) suicide, 2) animal incidents, and 3) tractor rollovers (1).
(1) T. Daniels (personal communication, August 22, 2000).
Promoting Independence in Agriculture
Farming and Ranching are among the most dangerous occupations in the U.S.
• Between 2000 and 2004 the external cause of death for one out of five Colorado farmers and ranchers who died was suicide.
Source: K. Bol, e-mail communication, October 20, 2005, Health and Statistics Section of Colorado Department of Health and Environment.
Promoting Independence in Agriculture
Farming and Ranching are among the most dangerous occupations in the U.S.
• Colorado ranked 7th in U.S. for all suicides @ 16.0/100,000 in 2003.(1)
• U.S. suicide rate was 10.7/100,000 in 2004.(2)
Sources:
(1) National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf(2) National Vital Statistics Reports, Vol. 54, No. 19, June 28, 2006http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_19.pdf
Suicide rates per 100,000 population by state and US
Source: Retrieved April 5, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
5
10
15
20
25
WY
CO
US
CA
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
18
20
DE
GA
US
ID
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
IL
IN
US
IA
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
18
KY
LA
US
ME
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
MD
MI
US
MN
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
MO
NH
US
NC
Suicide rates per 100,000 population by state and US
Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
5
10
15
20
25
NM
UT
US
Suicide rates per 100,000 population by state and US
Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
18
OKKSUS
Suicide rates per 100,000 population by state and US
Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
NEMSUS
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
PA
TN
US
TX
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
18
VT
VA
US
Suicide rates per 100,000 population by state and US
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
0
2
4
6
8
10
12
14
16
18
WV
WI
US
Promoting Independence in Agriculture
Suicide Death Rates, United States, 2003
Promoting Independence in Agriculture
Suicide Death Rates, United States, 2004
Promoting Independence in Agriculture
STATE NUMBER of SUICIDES RATE
Wyoming 109 21.7
Montana 180 19.6
Nevada 434 19.4
Alaska 124 19.1
New Mexico 343 18.3
Oregon 592 16.6
Colorado 728 16.0
Idaho 217 15.9
Arizona 840 15.1
West Virginia 266 14.7
Utah 336 14.3
* National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006
http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf
2003 U. S. Suicide Rate by StateTop Quintile
Promoting Independence in Agriculture
STATE NUMBER of SUICIDES RATE
Alaska 155 23.6
Montana 175 18.9
Nevada 440 18.9
New Mexico 356 18.7
Wyoming 88 17.4
Colorado 797 17.3
Idaho 236 16.9
West Virginia 285 15.7
Utah 377 15.6
Oregon 555 15.5
Arizona 880 15.3
* National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006
http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf
2004 U. S. Suicide Rate by StateTop Quintile
National Institute of Mental HealthCurrent Suicide Rates in U. S.
Promoting Independence in Agriculture
• Men aged between 35-54 years account for 50% of suicides between 1999-2002. (1)
• Every 11 days another Coloradoan dies from a completed suicide. (2)
(1) Retrieved October 24, 2005 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
(2) Retrieved October 24, 2005 from http://www.suicideresourcecenter.org/about.htm
Western Mountain States have the highest suicide death rates.
Promoting Independence in Agriculture
Western Mountain States have the highest suicide death rates.
• The risk of suicide death increases among older men and is especially high for 75 years plus.
• Most are white and not married.
Promoting Independence in Agriculture
What are risk and protective factors?
• Unemployment and job loss (risk)• Living alone (risk)• Recent Hispanic immigration (protective)Colorado Trust, 2002, pp. 66-67.
Promoting Independence in Agriculture
What are common predictors of suicide? Source: Colorado Trust, 2002, p. 8
• Being an older, white male with risk increasing with age—1/2 suicide deaths are by white males 35 years+.
• Work problems, unemployment—1/3 who commit suicide are unemployed at the time of their death.
Promoting Independence in Agriculture
Farming and Ranching are among the most dangerous occupations in the U.S.
• HANDOUT: Farm and Ranch Family Stress and Depression: A Checklist and Guide for Making Referrals
Promoting Independence in Agriculture
How do I find resources for depression?
• HANDOUT: Take advantage of the resources on the AgrAbility Resource List.
Promoting Independence in Agriculture
How do I find resources for depression?
• Call 1-800-SUICIDE 24 x 7 for a live trained person to talk with and to find local resources.
Promoting Independence in Agriculture
How do I find resources for depression?
• To find Marriage & Family Therapists, http://therapistlocator.net
• To find Colorado counselors & therapists, https://www.doradls.state.co.us/alison.php
Promoting Independence in Agriculture
Be careful out there.Take good care of yourselves!
Promoting Independence in Agriculture
Thank you very much!
Promoting Independence in Agriculture
U.S. Suicide Statistics (2004)
Breakdown by Gender / Ethnicity /Age Groups
All Ages Combined Elderly (65+ yrs) Youth (15-24 yrs)
GroupNumber of Suicides
Rate of Suicide
Elderly Suicides
Elderly Suicide
Rate
Youth Suicides
Youth Suicide
Rate
Nation 32,439 11.1 5,198 14.3 4,316 10.4
Men 25,566 17.7 4,397 29.0 3,596 16.8
Women 6,873 4.6 801 3.8 720 3.6
Whites 29,251 12.3 4,924 15.4 3,610 11.0
Nonwhites 3,188 5.8 274 6.2 706 7.9
Blacks 2,019 5.2 148 4.8 465 7.2
White Men 23,081 19.6 4,180 31.1 3,016 17.9
White Women 6,170 5.1 744 4.0 594 3.8
Nonwhite Men 2,485 9.3 217 12.4 580 12.8
Nonwhite Women 703 2.4 57 2.2 126 2.8
Black Men 1,655 9.0 134 11.3 396 12.2
Black Women 364 1.8 14* 0.7 69 2.2