suicide prevention guide - florida kids count

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The Center for the Study of Children’s Futures highlights another resource developed at the Louis de la Parte Florida Mental Health Institute. Available in hard copy or online http://theguide.fmhi.usf.edu The Youth Suicide Prevention School-Based Guide was developed at the Louis de la Parte Florida Mental Health Institute, University of South Florida. Funding was provided by the Institute for Child Health Policy at Nova Southeastern University through a Florida Drug Free Communities Program Award. The Guide covers nine topics to help school administrators and their partners develop comprehensive programs with proven strategies. “This is excellent! A wealth of information.” Calvin Nunnally, Sr. MS Center for Injury and Violence Prevention Virginia Department of Health “I have just had the opportunity to look through the Guide. Congratulations on what looks like a very useful product.” David A. Litts, O.D. Suicide Prevention Resource Center Washington, DC “It is thorough and very easy to use.” Judie Smith Dallas Independent School District Project SOAR Why a school-based guide? Adolescents spend approximately one third of their day in school. Informed school staff and students can identify students at risk and direct youth to prompt, effective treatment. At school, students have the greatest exposure to support such as teachers, counselors, coaches, staff, and classmates who have the potential to intervene. Who can use a school-based guide? School Administrators Counselors Teachers Youth Outreach Programs Family and Community Partnerships Caring Adults Center for the Study of Children’s Futures Louis de la Parte Florida Mental Health Institute

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Page 1: Suicide Prevention Guide - Florida KIDS COUNT

Florida 219 12 735 75 2,508,080 9,321 116,379 2,540,138 7,464 3,552 53,849 11,971

Alachua 2 0 7 1 28,607 0 5,032 29,308 148 63 699 364Baker 0 0 1 0 4,498 35 51 4,522 18 4 98 30Bay 5 0 5 0 24,756 236 224 26,431 110 48 475 259Bradford 1 0 1 0 4,032 49 107 4,029 26 10 7 3Brevard 7 0 23 1 71,072 128 82 72,552 230 91 719 110Broward 26 2 54 7 266,223 2,625 1,481 267,898 611 328 2,625 1,167Calhoun 1 0 0 0 2,173 3 N/A 2,173 9 5 18 6Charlotte 2 0 3 1 17,661 51 N/A 17,719 196 61 524 146Citrus 0 0 5 1 15,309 44 N/A 15,344 55 11 89 36Clay 3 1 8 0 29,649 245 1,115 29,862 110 55 28 43Collier 6 1 7 1 38,195 0 N/A 38,108 187 55 77 30Columbia 2 1 3 1 9,524 13 N/A 9,701 54 19 226 35Miami-Dade 22 1 111 7 379,912 75 3,373 373,316 465 306 16,256 1,957DeSoto 2 0 4 0 4,601 12 99 4,916 9 5 135 29Dixie 0 0 2 0 2,185 6 4,087 2,229 7 4 86 2Duval 8 0 41 3 125,238 368 3,946 128,113 411 175 5,823 651Escambia 6 0 16 2 43,154 280 510 43,909 199 62 714 354Flagler 1 0 0 0 7,823 6 N/A 7,616 34 10 2 12Franklin 0 0 0 0 1,339 2 27 1,343 1 1 41 1Gadsden 1 0 2 0 6,747 1 4,718 7,195 11 16 679 58Gilchrist 0 0 4 1 2,702 24 1,674 2,736 11 1 16 2Glades 0 0 0 0 1,028 6 N/A 998 4 1 24 5Gulf 0 0 0 0 2,174 7 102 2,164 11 2 20 0Hamilton 0 0 3 0 2,008 13 266 2,065 2 11 185 3Hardee 1 0 0 0 5,146 9 1,944 5,175 4 6 43 9Hendry 0 0 6 0 7,518 55 N/A 7,672 19 5 138 76Hernando 2 0 7 1 18,331 21 N/A 18,601 81 23 55 42Highlands 1 0 7 0 11,486 32 299 11,428 41 35 242 165Hillsborough 12 1 49 3 167,414 0 446 175,343 502 335 3,926 1,055Holmes 0 0 1 0 3,402 14 3,661 3,414 10 2 1 0Indian River 1 0 8 2 16,504 31 4,293 15,980 38 26 170 73Jackson 0 0 0 0 7,097 25 396 7,228 30 39 387 96Jefferson 0 0 1 0 1,612 33 6,510 1,575 2 1 0 0Lafayette 1 0 0 0 1,022 11 17 1,049 8 3 30 0Lake 6 0 12 4 29,726 N/A N/A 31,773 139 45 788 111Lee 6 0 23 0 64,564 624 N/A 63,148 303 110 1,756 386Leon 3 0 9 0 32,333 86 907 31,855 165 115 783 158Levy 1 0 0 0 6,184 37 301 6,113 35 14 168 73Liberty 0 0 2 0 1,164 0 4 1,383 3 0 0 0Madison 0 0 1 0 3,066 14 81 3,311 5 1 120 9Manatee 1 0 5 1 46,767 241 663 39,136 157 58 245 83Marion 4 0 15 2 38,608 89 47 39,689 156 58 668 140Martin 2 0 3 0 17,062 72 30 17,253 36 5 98 39Monroe 1 0 6 0 8,806 74 187 9,195 28 17 299 94Nassau 1 0 4 0 10,156 38 N/A 10,519 39 7 35 7Okaloosa 2 0 13 3 30,064 210 N/A 30,949 74 12 581 12Okeechobee 0 0 3 1 6,801 1 59,446 7,084 40 11 145 61Orange 13 1 37 8 159,021 41 612 158,689 245 152 4,310 373Osceola 6 0 6 1 30,271 46 N/A 40,480 67 51 102 146Palm Beach 10 1 50 4 167,269 503 122 164,827 395 379 3,625 760Pasco 5 1 18 1 54,349 477 316 54,960 271 82 666 124Pinellas 10 0 31 8 111,736 852 1,512 114,760 404 118 207 375Polk 9 1 34 2 77,006 365 4,324 82,146 406 241 1,175 953Putnam 1 0 6 0 12,101 3 N/A 12,484 91 15 338 55St. Johns 3 0 1 0 21,712 59 N/A 21,946 55 28 148 17St. Lucie 2 1 10 1 31,074 173 N/A 31,561 78 23 523 577Santa Rosa 1 0 6 0 23,517 58 8 23,645 59 17 113 32Sarasota 3 0 7 2 37,509 172 35 38,031 50 15 604 266Seminole 5 0 14 1 63,271 210 N/A 63,363 129 39 543 34Sumter 0 0 2 0 6,418 34 N/A 6,556 63 13 51 2Suwannee 4 0 7 1 5,792 33 950 5,802 26 8 126 16Taylor 0 0 2 0 3,247 29 118 3,589 17 3 50 18Union 1 0 0 0 2,173 3 N/A 2,174 2 0 243 20Volusia 6 0 18 3 61,796 187 12 62,854 224 84 602 181Wakulla 0 0 2 0 4,681 64 2,158 4,661 19 3 71 11Walton 0 0 5 0 6,344 53 55 6,303 21 5 64 5Washington 0 0 4 0 3,350 13 31 3,410 3 3 24 7

2002 FloridaVital StatisticsNumber of Deaths

Num

ber

of R

epor

ted

Psyc

hiat

ric

Con

ditio

ns

Sui

cide

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ge 1

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Num

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Num

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Num

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2002-03 Florida Department of HealthSchool Health Services

2002-03 Florida Department of EducationSchool Environmental Safety Incident Report

Tot

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The Center

for th

e Study of C

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’s Futures

highlights a

nother res

ource develo

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Louis de la

Parte F

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Available i

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http://t

heguide.fmhi.u

sf.edu

The Youth Suicide Prevention School-BasedGuide was developed at the Louis de la ParteFlorida Mental Health Institute, University ofSouth Florida. Funding was provided by theInstitute for Child Health Policy at NovaSoutheastern University through a FloridaDrug Free Communities Program Award.The Guide covers nine topics to help schooladministrators and their partners developcomprehensive programs with proven strategies.

“This is excellent! A wealth of information.”Calvin Nunnally, Sr. MSCenter for Injury and Violence PreventionVirginia Department of Health

“I have just had the opportunity to lookthrough the Guide. Congratulations onwhat looks like a very useful product.”

David A. Litts, O.D.Suicide Prevention Resource CenterWashington, DC

“It is thorough and very easy to use.”Judie SmithDallas Independent School DistrictProject SOAR

Why a school-based guide?

• Adolescents spend approximately one third oftheir day in school.

• Informed school staff and students can identifystudents at risk and direct youth to prompt,effective treatment.

• At school, students have the greatest exposureto support such as teachers, counselors,coaches, staff, and classmates who have thepotential to intervene.

Who can use a school-based guide?

• School Administrators• Counselors• Teachers• Youth Outreach Programs• Family and Community Partnerships• Caring Adults

Department of Health, School Health ServicesReported Psychiatric Conditions - Number of children, as reported by parents on the student information cards

at the beginning of each academic year, with a psychiatric condition.Reported Visits to Comprehensive School Health Services Project (CSHSP) Health Rooms for Psychosocial

Issues - Student visits to CSHSP Health Rooms for personal problems, distress, family problems, oranxiety. Less than 400 schools (approximately 10%) statewide have CSHSP Health Rooms.

N/A - Data not available either because the county does not have the program for which the data is beingcollected, or the county does not collect or report the data element.

Department of Education, School Environmental Safety Incident ReportDrug and Alcohol - Possession, use or sale of alcohol or illegal drugs.Weapons Possession - Possession of an instrument which can inflict serious harm or can place a person in

reasonable fear.Fighting - Mutual participation in use of physical violence that requires physical restraint or results in injury.Violent Acts Against a Person - Includes battery - physical use of force or violence by an individual against

another; homicide - murder or manslaughter; kidnapping - forcibly, or by threat, confining, abducting, orimprisoning another against his/her will and without lawful authority; robbery - taking or attempted takingof anything of value by another person or organization, under confrontational circumstances of force ofthreat of force or violence and/or putting the victim in fear; and sexual battery - forced or attempted oral,anal, or vaginal penetration by using any body part or object.

Abbreviated data explanations.For more information please contact the Center staff at 813.974.7411

2005 • Center for the Study of Children’s Futures

Center for the Study of Children’s FuturesLouis de la Parte Florida Mental Health Institute

Page 2: Suicide Prevention Guide - Florida KIDS COUNT

Youth Suicide Prevention School-Based Guide

• More than 90 percent of youth suicide victims have had at least one major psychiatric disorder, with depressive andsubstance abuse disorders being the most prevalent.1, 2, 3

• In a survey of commercially insured children and adolescents, from 1998 to 2002 the overall prevalence ofantidepressant use increased by 49 percent (does not include children receiving Medicaid or Medicare).4

• 53 percent of adolescents who commit suicide abuse drugs and/or alcohol.5

• In 1997, suffocation surpassed firearms as the most common suicide method among youth age 10-14 years. In 2001, atotal of 1.8 suffocation suicides occurred for every firearm suicide among this age group.6

• Among persons age 15-19 years, the suffocation suicide rate increased from 1.9 to 2.7 from 1992 to 2001 while thefirearm suicide rate declined from 7.3 to 4.1.6

• One in 20 high school students reported both suicide attempts and participation in physical fights in the previous year.Students who reported attempting suicide were nearly four times more likely to have reported fighting than those whoreported not attempting suicide.6

• Between July 1, 1994 and June 30, 1999, more than 20 percent of the lethal acts of school violence were suicides withone in four suicide victims having injured or killed someone else before their suicide.6

The unique framework assists schools with assessing and developing school-based suicide prevention efforts.The Guide is a tool that presents proven strategies designed to meet the needs of schools in the development ofcomprehensive suicide prevention programs.

The Guide includes:• seven topic specific Checklists• thirteen Issue Briefs with topic specific references• a sample of school-based suicide prevention programs• additional resources and links• statistics from the American Association of Suicidology• a true/false test about the myths of youth suicide• sample school forms

U. S. and Florida Facts and FiguresIn 2001, suicide was the third leading cause of death for all U.S. youth age 10-19 and the second leading cause ofdeath for Florida youth of this same age group.7

National Findings

“The School-Based Guide provides needed information andguidelines to increase awareness and education in a very user-friendly format. I truly believe it will help enable our Floridaschools to address the serious issue of youth suicide and helpprevent suicide in our schools and communities.”

Pam HarringtonThe Beth Foundation, Inc.Governor's Task Force on Suicide Prevention

“My sense is that this is going to be an importantup-to-date resource for youth prevention outreachas well as gatekeeper training . . .”

Linda L. FlattCommunity Organizer, SPAN USAHenderson, NV

“I wish you could hear the joy and gratitude in myvoice when I say ‘Thank you!’ for a wonderful, clear,concise, useable and nicely packaged resource.”

JoAnn Sartorius, L.I.S.W.Program Director for Youth SuicideSanta Fe, NM

Checkliststo help evaluate the adequacyof the schools’ suicideprevention programs

Issue Briefsoffering a rationale for theimportance of the topicwith an overview andproven effective strategies

Referenceswith helpful links forfurther investigationand research into thespecific topic

Cause of Death and Method of Suicide for Youth Age 10 - 19, WISQARS 2001 Data7

Unintentional InjurySuicideHomicideMalignant NeoplasmsHeart DiseaseCongenital AnomaliesAll Other Categories with <1%

FloridaN=933

U.S.N=17,557

9.4%

51.0%8.0%

7.7%

3.4%

17.8% 2.6%

45.5%43.2%

8.0%3.3%

SuffocationFirearmPoisoningOther

46.7%

11.9%10.7%

3.0%7.1%

2.6%

18.0%

49.3%37.9%

6.7%6.0%

(1) Shaffer, D., Gould, MS., Fisher, P. et al. (1996), Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53(4), 339-348.

(2) National Alliance for the Mentally Ill. (2003). About mental illness: Suicide in youth. Retrieved August, 2004 from http://www.nami.org/Content/ContertGroups/Helpline1/Suicide in YouthIn Gould, M., Greenburg, T., Velting, D., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child & AdolescentPsychiatry, 42, 386-405.

(3) Shaffer, D., Wilcox, H., Lucas, C, et al. (1996). The development of a screening instrument for teens at risk for suicide. Poster presented at the 1996 meeting of the Academy of Child and AdolescentPsychiatry: New York, NY (1996). In Lazear, K., Roggenbaum, S., & Doan, J. (2003). Youth Suicide Prevention School-Based Guide.

(4) Delate, T., Gelenberg, A., Simons, V., & Motheral, B. (2004). Trends in the use of antidepressants in a national sample of commercially insured pediatric patients, 1998 to 2002. Psychiatric Services.Retrieved April, 2004 from http://ps.psychiatryonline.org

(5) American Psychiatric Association. (1998). Let’s talk facts about...teen suicide. Retrieved August, 2004 from http://www.psych.org/public_info/teen.cfm

(6) Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. June 11, 2004, 53(22), 471-476. (Youth Risk Behavior Survey)

(7) Center for Disease Control and Prevention. National Center for Injury Prevention and Control. Office of Statistics and Programming. Web-based Injury Statistics Query and Reporting System(WISQARS). Retrieved August 2004 from http://www.cdc.gov/ncipc/wisqars

(8) Centers for Disease Control and Prevention. Surveillance Summaries. Morbidity and Mortality Weekly Report. Youth Risk Behavior Surveillance - United States, 2003. May 21, 2004,53(SS-2), 35-38, 45-48, 55-56.

30.1% 28.6%15.8% 16.9%12.6% 16.5%

9.0% 8.5%

3.4% 2.9%

42.7% 44.9%23.2% 28.3%17.2% 17.1%32.1% 33.0%

During the past 12 months,did you ever feel so sad or hopeless almost every day for two or moreweeks in a row that you stopped doing some usual activities?did you ever seriously consider attempting suicide?did you make a plan about how you would attempt suicide?did you actually attempt suicide one or more times?if you attempted suicide, did any attempt result in an injury, poisoning,or overdose that had to be treated by a doctor or a nurse?

During the past 30 days,did you have one or more drinks of alcohol?did you have five or more drinks of alcohol within a couple of hours?did you carry a weapon such as a gun, knife, or club?did you engage in a physical fight?

Youth Risk Behavior Survey, 20038

FL USHigh school students’ self-reported endorsement of the following:

Page 3: Suicide Prevention Guide - Florida KIDS COUNT

Youth Suicide Prevention School-Based Guide

• More than 90 percent of youth suicide victims have had at least one major psychiatric disorder, with depressive andsubstance abuse disorders being the most prevalent.1, 2, 3

• In a survey of commercially insured children and adolescents, from 1998 to 2002 the overall prevalence ofantidepressant use increased by 49 percent (does not include children receiving Medicaid or Medicare).4

• 53 percent of adolescents who commit suicide abuse drugs and/or alcohol.5

• In 1997, suffocation surpassed firearms as the most common suicide method among youth age 10-14 years. In 2001, atotal of 1.8 suffocation suicides occurred for every firearm suicide among this age group.6

• Among persons age 15-19 years, the suffocation suicide rate increased from 1.9 to 2.7 from 1992 to 2001 while thefirearm suicide rate declined from 7.3 to 4.1.6

• One in 20 high school students reported both suicide attempts and participation in physical fights in the previous year.Students who reported attempting suicide were nearly four times more likely to have reported fighting than those whoreported not attempting suicide.6

• Between July 1, 1994 and June 30, 1999, more than 20 percent of the lethal acts of school violence were suicides withone in four suicide victims having injured or killed someone else before their suicide.6

The unique framework assists schools with assessing and developing school-based suicide prevention efforts.The Guide is a tool that presents proven strategies designed to meet the needs of schools in the development ofcomprehensive suicide prevention programs.

The Guide includes:• seven topic specific Checklists• thirteen Issue Briefs with topic specific references• a sample of school-based suicide prevention programs• additional resources and links• statistics from the American Association of Suicidology• a true/false test about the myths of youth suicide• sample school forms

U. S. and Florida Facts and FiguresIn 2001, suicide was the third leading cause of death for all U.S. youth age 10-19 and the second leading cause ofdeath for Florida youth of this same age group.7

National Findings

“The School-Based Guide provides needed information andguidelines to increase awareness and education in a very user-friendly format. I truly believe it will help enable our Floridaschools to address the serious issue of youth suicide and helpprevent suicide in our schools and communities.”

Pam HarringtonThe Beth Foundation, Inc.Governor's Task Force on Suicide Prevention

“My sense is that this is going to be an importantup-to-date resource for youth prevention outreachas well as gatekeeper training . . .”

Linda L. FlattCommunity Organizer, SPAN USAHenderson, NV

“I wish you could hear the joy and gratitude in myvoice when I say ‘Thank you!’ for a wonderful, clear,concise, useable and nicely packaged resource.”

JoAnn Sartorius, L.I.S.W.Program Director for Youth SuicideSanta Fe, NM

Checkliststo help evaluate the adequacyof the schools’ suicideprevention programs

Issue Briefsoffering a rationale for theimportance of the topicwith an overview andproven effective strategies

Referenceswith helpful links forfurther investigationand research into thespecific topic

Cause of Death and Method of Suicide for Youth Age 10 - 19, WISQARS 2001 Data7

Unintentional InjurySuicideHomicideMalignant NeoplasmsHeart DiseaseCongenital AnomaliesAll Other Categories with <1%

FloridaN=933

U.S.N=17,557

9.4%

51.0%8.0%

7.7%

3.4%

17.8% 2.6%

45.5%43.2%

8.0%3.3%

SuffocationFirearmPoisoningOther

46.7%

11.9%10.7%

3.0%7.1%

2.6%

18.0%

49.3%37.9%

6.7%6.0%

(1) Shaffer, D., Gould, MS., Fisher, P. et al. (1996), Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53(4), 339-348.

(2) National Alliance for the Mentally Ill. (2003). About mental illness: Suicide in youth. Retrieved August, 2004 from http://www.nami.org/Content/ContertGroups/Helpline1/Suicide in YouthIn Gould, M., Greenburg, T., Velting, D., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child & AdolescentPsychiatry, 42, 386-405.

(3) Shaffer, D., Wilcox, H., Lucas, C, et al. (1996). The development of a screening instrument for teens at risk for suicide. Poster presented at the 1996 meeting of the Academy of Child and AdolescentPsychiatry: New York, NY (1996). In Lazear, K., Roggenbaum, S., & Doan, J. (2003). Youth Suicide Prevention School-Based Guide.

(4) Delate, T., Gelenberg, A., Simons, V., & Motheral, B. (2004). Trends in the use of antidepressants in a national sample of commercially insured pediatric patients, 1998 to 2002. Psychiatric Services.Retrieved April, 2004 from http://ps.psychiatryonline.org

(5) American Psychiatric Association. (1998). Let’s talk facts about...teen suicide. Retrieved August, 2004 from http://www.psych.org/public_info/teen.cfm

(6) Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. June 11, 2004, 53(22), 471-476. (Youth Risk Behavior Survey)

(7) Center for Disease Control and Prevention. National Center for Injury Prevention and Control. Office of Statistics and Programming. Web-based Injury Statistics Query and Reporting System(WISQARS). Retrieved August 2004 from http://www.cdc.gov/ncipc/wisqars

(8) Centers for Disease Control and Prevention. Surveillance Summaries. Morbidity and Mortality Weekly Report. Youth Risk Behavior Surveillance - United States, 2003. May 21, 2004,53(SS-2), 35-38, 45-48, 55-56.

30.1% 28.6%15.8% 16.9%12.6% 16.5%

9.0% 8.5%

3.4% 2.9%

42.7% 44.9%23.2% 28.3%17.2% 17.1%32.1% 33.0%

During the past 12 months,did you ever feel so sad or hopeless almost every day for two or moreweeks in a row that you stopped doing some usual activities?did you ever seriously consider attempting suicide?did you make a plan about how you would attempt suicide?did you actually attempt suicide one or more times?if you attempted suicide, did any attempt result in an injury, poisoning,or overdose that had to be treated by a doctor or a nurse?

During the past 30 days,did you have one or more drinks of alcohol?did you have five or more drinks of alcohol within a couple of hours?did you carry a weapon such as a gun, knife, or club?did you engage in a physical fight?

Youth Risk Behavior Survey, 20038

FL USHigh school students’ self-reported endorsement of the following:

Page 4: Suicide Prevention Guide - Florida KIDS COUNT

Florida 219 12 735 75 2,508,080 9,321 116,379 2,540,138 7,464 3,552 53,849 11,971

Alachua 2 0 7 1 28,607 0 5,032 29,308 148 63 699 364Baker 0 0 1 0 4,498 35 51 4,522 18 4 98 30Bay 5 0 5 0 24,756 236 224 26,431 110 48 475 259Bradford 1 0 1 0 4,032 49 107 4,029 26 10 7 3Brevard 7 0 23 1 71,072 128 82 72,552 230 91 719 110Broward 26 2 54 7 266,223 2,625 1,481 267,898 611 328 2,625 1,167Calhoun 1 0 0 0 2,173 3 N/A 2,173 9 5 18 6Charlotte 2 0 3 1 17,661 51 N/A 17,719 196 61 524 146Citrus 0 0 5 1 15,309 44 N/A 15,344 55 11 89 36Clay 3 1 8 0 29,649 245 1,115 29,862 110 55 28 43Collier 6 1 7 1 38,195 0 N/A 38,108 187 55 77 30Columbia 2 1 3 1 9,524 13 N/A 9,701 54 19 226 35Miami-Dade 22 1 111 7 379,912 75 3,373 373,316 465 306 16,256 1,957DeSoto 2 0 4 0 4,601 12 99 4,916 9 5 135 29Dixie 0 0 2 0 2,185 6 4,087 2,229 7 4 86 2Duval 8 0 41 3 125,238 368 3,946 128,113 411 175 5,823 651Escambia 6 0 16 2 43,154 280 510 43,909 199 62 714 354Flagler 1 0 0 0 7,823 6 N/A 7,616 34 10 2 12Franklin 0 0 0 0 1,339 2 27 1,343 1 1 41 1Gadsden 1 0 2 0 6,747 1 4,718 7,195 11 16 679 58Gilchrist 0 0 4 1 2,702 24 1,674 2,736 11 1 16 2Glades 0 0 0 0 1,028 6 N/A 998 4 1 24 5Gulf 0 0 0 0 2,174 7 102 2,164 11 2 20 0Hamilton 0 0 3 0 2,008 13 266 2,065 2 11 185 3Hardee 1 0 0 0 5,146 9 1,944 5,175 4 6 43 9Hendry 0 0 6 0 7,518 55 N/A 7,672 19 5 138 76Hernando 2 0 7 1 18,331 21 N/A 18,601 81 23 55 42Highlands 1 0 7 0 11,486 32 299 11,428 41 35 242 165Hillsborough 12 1 49 3 167,414 0 446 175,343 502 335 3,926 1,055Holmes 0 0 1 0 3,402 14 3,661 3,414 10 2 1 0Indian River 1 0 8 2 16,504 31 4,293 15,980 38 26 170 73Jackson 0 0 0 0 7,097 25 396 7,228 30 39 387 96Jefferson 0 0 1 0 1,612 33 6,510 1,575 2 1 0 0Lafayette 1 0 0 0 1,022 11 17 1,049 8 3 30 0Lake 6 0 12 4 29,726 N/A N/A 31,773 139 45 788 111Lee 6 0 23 0 64,564 624 N/A 63,148 303 110 1,756 386Leon 3 0 9 0 32,333 86 907 31,855 165 115 783 158Levy 1 0 0 0 6,184 37 301 6,113 35 14 168 73Liberty 0 0 2 0 1,164 0 4 1,383 3 0 0 0Madison 0 0 1 0 3,066 14 81 3,311 5 1 120 9Manatee 1 0 5 1 46,767 241 663 39,136 157 58 245 83Marion 4 0 15 2 38,608 89 47 39,689 156 58 668 140Martin 2 0 3 0 17,062 72 30 17,253 36 5 98 39Monroe 1 0 6 0 8,806 74 187 9,195 28 17 299 94Nassau 1 0 4 0 10,156 38 N/A 10,519 39 7 35 7Okaloosa 2 0 13 3 30,064 210 N/A 30,949 74 12 581 12Okeechobee 0 0 3 1 6,801 1 59,446 7,084 40 11 145 61Orange 13 1 37 8 159,021 41 612 158,689 245 152 4,310 373Osceola 6 0 6 1 30,271 46 N/A 40,480 67 51 102 146Palm Beach 10 1 50 4 167,269 503 122 164,827 395 379 3,625 760Pasco 5 1 18 1 54,349 477 316 54,960 271 82 666 124Pinellas 10 0 31 8 111,736 852 1,512 114,760 404 118 207 375Polk 9 1 34 2 77,006 365 4,324 82,146 406 241 1,175 953Putnam 1 0 6 0 12,101 3 N/A 12,484 91 15 338 55St. Johns 3 0 1 0 21,712 59 N/A 21,946 55 28 148 17St. Lucie 2 1 10 1 31,074 173 N/A 31,561 78 23 523 577Santa Rosa 1 0 6 0 23,517 58 8 23,645 59 17 113 32Sarasota 3 0 7 2 37,509 172 35 38,031 50 15 604 266Seminole 5 0 14 1 63,271 210 N/A 63,363 129 39 543 34Sumter 0 0 2 0 6,418 34 N/A 6,556 63 13 51 2Suwannee 4 0 7 1 5,792 33 950 5,802 26 8 126 16Taylor 0 0 2 0 3,247 29 118 3,589 17 3 50 18Union 1 0 0 0 2,173 3 N/A 2,174 2 0 243 20Volusia 6 0 18 3 61,796 187 12 62,854 224 84 602 181Wakulla 0 0 2 0 4,681 64 2,158 4,661 19 3 71 11Walton 0 0 5 0 6,344 53 55 6,303 21 5 64 5Washington 0 0 4 0 3,350 13 31 3,410 3 3 24 7

2002 FloridaVital StatisticsNumber of Deaths

Num

ber

of R

epor

ted

Psyc

hiat

ric

Con

ditio

ns

Sui

cide

s A

ge 1

5-19

Num

ber

of R

epor

ted

Dru

g an

d A

lcoh

olIn

cide

nts

Num

ber

of R

epor

ted

Figh

ting

Inci

dent

s

Num

ber

of R

epor

ted

Vis

its to

CSH

SPH

ealth

Roo

ms

for

Psyc

hoso

cial

Iss

ues

Num

ber

of R

epor

ted

Wea

pons

Pos

sess

ion

Inci

dent

s

2002-03 Florida Department of HealthSchool Health Services

2002-03 Florida Department of EducationSchool Environmental Safety Incident Report

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The Youth Suicide Prevention School-BasedGuide was developed at the Louis de la ParteFlorida Mental Health Institute, University ofSouth Florida. Funding was provided by theInstitute for Child Health Policy at NovaSoutheastern University through a FloridaDrug Free Communities Program Award.The Guide covers nine topics to help schooladministrators and their partners developcomprehensive programs with proven strategies.

“This is excellent! A wealth of information.”Calvin Nunnally, Sr. MSCenter for Injury and Violence PreventionVirginia Department of Health

“I have just had the opportunity to lookthrough the Guide. Congratulations onwhat looks like a very useful product.”

David A. Litts, O.D.Suicide Prevention Resource CenterWashington, DC

“It is thorough and very easy to use.”Judie SmithDallas Independent School DistrictProject SOAR

Why a school-based guide?

• Adolescents spend approximately one third oftheir day in school.

• Informed school staff and students can identifystudents at risk and direct youth to prompt,effective treatment.

• At school, students have the greatest exposureto support such as teachers, counselors,coaches, staff, and classmates who have thepotential to intervene.

Who can use a school-based guide?

• School Administrators• Counselors• Teachers• Youth Outreach Programs• Family and Community Partnerships• Caring Adults

Department of Health, School Health ServicesReported Psychiatric Conditions - Number of children, as reported by parents on the student information cards

at the beginning of each academic year, with a psychiatric condition.Reported Visits to Comprehensive School Health Services Project (CSHSP) Health Rooms for Psychosocial

Issues - Student visits to CSHSP Health Rooms for personal problems, distress, family problems, oranxiety. Less than 400 schools (approximately 10%) statewide have CSHSP Health Rooms.

N/A - Data not available either because the county does not have the program for which the data is beingcollected, or the county does not collect or report the data element.

Department of Education, School Environmental Safety Incident ReportDrug and Alcohol - Possession, use or sale of alcohol or illegal drugs.Weapons Possession - Possession of an instrument which can inflict serious harm or can place a person in

reasonable fear.Fighting - Mutual participation in use of physical violence that requires physical restraint or results in injury.Violent Acts Against a Person - Includes battery - physical use of force or violence by an individual against

another; homicide - murder or manslaughter; kidnapping - forcibly, or by threat, confining, abducting, orimprisoning another against his/her will and without lawful authority; robbery - taking or attempted takingof anything of value by another person or organization, under confrontational circumstances of force ofthreat of force or violence and/or putting the victim in fear; and sexual battery - forced or attempted oral,anal, or vaginal penetration by using any body part or object.

Abbreviated data explanations.For more information please contact the Center staff at 813.974.7411

2005 • Center for the Study of Children’s Futures

Center for the Study of Children’s FuturesLouis de la Parte Florida Mental Health Institute