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Maryland Violent Death Reporting System (MVDRS): Using Data to Tell Victims’ Stories. Thomas Manion, M.A. Project Coordinator, MVDRS Maryland Department of Health and Mental Hygiene. A “National” System for Violence Prevention. 2002 – Centers for Disease Control and Prevention

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slide1

Maryland Violent Death Reporting System (MVDRS): Using Data to Tell Victims’ Stories

Thomas Manion, M.A.

Project Coordinator, MVDRS

Maryland Department of Health and Mental Hygiene

slide2

A “National” System for Violence Prevention

  • 2002 – Centers for Disease Control and Prevention
    • Public health approach to violence prevention
    • National system with state-level components
    • Five states funded initially (including Maryland)
slide4

Maryland’s System:

MVDRS

  • Maryland Department of Health and Mental Hygiene
  • First Data Collection Year: 2003
  • Data available through 2010
slide5

MVDRS Mission:

1. Maintain detailed body of information on Maryland violent deaths

2. Promote greater scientific understanding of violence

3. Encourage the development of effective violent death prevention and intervention strategies

slide6

What constitutes a

violent death?

“A death resulting from the intentional use of physical force or power* against oneself, another person, or group.”

*Includes poisons/drugs

slide7

Manners of Death

Evaluated

  • Homicide
  • Suicide
  • Death of Undetermined Intent
  • Accidental (ONLY if firearm-related)

As ruled by the Office of the Chief Medical Examiner for Maryland

slide8

Where does our data

come from?

Medical Examiner Reports (OCME)

Death Certificates (MD Vital Statistics)

MVDRS

Police Reports (State and Local Law Enforcement)

slide9

Data Collected

  • Victim/Suspect demographics
  • Victim/Suspect relationship (if applicable)
  • Victim’s marital status, education, current occupation
  • Time, date, location of injury
  • Weapon and wound details
  • Toxicology
  • Precipitating Circumstances
  • Narratives

MVDRS

Database

slide10

What sets MVDRS data apart?

  • Unprecedented level of detail
  • Precipitating circumstances
  • In-depth narratives
slide11

Our Philosophy on

Violent Death

1.) Every victim has a story

2.) Prevention should be grounded in scientific research

slide12

Stories

Data

Trends

Prevention

slide13

Limitations

  • NO data on Maryland residents injured out of state
  • Data Collection Timeline
      • 1-2 year lag between death and inclusion in MVDRS
slide14

MVDRS Data Highlights*

2010

*All rates are crude

rates per 100,000

population

slide15

Violent Death Overview

1,427 violent deaths = 24.7 per 100,000

  • Male rate (39) more than triple the female rate (11.3)
  • Age 25-29 had the highest age-specific rate (44.5)
slide17

Homicide Overview

389 deaths = 6.7 per 100,000

  • Nearly half of victims were Baltimore residents
  • Nearly 80% of homicide victims were black
  • Most common location of injury was a street/sidewalk/alley (40.6%)
slide20

Homicide : Circumstantial Data

Most common precipitating circumstances:

  • Argument/Conflict
  • Precipitated by another crime
  • Drug involvement
  • Intimate partner violence
slide21

Suicide Overview

481 deaths = 8.3 per 100,000

  • Age groups with the highest rates were 45-54 (13.7), 75-84 (11.2) and 55-64 (11.2)
  • Harford County had the highest suicide rate (11.4)
  • Veterans accounted for nearly 18% of suicides (all males)
slide24

Suicide: Circumstantial Data

Most common precipitating circumstances:

  • Current mental health diagnosis
  • Disclosed intent/suicidal ideations
  • Intimate partner problem
  • Physical health problem
  • Job problem
  • Financial problem
slide25

Suicide: Circumstantial Data

  • Only 55% of victims with a current mental health diagnosis were currently being treated
  • Female victims were significantly more likely than males to have a history of suicide attempts (37.8% vs 18.6%)
  • 35.7% of victims left a suicide note
slide26

Recent Publication

  • Suicidology Online, vol. 3, pp. 131-137
  • Comparison of Maryland suicide deaths by victim age
  • Cumulative data 2003-2009
slide27

Recent Publication

Four Age Groups:

  • Youth (19 and younger)
  • Young Adult (20-34)
  • Middle Aged (35-64)
  • Elder (65 and older)
slide28

Conclusions

  • MVDRS as a source of violent death data
      • Circumstances, special populations
  • Focused prevention efforts
      • By Age?
slide29

Thomas Manion

Project Coordinator

Maryland Violent Death Reporting System

Maryland Department of Health and Mental Hygiene

Thomas.Manion@maryland.gov

410-767-5744

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