Free Declaration in Support - District Court of California - California

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Violent Deaths in Oregon: 2005

Oregon Department of Human Services

Case 3:07-cv-03758-SC Acknowledgements

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Oregon Department of Human Services

Web site:

l

the Oregon Department of Human Services.

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............................................................................................1
Overview ............................................................................................................... 1 ................................................................................................................. 1 .......................................................................................................... 1 ........................................................................................................... 1 ....................................................................................................... 2 .......................................................................2 ........................................................................................ 2 .................................................................................................3

........................................................................ 5
...................................................................................................... 5 .................................................................................................... 5 ......................................................................................................6 .........................................................................6 ................................................................................8 Mechanism of Death..................................................................................... 9 ............................................................................. 10 ................................................................................................................ 13 .............................................................................. 13 Mechanism of Death................................................................................... 16 Circumstances .............................................................................................17 .....................................20 ............................................................................ 21 ............................................................................................................ 22 ..............................................................................22 Mechanism of Death................................................................................... 24 Circumstances ............................................................................................24 ..................................................................26 ............................... 27 .........................................................................................28 ..............................................................................28 Mechanism of Death...................................................................................30 Circumstances ............................................................................................ 31 .....................................................................................32 Discussion............................................................................................................34 ............................................................................................... 35 ...........................................................................................................36 References............................................................................................................ 37 ...............................................................................................................38

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Overview

Findings

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Recommendations

all settings.

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Deaths relating to the death with Dignity and therefore are excluded from data collection and this report. Table 1. Violent death by manner
Manner Suicide Homicide Undetermined Legal intervention excluding execution (Y35.5) ICD-10 code X60-X84, Y87.0 X85-X99, Y00-Y09, Y87.1 Y10-Y34, Y87.2, Y89.9 Y35.0-Y35.4, Y35.6-Y35.7, Y89.0

Rate Calculation

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Data Summary

Table 2. Number of violent death incidents & deaths, Oregon, 2005
Incidents 3 2 1 Homicide Single homicide 88 85 3 Suicide Single suicide 542 541 1 Combined homicide-suicide Legal intervention Homicide-legal intervention Undetermined Suicide-undetermined Total 11 15 1 70 1 731 # Deaths 3 2 1 91 85 6 543 541 2 22 15 2 70 2 748

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Figure 1. Violent death rates, OR, 2003-2005 2005 All Violent Deaths Suicide Homicide Undetermined Legal intervention Unintentional firearm fatality 0.0
0.2 0.3 0.4 0.1 0.2 0.1 2.6 3.1 2.8 2.7 2.6 1.9 16.5 15.3 15.2

2004

2003
22.1 21.4 20.5

5.0

10.0

15.0

20.0

25.0

Crude Rate, per 100,000

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Table 3. Number, proportion & rate of violent deaths by manner & sex, OR, 2005
Manner Suicide Homicide Sex Male 440 68 3 Legal intervention Undetermined Total 16 38 565 % 78 12 0.5 3 7 Female 115 35 0 0 33 183 % 63 19 0 0 18 All 555 103 3 16 71 748 Total % 74 14 0.4 2 10 Crude rate 15.2 2.8 0.1* 0.4* 1.9 20.5

* Be cautious as small numbers generate unstable rates.

Figure 2. Violent death rate by race, ethnicity and sex, OR 2005
35.0 30.0 26.2 20.9 20.0 15.0 10.1 10.0 5.0 0.0 White AI/NA African Am. Asian/PI Hispanic Males Females 17.1 13.1 10.0

31.2

Rate per 100,000
8

25.0

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Mechanism of Death

Table 4. Mechanism of death in violent death, OR, 2005
Mechanism Firearm Poisoning Number 402 158 94 26 Fall Blunt instrument Drowning 16 14 14 7 Fire or Burns 3 0 2 1 Other Unknown 6 5 54 21 13 4 2 2 2 0.9 0.4 0.0 0.3 0.1 0.8 0.7

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Table 5. Location of injury by manner, OR, 2005
Suicide No. 432 Nature Area Park / Public use area Street / Road Parking lot / Garage Motel / Inn /Hotel Jail 33 29 17 13 7 1 3 2 1 Unknown 7 % 78 6 5 3 2 1 0 1 0 0 1 Homicide No. 62 8 6 12 5 0 1 1 0 0 3 % 60 8 6 12 5 0 1 1 0 0 3 Undetermined No. 56 8 1 1 2 1 0 0 0 0 0 % 79 11 1 1 3 1 0 0 0 0 0

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Table 6. Number and proportion of violent death by manner and county, OR, 2005
Violent Death Total Baker Benton Clackamas Columbia Coos Crook Deschutes Douglas Gilliam Grant Hood River Jackson 7 15 58 13 8 14 6 10 26 26 0 5 3 1 45 7 18 23 1 87 12 23 6 48 1 152 11 1 6 10 8 2 7 71 0 17 748 No. 6 13 42 11 8 11 5 9 23 23 0 4 2 1 36 4 16 19 1 59 7 19 2 38 1 96 8 0 5 9 7 1 5 51 0 13 555 Suicide % 86 87 72 85 100 79 83 90 89 89 NA 80 67 100 80 57 89 82 N/A 68 58 82 33 79 100 63 73 0 83 90 88 50 71 72 NA 77 74 Homicide No. 1 1 8 0 0 1 0 0 3 1 0 1 0 0 5 2 2 2 0 13 2 3 2 7 0 33 2 0 0 1 0 1 2 8 0 2 103 % 14 7 14 0 0 7 0 0 12 4 NA 20 0 0 11 29 11 9 N/A 15 17 13 33 15 NA 22 18 0 0 10 0 50 29 11 NA 12 14 Undetermined No. 0 0 6 2 0 0 0 1 0 1 0 0 1 0 3 1 0 1 0 13 3 1 0 3 0 19 0 0 1 0 1 0 0 12 0 2 71 % 0 0 10 15 0 0 0 10 0 4 NA 0 33 0 7 14 0 4 N/A 15 25 4 0 6 NA 13 0 0 17 0 13 0 0 17 NA 12 10

Klamath Lake Lane Lincoln Linn Malheur Marion Morrow Multnomah Polk Sherman Tillamook Umatilla Union Wallowa Wasco Washington Wheeler Yamhill Statewide

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Figure 3. Violent deaths and rates by county, OR, 2005

Clatsop Columbia

Tillamook

Umatilla

er m

Hood Washington Multnomah River Yamhill Polk Marion Jefferson Clackamas

an

Wallowa Morrow Gilliam Wheeler Grant Crook Union

Wasco

Sh

Baker

Lincoln Benton Lane

Linn

Deschutes

Coos

Douglas Lake

Harney Malhuer

Curry Josephine

Jackson

Klamath

Less than 5 violent deaths Lower than the state rate

The state rate: 20.5 (95% CI: 19.0. ­ 22.0) Higher than the state rate

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Suicides

Figure 4. Suicide rates by race, ethnicity & sex, OR, 2005
30.0

Rate per 100,000

25.0 20.0 15.0 10.0 5.0 0.0 3.4 8.7 6.8 6.1 15.9

24.3

26.1

6.3

M al es

Fe m al es

te

AI

Af ric an

sp

ia

W hi te

As

Hi

M al es

Am .

PI

A

/N

W

n/

an

hi

ic

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Figure 5. Age-specific rate of suicide, OR, 2005
All 80.0 Male Female

Rate per 100,000

60.0

40.0

20.0

0.0 All Male Female

10-14 1.2 2.4 0.0

15-19 7.2 12.6 1.7

20-24 15.7 29.1 1.6

25-34 14.2 21.5 5.6

35-44 17.5 25.9 8.7 Age

45-54 25.9 35.9 15.7

55-64 18.7 29.0 8.3

65-74 21.1 40.7 2.4

75-84 30.5 63.4 8.5

>=85 28.2 67.9 8.1

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Figure 6. Frequency & percent of suicides by age group, OR, 2005 Youth aged 10 24 11%

Seniors aged 65+ 22%

Adults aged 25 44 29% Adults aged 45 64 38%

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Mechanism of Death

Figure 7. Mechanism of suicide by sex, OR, 2005
Males Females

Firearm Hanging, Suffocation Poisoning Fall Sharp instrument Other

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Circumstances

Figure 8. Behavioral health status among suicide victims by age group, OR, 2005

% in group w/ behavioral health status

80

60

40

20

0 Current depressed mood All ages 10-24 25-44 45-64 65+ 52 48 49 62 43 Current mental illness 30 21 33 38 18 Alcohol dependant 17 11 20 23 5 Substance abuse 9 18 14 9 0

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Figure 9. Factors associated with suicide by age group, OR 2005 All ages 60 50 40 30 20 10 0 A crisis in the past 2 weeks Problem with intimate partner Relation Problem other than intimate partner Recent criminal / legal problem Job / Financial Problem Physical health problems 10-24 25-44 45-64 65+

mental illness.

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% of the total in the group

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Figure 10. Suicidal behavior by age group, OR 2005 All ages 40 10-24 25-44 45-64 65+

% of the total in the group

30

20

10

0 Disclosed intent to die by suicide Suicide note Previous suicide attempt

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Figure 11. Suicide deaths and rates by county, OR 2005

Clatsop Columbia

Tillamook

Umatilla

Sh erm an

Hood Washington Multnomah River Yamhill Polk Marion Clackamas

Wallowa Morrow Gilliam Wheeler Union

Wasco Jefferson

Baker Grant

Lincoln Benton Lane

Linn Crook Deschutes

Coos

Douglas Lake

Harney Malhuer

Curry Josephine

Jackson

Klamath

Less than 5 suicide deaths Lower than the state rate

The state rate: 15.2 (95% CI: 13.9. ­ 16.5) Higher than the state rate

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postcensal estimates.

Figure 12. Age-specific suicide rates among male veterans and non-veterans, OR 2000-2005 140 Veterans 120 Significantly high Rate per 100,000 100 80 60 40 20 0 18-24 25-34 35-44 45-54 Age 55-64 65-74 75-84 85+ Non-veterans

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Homicides

Figure 13. Homicide rate by race, Hispanic ethnicity & sex, OR, 2005

14.0 12.0 10.0
Rate per 100,000

12.5

8.0 6.0 4.0 2.0 0.0
M al es Af ric an As Fe m al es te Am . PI A /N W n/ AI sp ia an hi ic
5.1 3.4 2.5 4.2

3.8 1.9

22

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Figure 14. Age-specific rate of homicide, OR, 2005 15 12.5

Rate per 100,000

10 7.5 5 2.5 0 0-4 All Male Female 4.0 2.6 5.5 5-9 0.0 0.0 0.0 10-14 15-19 20-24 25-34 35-44 45-54 55-64 >= 65 0.4 0.0 0.8 1.6 3.1 0.0 7.4 10.7 4.0 Age 4.0 6.0 1.6 3.9 5.3 2.4 3.0 4.1 1.8 1.4 2.0 1.0 1.7 1.0 2.3

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Mechanism of Death

Figure 15. Mechanism of homicide by sex, OR, 2005
Males Females

Firearm Sharp instrument Blunt instrument Suffocation Personal weapons Shaking Other / Unknown

Circumstances

Figure 16. Type of homicide, OR 2005

Single victim / single offender Single victim / multiple offenders Multiple victims / single offender Multiple victims / multiple offenders Single victim / unknown offender Undetermined / Unknown

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Figure 17. Most common circumstances related to homicide, OR, 2005 Arguments Intimate Partner Violence Drug related Jealous / Lovers' triangle Robbery/Burglary Assault Gang related

20 16 10 9 8 6 2
% of Total Homicides

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Table 7. Demographics of suspects, OR, 2005

Sex Male Female Unknown Race/Ethnicity White

No. 62 7 1

% 89 10 1

No. 17 2 0

% 89 11 0

% 50 50

37 4

53 6 1 4 36 9 36

4 0 0 0 15 3 13

21 0 0 0 79 16 68

91 2 3 1

Asian Am. Indian / Native Unknown

1 3 25 6 25

10

Age Group 10-14 15-19 20-24 25-29 30-34 35-44 45-54 55-64 >65 1 4 18 7 6 13 10 2 3 14-86 32 Unknown 6 1 6 26 10 9 19 14 3 4 1 2 9 4 0 1 0 0 0 14-36 22 2 5 11 47 21 0 5 0 0 0 7 7 7 7 7 14 15 11 13

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Table 8. Relationship between suspect and victim, OR, 2005
No. 10 Parent Child 4 5 8 4 Acquaintance / Friend Stranger Other 29 7 3 % 14 6 7 11 6 41 10 4 No. 1 1 0 0 0 8 9 0 % 5 5 0 0 0 42 47 0

Table 9. Relationship of victim and suspect among IPV-related homicides by sex, OR, 2005
Female 9 0 2 1 1 13 0 0 0 0 0 13 Male 2 0 0 0 0 2 3 3 3 4 13 15 Total 11 0 2 1 1 15 3 3 3 4 13 28
27

Other Homicides related to IPV

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Undetermined Deaths

Figure 18. Undetermined death rate by race, Hispanic ethnicity & sex, OR, 2005 8.0 7.0 6.0

7.1

6.8

Rate per 100,000

5.0 4.0 3.0 2.0 2.0 1.0 0.0 0.0 African Am. AI/NA White Asian/PI Hispanic Males Females 2.5 2.1

1.8

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Figure 19. Age-specific rate of undetermined death, OR, 2005 20.0

15.0

Rate per 100,000

10.0

5.0

0.0 0-<1 All Male Female 15.7 17.5 13.8 1-4 0.6 1.1 0.0 5-9 0.0 0.0 0.0 10-14 15-19 0.0 0.0 0.0 0.0 0.0 0.0

2024 1.6 3.1 0.0 Age

2534 1.9 2.6 1.2

3544 2.9 2.7 3.2

4554 4.6 3.7 5.5

5564 1.7 2.0 1.5

>= 65 0.4 0.5 0.4

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Mechanism of Death

Figure 20. Mechanism of undetermined death by sex, OR, 2005
Males Females

3 9 Poisoning Unknown Fall Firearm 3 Suffocation Other 4 2 24 1 2

3

1

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Circumstances

Figure 21. Mental and physical status among undetermined deaths aged 20-64, OR 2005 45 % of undetermined deaths 44 41 38

30

26 20

15

0 Substance abuse Current mental illness Current depressed mood Physical illness Alcohol dependant

Figure 22. Circumstances in undetermined adult deaths, aged 20-64, OR 2005
16 15

% of undeterm ned deaths

13

12 9 6 3 0 A crisis in the past 2 weeks Problem with intimate partner Recent criminal / legal problem Job / Financial Problem Relation Problem other than intimate partner
Violent Deaths in Oregon: 2005

8 5 2

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Data System Evaluation

Table 10. Summary of suspected alcohol use in violent deaths, OR 2005
Manner Suicide 499 115 23 Homicide 83 17 21 Undetermined death 66 13 20

Table 11. Summary of toxicology test in violent deaths, OR 2005
Alcohol/Substance/ Drugs the blood Cocaine Marijuana Suicide Screening 81 32 32 32 32 31 Other substances (drug) 44 Present 24 2 1 1 2 3 26 % 30 6 3 3 6 10 59 24 19 18 18 18 18 19 Homicide Screening Present 10 3 5 0 1 0 4 % 42 16 28 0 6 0 21 Undetermined deaths Screening Present 16 11 10 10 16 11 15 3 2 1 0 1 1 7 % 19 18. 10 0 6 9 54

Table 12. Data sources where cases information was found, by manner, OR, 2005
Manner (Abstractor)* Suicide Homicide Undetermined Legal Intervention Unintentional Firearm Total Total 599 111 78 19 3 810 # 483 80 66 15 2 646 % 81 72 85 79 67 80 # 25 17 6 3 1 52 % 4 15 8 16 33 6 # 79 11 6 1 0 97 % 13 10 8 5 0.0 12 nor PR # 12 3 0 0 0 15 % 2 3 0 0 0 2 # 10 3 0 0 0 13 % 2 3 0 0 0 2

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Table 13. Circumstances of incident found by data sources, OR, 2005
Manner (Abstractor)* Suicide Homicide Undetermined Legal Intervention Unintentional Firearm Total Total 483 80 66 15 2 646 # 413 60 52 15 1 541 % 86 75 79 100 50 84 # 28 3 6 0 0 37 % 6 4 9 0 0 6 # 25 11 3 0 0 39 % 5 14 5 0 0 6 # 17 6 5 0 1 29 % 5 8 8 0 50 5

Table 14. Percentage and number of cases where suspect information was available by data source, OR, 2005
Manner (Abstractor) Homicide Legal Intervention Total cases 126 29 # 41 3 % 33 10 Two sources # % # 57 45 10 20 69 3 % 8 10 # % 11 9 3 10 # 6 0 % 5 0

Table 15. Incomplete information for suspects by selected variable and data source (N=155), OR, 2005
Variable Sex Age Race 64 139 75 130 83 PR % 41 90 48 84 54 41 70 79 82 65 % 27 45 51 53 42 91 100 105 105 101 SHR % 59 64 68 68 65

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Discussion

prevention plan across the life span.

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8

In

communities.

Recommendations

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Conclusion

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References

l.

.

l m

l.

l.

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Glossary Age-adjusted mortality rate:

in that age group. Blunt instrument: Crude mortality rate: population. Drowning: Falls: Firearm:

Homicide:

Incident: Legal intervention:

Manner of death and cause (or mechanism) of death matrix:

Motor vehicle: Personal weapons:

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Poisoning: Rate: population.

Sharp instrument: Suffocation: strangulation. Suicide: Terrorism-related death:

Undetermined manner of death:

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