Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 1 of 42
Violent Deaths in Oregon: 2005
Oregon Department of Human Services
Case 3:07-cv-03758-SC Acknowledgements
Document 123-4
Filed 02/11/2008
Page 2 of 42
Oregon Department of Human Services
Web site:
l
the Oregon Department of Human Services.
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 3 of 42
............................................................................................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
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 4 of 42
Overview
Findings
Violent Deaths in Oregon: 2005
1
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 5 of 42
2
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 6 of 42
Recommendations
all settings.
Violent Deaths in Oregon: 2005
3
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 7 of 42
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
Violent Deaths in Oregon: 2005
5
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 8 of 42
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
6
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 9 of 42
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
Violent Deaths in Oregon: 2005
7
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 10 of 42
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
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 11 of 42
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
Violent Deaths in Oregon: 2005
9
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 12 of 42
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
10
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 13 of 42
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
Violent Deaths in Oregon: 2005
11
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 14 of 42
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
12
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 15 of 42
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
Violent Deaths in Oregon: 2005
13
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 16 of 42
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
14
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 17 of 42
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%
Violent Deaths in Oregon: 2005
15
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 18 of 42
Mechanism of Death
Figure 7. Mechanism of suicide by sex, OR, 2005
Males Females
Firearm Hanging, Suffocation Poisoning Fall Sharp instrument Other
16
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 19 of 42
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
Violent Deaths in Oregon: 2005
17
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 20 of 42
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.
18
Violent Deaths in Oregon: 2005
% of the total in the group
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 21 of 42
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
Violent Deaths in Oregon: 2005
19
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 22 of 42
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
20
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 23 of 42
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
Violent Deaths in Oregon: 2005
21
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 24 of 42
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
Violent Deaths in Oregon: 2005
Hi
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 25 of 42
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
Violent Deaths in Oregon: 2005
23
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 26 of 42
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
24
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 27 of 42
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
Violent Deaths in Oregon: 2005
25
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 28 of 42
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
26
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 29 of 42
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
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 30 of 42
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
28
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 31 of 42
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
Violent Deaths in Oregon: 2005
29
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 32 of 42
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
30
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 33 of 42
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
31
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 34 of 42
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
32
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 35 of 42
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
Violent Deaths in Oregon: 2005
33
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 36 of 42
Discussion
prevention plan across the life span.
34
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 37 of 42
8
In
communities.
Recommendations
Violent Deaths in Oregon: 2005
35
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 38 of 42
Conclusion
36
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 39 of 42
References
l.
.
l m
l.
l.
Violent Deaths in Oregon: 2005
37
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 40 of 42
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:
38
Violent Deaths in Oregon: 2005
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 41 of 42
Poisoning: Rate: population.
Sharp instrument: Suffocation: strangulation. Suicide: Terrorism-related death:
Undetermined manner of death:
Violent Deaths in Oregon: 2005
39
Case 3:07-cv-03758-SC
Document 123-4
Filed 02/11/2008
Page 42 of 42