Tag: suicide rate

  • Calls to Clermont County 528-SAVE crisis hotline increase

    Calls to Clermont County 528-SAVE crisis hotline increase

    Help is available 24/7 through the Clermont County Crisis Hotline at 528-SAVE (7283).  The Hotline is staffed by trained and licensed mental health providers who can assist with connection to needed services.  There is also a crisis text line that can be accessed 24/7.  Text the keyword “4hope” to 741 741.

    Ongoing stress due to the pandemic has contributed to increased calls to the Clermont County 528-SAVE Crisis Hotline over the past several months. The Clermont County Crisis Hotline has seen a 21-percent increase in the number of calls in the fiscal year that ended June 30, 2020, as compared to the previous 12 months. The hotline has also seen an increase in the number of suicidal/crisis calls.

    “The long-term impact of the COVID-19 pandemic is starting to take its toll,” said Lee Ann Watson, associate director, Clermont County Mental Health & Recovery Board. “This has been a challenging time for nearly everyone, especially those with possible underlying behavioral health concerns.”

    Clermont County has the second-highest suicide rate in Southwest Ohio and is 13th in the state per 100,000 for suicide deaths. Fortunately, there has not been an increase in suicide deaths in 2020.  People appear to be reaching out for help more than in previous years.  But there is still a reason for concern. While the suicide deaths have decreased in 2020, one death by suicide is too many.

    Watson asks people to recognize warning signs and know how to reach out for help.  It is important to know the warning signs and the resources to seek help because likely people who are depressed and at risk for suicide are not often motivated to seek help. Losses such as the end of a relationship, death of a loved one, or loss of employment, all of which are situations that can be occurring during COVID-19, can increase the risk for depression.

    Common Warning Signs of Acute Suicide Risk

    The following are not always communicated directly or outwardly:

    • Threatening to hurt or kill him or herself, or talking of wanting to hurt or kill him/herself; and or,
    • Looking for ways to kill him/herself by seeking access to firearms, available pills, or other means; and/or,
    • Talking or writing about death, dying or suicide, when these actions are out of the ordinary.

    Additional Warning Signs:

    • Increased substance (alcohol or drug) use
    • No reason for living; no sense of purpose in life
    • Anxiety, agitation, unable to sleep or sleeping all of the time
    • Feeling trapped – like there’s no way out
    • Hopelessness
    • Withdrawal from friends, family, and society
    • Rage, uncontrolled anger, seeking revenge
    • Acting reckless or engaging in risky activities, seemingly without thinking
    • Dramatic mood changes
    • Giving away prized possessions or seeking long-term care for pets

    (Source: American Association of Suicidology)

    Help is available 24/7 through the Clermont County Crisis Hotline at 528-SAVE (7283).  The Hotline is staffed by trained and licensed mental health providers who can assist with connection to needed services.  There is also a crisis text line that can be accessed 24/7.  Text the keyword “4hope” to 741 741.   

    High-risk groups: Men, those 65 and older
    Middle-aged men and individuals over the age of 65 comprise high-risk groups in Clermont County, similar to national trends. Men have always had a higher rate of suicide death than females, but the number of males dying from suicide has significantly increased. During 2019, 37-percent of the suicide deaths were men between the ages of 40-59.  This is a 100-percent increase in the number of deaths in 2019 of this age group compared to 2018.  In 2020, 88 percent of the suicide deaths were men.  Of those, 23 percent were aged 40-49, and 26 percent were aged 60-69.

    While it is often difficult for men to reach out for help, it is important for men to remember that now more than ever “it is ok not to be ok” and that feeling overwhelmed is not a sign of weakness.  Seeking help is a sign of strength.  Mental health professionals are available to assist with the specific needs and concerns of men.  Further, a 2019 study published in the Journal of Mental Health found that receiving support from a trusted and respected friend can be an effective suicide prevention strategy for men. Forming connections with other people who are going through the same thing can also be helpful.

    The Clermont County Suicide Prevention Coalition is working to decrease suicide in our County through increasing knowledge of warning signs, and availability of treatment. If you are interested in joining the Coalition, please contact Lee Ann Watson at (513) 732-5400.

    Number of overdose deaths decline; meth use increases

    With regard to unintentional fatal overdose deaths, Clermont County has seen a decrease in deaths over the past three years.

    The decrease in deaths can be partially attributed to the widespread distribution of Naloxone to county residents. While the overdose deaths have decreased, nonfatal overdoses are still occurring in Clermont County, albeit less than in previous years.

    Regarding non-fatal overdoses, the County was ranked 16th in the state in 2019 for the number of Naloxone administrations (387 doses; Ohio EMS, 2019). This ranking is based on the number of administrations, not by population. For the first three quarters in 2020, Clermont is ranked 17th in the state for the number of Naloxone administrations (315; Ohio EMS, 2020). The number of administrations is underreported since not all the EMS departments in Clermont County report the use of Naloxone, and the figures do not include the Naloxone utilized by law enforcement.

    Clermont County saw a surge in nonfatal overdoses in the summer months of 2020, but the overdoses have now decreased to lower than in the previous year.  There continue to be “hot spots” in Clermont County where overdoses are occurring:  Union Township; New Richmond and Felicity.

    The use of stimulants, particularly methamphetamine, has substantially increased in Clermont County. The degree of complexity related to stimulant misuse has impacted the county. A large portion of the homicides in 2019 was related to stimulant misuse. Individuals on meth can have extreme paranoia and often aggressive behavior, and difficult to engage in treatment.

    The CCMHRB’s substance use disorder treatment provider has seen an increase in treatment admissions for stimulant misuse in the last year (14 percent), and the local hospital also reports an increase in the rate of admissions to the Emergency Department (ED) and the behavioral health unit due to meth misuse.

    Individuals who are brought into the ED under the influence of meth most often have to be admitted to the behavioral health unit. Those stays are often long since it is taking several days for the individual to clear.

    Clermont County Children’s Protective Services has also reported a substantial increase in the number of children in custody due to stimulant use disorders. In 2019, more than 30 percent of the cases were related to methamphetamine.  The number of cases has increased in 2020 as reported by CPS.

    Stimulant misuse differs greatly from opioid misuse.  Due to the nature of the drug, individuals actively using stimulants are often not able to engage in discussions related to treatment, and therefore outreach to attempt to engage them in treatment is not successful as it has been for individuals using opioids.  Further, many individuals with a stimulant use disorder do not believe they have an addiction, and therefore do not voluntarily enroll in treatment.  The CCMHRB’s contract substance use disorder treatment provider reports that in 2019, 21 percent of clients identified stimulants as their primary drug of choice, while 34 percent identified opioids as their primary drug of choice.

  • Youth suicide deaths increased by 56% from 2007-2018

    Youth suicide deaths increased by 56% from 2007-2018

    Suicide Deaths Increased by 45% Among All Ohioans
    and by 56% Among Youth Ages 10-24 From 2007-2018

    Columbus, Ohio – In a report issued by the Ohio Department of Health (ODH) on November 13, in Ohio, five people die by suicide every day, and one youth dies by suicide every 33 hours, according to a new report released by the ODH. In 2018, there were 1,836 suicides in Ohio and the highest suicide rate – the number of suicide deaths per 100,000 population – was among adults 45-64 years old. Males are disproportionately burdened by suicide across the lifespan, and their suicide rate is nearly four times the rate among females.

    One youth dies by suicide every 33 hours

    “One of the goals of my RecoveryOhio initiative is to address mental illness and other issues that contribute to suicide,” said Ohio Governor Mike DeWine. “If you know someone is struggling, you may be able to help save someone’s life by recognizing the warning signs and steps to take.”

    “Suicide in Ohio and nationally is a growing public health epidemic, particularly among young people,” said ODH Director Amy Acton, MD, MPH. “Suicide is the leading cause of death among Ohioans ages 10‐14 and the second leading cause of death among Ohioans ages 15‐34.”

    Warning signs of suicide include:

    • A major change in mood or behavior, appearing consistently unhappy/depressed, irritable, withdrawn from family or friends
    • Poor grades in school or other bad performance in extra-curricular activities
    • High-risk behaviors, including the use of alcohol or other substances
    • Problems with concentration, and changes in energy level, appetite or sleep schedule
    • Expressing feelings of hopelessness or not wanting to live anymore
    • Hurting themselves (e.g., wrist-cutting, burning self)
    • History of depression or family history of depression

    National Suicide Prevention Life line (1-800-273-8255) or the Crisis Text Line (text “4hope” to 741 741)

    If someone you know is showing signs of suicide, here are some things you can do:

    • Ask directly about thoughts of suicide (asking about suicide does not increase the risk of suicide but does open up conversation)
    • Listen to what they need
    • Keep them safe by keeping lethal means away from them
    • Call 911 if necessary
    • Help them connect with ongoing support, such as a local crisis line, the National Suicide Prevention Life line (1-800-273-8255) or the Crisis Text Line (text “4hope” to 741 741)
    • Check back the next day to see how they are doing
    • Encourage them to seek out a counselor for more help

    Other highlights of the ODH report include:

    • From 2007 to 2018 the number of suicide deaths increased nearly 45% in Ohio.
    • Suicide rates are highest among white, non-Hispanic males.
    • From 2007 to 2018 the number of suicides among youth ages 10-24 increased by 56%, and the suicide rate increased by 64%. In 2018, 271 of Ohio’s suicide deaths were in this age group.
    • From 2014 to 2018 the suicide rate among black non-Hispanic males increased nearly 54%.
    • From 2007 to 2018 the suicide rate among older adults age 65+ increased nearly 48%.

    Governor DeWine created the RecoveryOhio initiative and a RecoveryOhio Advisory Council that includes a diverse group of individuals who have worked to address mental illness and substance use issues in prevention, treatment, advocacy, or support services; government; private industry; law enforcement; healthcare; learning institutions; and faith organizations. In an initial report, the council issued more than 70 recommendations in the areas of stigma, parity, workforce development, prevention, harm reduction, treatment and recovery supports, and data and outcomes measurement. Information and resources on where to get help are available at RecoveryOhio.gov.

    The Ohio Department of Mental Health and Addiction Services offers suicide prevention information and resources on its website at mha.ohio.gov.