Promoting Independence in Agriculture
AANTWStressDepressionSuicide10.3107.ppt
(Rev. 10.1807b)
Promoting Independence in Agriculture
Signs & Symptoms of Stress, Depression, &
Suicidal Thinking in Farm/Ranch Families
& What to Do
October 31, 2007, 1:45-3:15, Sacramento, CA
By Robert J. Fetsch, Ph.D., Extension Specialist,
Human Development & Family Studies
Colorado State University
Director, Colorado AgrAbility Project
Promoting Independence in Agriculture
Promoting Independence in Agriculture
Farming and Ranching are among the most
dangerous occupations in the U.S.
• HANDOUT: Farm and Ranch Family
Stress and Depression: A Checklist and
Guide for Making Referrals
Promoting Independence in Agriculture
What do you think the leading external
causes of death on Colorado ranches/farms
have been?
Promoting Independence in Agriculture
What do you think the leading external causes of
death on Colorado ranches/farms have been?
• 1) Suicide
• 2) Animals
• 3) Tractors
Promoting Independence in Agriculture
Farming and Ranching are among the
most dangerous occupations in the U.S.
• Historically, the leading external cause of
death on Colorado farms and ranches has
been: 1) suicide, 2) animal incidents, and 3)
tractor rollovers (1).
(1) T. Daniels (personal communication, August 22, 2000).
Promoting Independence in Agriculture
Farming and Ranching are among the
most dangerous occupations in the U.S.
• Between 2000 and 2004 the external cause
of death for one out of five Colorado farmers
and ranchers who died was suicide.
Source: K. Bol, e-mail communication, October 20, 2005, Health and Statistics Section of Colorado Department
of Health and Environment.
Promoting Independence in Agriculture
Farming and Ranching are among the
most dangerous occupations in the U.S.
• Colorado ranked 7th in U.S. for all suicides @
16.0/100,000 in 2003.(1)
• U.S. suicide rate was 10.7/100,000 in 2004.(2)
Sources:
(1) National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006
http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf
(2) National Vital Statistics Reports, Vol. 54, No. 19, June 28, 2006
http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_19.pdf
Suicide rates per 100,000 population by state and US
25
20
WY
CO
US
CA
15
10
5
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
81
19
19
79
0
Source: Retrieved April 5, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
DE
GA
US
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
ID
19
19
81
20
18
16
14
12
10
8
6
4
2
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
16
14
12
10
8
6
4
2
19
81
19
83
19
85
19
87
19
89
19
91
19
93
19
95
19
97
19
99
20
01
20
03
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
IL
IN
US
IA
Suicide rates per 100,000 population by state and US
18
16
14
12
KY
10
LA
8
US
6
ME
4
2
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
19
81
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
14
12
10
MD
8
MI
6
US
MN
4
2
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
19
81
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
16
14
12
10
8
6
4
2
19
81
19
83
19
85
19
87
19
89
19
91
19
93
19
95
19
97
19
99
20
01
20
03
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
MO
NH
US
NC
Suicide rates per 100,000 population by state and US
25
20
15
NM
UT
US
10
5
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
81
19
19
79
0
Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
18
16
14
12
OK
KS
US
10
8
6
4
2
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
81
19
19
79
0
Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
16
14
12
10
NE
MS
US
8
6
4
2
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
81
19
19
79
0
Source: Retrieved October 24, 2006 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
16
14
12
PA
10
TN
8
US
6
TX
4
2
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
19
81
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
18
16
14
12
VT
10
VA
8
US
6
4
2
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
19
81
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide rates per 100,000 population by state and US
18
16
14
12
WV
10
WI
8
US
6
4
2
03
20
01
20
99
19
97
19
95
19
93
19
91
19
89
19
87
19
85
19
83
19
19
81
0
Source: Retrieved September 27, 2007 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
Suicide Death Rates, United States, 2003
Promoting Independence in Agriculture
Suicide Death Rates, United States, 2004
Promoting Independence in Agriculture
2003 U. S. Suicide Rate by State
Top Quintile
Promoting Independence in Agriculture
STATE
NUMBER of SUICIDES
RATE
Wyoming
109
21.7
Montana
180
19.6
Nevada
434
19.4
Alaska
124
19.1
New Mexico
343
18.3
Oregon
592
16.6
Colorado
728
16.0
Idaho
217
15.9
Arizona
840
15.1
West Virginia
266
14.7
Utah
336
14.3
* National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006
http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf
2004 U. S. Suicide Rate by State
Top Quintile
Promoting Independence in Agriculture
STATE
NUMBER of SUICIDES
RATE
Alaska
155
23.6
Montana
175
18.9
Nevada
440
18.9
New Mexico
356
18.7
Wyoming
88
17.4
Colorado
797
17.3
Idaho
236
16.9
West Virginia
285
15.7
Utah
377
15.6
Oregon
555
15.5
Arizona
880
15.3
* National Vital Statistics Reports, Vol. 54, No. 13, April 19, 2006
http://www.cdc.gov/nchs/fastats/pdf/mortality/nvsr54_13_t29.pdf
National Institute of Mental Health
Current Suicide Rates in U. S.
Promoting Independence in Agriculture
Western Mountain States have
the highest suicide death rates.
• Men aged between 35-54 years account for 50%
of suicides between 1999-2002.
• Every 11 days another Coloradoan dies from a
completed suicide.
(1)
(2)
(1) Retrieved October 24, 2005 from http://webapp.cdc.gov/sasweb/ncipc/mortrate.html
(2) Retrieved October 24, 2005 from http://www.suicideresourcecenter.org/about.htm
Promoting Independence in Agriculture
Western Mountain States have
the highest suicide death rates.
• The risk of suicide death increases
among older men and is especially high
for 75 years plus.
• Most are white and not married.
Promoting Independence in Agriculture
What are risk and protective
factors?
• Unemployment and job loss (risk)
• Living alone (risk)
• Recent Hispanic immigration (protective)
Colorado Trust, 2002, pp. 66-67.
Promoting Independence in Agriculture
What are common predictors of
suicide?
Source: Colorado Trust, 2002, p. 8
• Being an older, white male with risk
increasing with age—1/2 suicide deaths
are by white males 35 years+.
• Work problems, unemployment—1/3
who commit suicide are unemployed at
the time of their death.
Promoting Independence in Agriculture
Farming and Ranching are among the most
dangerous occupations in the U.S.
• HANDOUT: Farm and Ranch Family
Stress and Depression: A Checklist and
Guide for Making Referrals
Promoting Independence in Agriculture
How do I find resources for
depression?
• HANDOUT: Take advantage of the
resources on the AgrAbility Resource
List.
Promoting Independence in Agriculture
How do I find resources for
depression?
• Call 1-800-SUICIDE 24 x 7 for a live
trained person to talk with and to find
local resources.
Promoting Independence in Agriculture
How do I find resources for
depression?
• To find Marriage & Family Therapists,
http://therapistlocator.net
• To find Colorado counselors & therapists,
https://www.doradls.state.co.us/alison.php
Promoting Independence in Agriculture
Be careful out there.
Take good care of yourselves!
Promoting Independence in Agriculture
Thank you very much!
U.S. Suicide Statistics (2004)
Breakdown by Gender / Ethnicity /
Age Groups
AllinAges
Combined
Promoting Independence
Agriculture
Elderly (65+ yrs)
Youth (15-24 yrs)
Group
Number of
Suicides
Rate of
Suicide
Elderly
Suicides
Elderly
Suicide
Rate
Youth
Suicides
Youth
Suicide
Rate
Nation
32,439
11.1
5,198
14.3
4,316
10.4
Men
25,566
17.7
4,397
29.0
3,596
16.8
Women
6,873
4.6
801
3.8
720
3.6
Whites
29,251
12.3
4,924
15.4
3,610
11.0
Nonwhites
3,188
5.8
274
6.2
706
7.9
Blacks
2,019
5.2
148
4.8
465
7.2
White Men
23,081
19.6
4,180
31.1
3,016
17.9
White Women
6,170
5.1
744
4.0
594
3.8
Nonwhite Men
2,485
9.3
217
12.4
580
12.8
Nonwhite Women
703
2.4
57
2.2
126
2.8
Black Men
1,655
9.0
134
11.3
396
12.2
Black Women
364
1.8
14*
0.7
69
2.2