PUBLIC SAFETY COMMITTEE AGENDA

SANDAG Mark Lewis, Chair Mayor, El Cajon (Representing East County) Cheryl Cox, Vice Chair Mayor, Chula Vista (Representing South County) Rebecca Jones Councilmember, San Marcos (Representing North County Inland) Jack Feller Councilmember, Oceanside (Representing North County Coastal) Greg Cox Supervisor, County of San Diego Marti Emerald Councilmember, City of San Diego PUBLIC SAFETY COMMITTEE AGENDA Public Safety David Ott Chief, Cities of Solana Beach & Del Mar Fire Departments (Representing Regional Fire/Emergency Medical Services) Jim Abele Chief, California Highway Patrol (Representing State Public Safety) Bonnie Dumanis District Attorney, San Diego County (San Diego County District Attorney) William D. Gore Sheriff, San Diego County (San Diego County Sheriff) Donna Faller Program Manager, Office of Homeland Security, City of San Diego (Representing Homeland Security) John Bolduc Chief, San Diego Harbor Police (Representing County Chiefs /Sheriff s Association) William M. Lansdowne Chief of Police, City of San Diego (San Diego Police Department) Tom Zoll Chief of Transit Enforcement, North County Transit District (Representing Regional Transit) John L. Browning Chief, San Diego State University Police Department (Representing County Chiefs /Sheriff s Association) Advisory Members Stephanie Spencer Councilmember, Rincon Luiseño Band of Indians (Representing Southern California Tribal Chairmen s Association) Mack Jenkins Chief Probation Officer, San Diego County Probation Department (Representing County Public Safety) Joseph Stuyvesant Director of Operations, Navy Region SW (Representing Department of Defense) Keith Slotter Special Agent in Charge, Federal Bureau of Investigations (Representing Federal Public Safety) Laura E. Duffy United States Attorney, U.S. Attorney s Office (Representing Federal Public Safety) Gary L. Gallegos Executive Director, SANDAG Friday, December 9, 2011 1 to 3 p.m. SANDAG Board Room 401 B Street, 7th Floor San Diego AGENDA HIGHLIGHTS SAN DIEGO COUNTYWIDE POWER OUTAGE: AFTER ACTION REPORT MENTAL ILLNESS, HOMICIDE, AND SELF- HARM: PREVENTION, INTERVENTION, AND COMMUNITY STATISTICS PLEASE TURN OFF CELL PHONES DURING THE MEETING YOU CAN LISTEN TO THE PUBLIC SAFETY COMMITTEE MEETING BY VISITING OUR WEB SITE AT WWW.SANDAG.ORG San Diego Association of Governments 401 B Street, Suite 800, San Diego, CA 92101-4231 (619) 699-1900 Fax (619) 699-1905 www.sandag.org

Welcome to SANDAG. Members of the public may speak to the Public Safety Committee on any item at the time the Committee is considering the item. Please complete a Speaker s Slip, which is located in the rear of the room, and then present the slip to Committee staff. Members of the public may address the Committee on any issue under the agenda item entitled Public Comments/Communications/Member Comments. Public speakers are limited to three minutes or less per person. The Public Safety Committee may take action on any item appearing on the agenda. This agenda and related staff reports can be accessed at www.sandag.org under Meetings. Public comments regarding the agenda can be forwarded to SANDAG via the e-mail comment form available on the Web site. E-mail comments should be received no later than 12 noon, two working days prior to the Public Safety Committee meeting. Any handouts, presentations, or other materials from the public intended for distribution at the Public Safety Committee meeting should be received by the Clerk of the Board no later than 12 noon, two working days prior to the meeting. SANDAG operates its programs without regard to race, color, and national origin in compliance with Title VI of the Civil Rights Act. SANDAG has developed procedures for investigating and tracking Title VI complaints and the procedures for filing a complaint are available to the public upon request. Questions concerning SANDAG nondiscrimination obligations or complaint procedures should be directed to SANDAG General Counsel, Julie Wiley, at (619) 699-6966 or jwi@sandag.org. Any person who believes himself or herself or any specific class of persons to be subjected to discrimination prohibited by Title VI also may file a written complaint with the Federal Transit Administration. In compliance with the Americans with Disabilities Act (ADA), SANDAG will accommodate persons who require assistance in order to participate in SANDAG meetings. If such assistance is required, please contact SANDAG at (619) 699-1900 at least 72 hours in advance of the meeting. To request this document or related reports in an alternative format, please call (619) 699-1900, (619) 699-1904 (TTY), or fax (619) 699-1905. SANDAG agenda materials can be made available in alternative languages. To make a request call (619) 699-1900 at least 72 hours in advance of the meeting. Los materiales de la agenda de SANDAG están disponibles en otros idiomas. Para hacer una solicitud, llame al (619) 699-1900 al menos 72 horas antes de la reunión. 如有需要, 我们可以把 SANDAG 议程材料翻译成其他語言. 请在会议前至少 72 小时打电话 (619) 699-1900 提出请求. SANDAG offices are accessible by public transit. Phone 511 or see 511sd.com for route information. Bicycle parking is available in the parking garage of the SANDAG offices. 2 Rev. 090611

ITEM # 1. ROLL CALL PUBLIC SAFETY COMMITTEE Friday, December 9, 2011 RECOMMENDATION +2. APPROVAL OF THE OCTOBER 21, 2011, MEETING MINUTES APPROVE 3. PUBLIC COMMENTS/COMMUNICATIONS/MEMBER COMMENTS Members of the public shall have the opportunity to address the Public Safety Committee (PSC) on any issue within the jurisdiction of SANDAG that is not on this agenda. Anyone desiring to speak shall reserve time by completing a Request to Speak form and giving it to the PSC coordinator prior to speaking. Public speakers should notify the PSC coordinator if they have a handout for distribution to committee members. Public speakers are limited to three minutes or less per person. PSC members also may provide information and announcements under this agenda item. REPORTS 4. REPORT FROM CHIEFS'/SHERIFF'S MANAGEMENT COMMITTEE (Chief John Bolduc, Chiefs'/Sheriff's Management Committee) INFORMATION Chief John Bolduc will report on the December 7, 2011, meeting of the Chiefs'/Sheriff's Management Committee. 5. REPORT FROM THE SAN DIEGO COUNTY FIRE CHIEFS ASSOCIATION (Chief Tony Michel, San Diego County Fire Chiefs Association) INFORMATION Chief Tony Michel will report on the November 3, 2011, meeting of the San Diego County Fire Chiefs Association. 6. SAN DIEGO COUNTYWIDE POWER OUTAGE: AFTER ACTION REPORT (Herman Reddick, Assistant Director, San Diego County Office of Emergency Services) INFORMATION The San Diego County Office of Emergency Services (OES) is responsible for alerting and notifying appropriate agencies when disaster strikes; coordinating all agencies that respond; ensuring resources are available and mobilized in times of disaster; developing plans and procedures for response to and recovery from disasters; and developing and providing preparedness materials for the public. On September 8, 2011, SDG&E experienced a sequence of events that led up to the Pacific Southwest major power outage. An overview of efforts taken and lessons learned from this event will be provided. 3

7. LAW ENFORCEMENT'S RESPONSE TO MENTAL ILLNESS AND PSYCHIATRIC EMERGENCIES (Assistant Chief Boyd Long, San Diego Police Department) INFORMATION With the number of homicides reported in the San Diego region increasing in the first half of 2011, additional focus has been placed on the number of combined homicide/suicide incidents that may be contributing to this jump in numbers. Assistant Chief Long will share recent statistics regarding law enforcement calls for service related to mental health issues in the City of San Diego and provide an overview of how local law enforcement works collaboratively with mental health providers to respond to these types of calls. 8. HOMICIDES AND SUICIDES IN SAN DIEGO COUNTY - THE MEDICAL EXAMINER PERSPECTIVE (Dr. Jonathan Lucas, County of San Diego Medical Examiner's Office) INFORMATION The Medical Examiner's Office in San Diego County is empowered and required to investigate all sudden and unexpected deaths in the county, including all homicides and suicides. Dr. Lucas will present patterns and trends of homicides and suicides in San Diego County, and will specifically address combined homicide/suicide incidents, along with preliminary statistics from 2011. 9. SAN DIEGO COUNTY'S SUICIDE PREVENTION ACTION PLAN (Jennifer Schaffer, County of San Diego Health and Human Services Agency; and Holly Shipp, Community Health Improvement Partners) INFORMATION Based on the premise that suicide can be prevented, the County's Health and Human Services Agency, in partnership with a variety of community stakeholders, recently released a new Suicide Prevention Action Plan. An overview of this plan and a description of how it fits in as part of the County's "Live Well, San Diego!" initiative will be provided. 10. UPCOMING MEETINGS INFORMATION The next meeting of the PSC is scheduled for Friday, January 20, 2012. 11. ADJOURNMENT + next to an agenda item indicates an attachment 4

San Diego Association of Governments PUBLIC SAFETY COMMITTEE December 9, 2011 AGENDA ITEM NO.: 2 Action Requested: APPROVE PUBLIC SAFETY COMMITTEE DISCUSSION AND ACTIONS Meeting of October 21, 2011 1. ROLL CALL Chair Mark Lewis (East County) called the Public Safety Committee (PSC) meeting to order at 1:00 p.m. Roll call was taken and a quorum was present. See last page for attendance. 2. APPROVAL OF MEETING MINUTES Upon a motion by Councilmember Marti Emerald (City of San Diego) and a second by Councilmember Rebecca Jones (North County Inland), the minutes of September 16, 2011, were unanimously approved. 3. PUBLIC COMMENTS/COMMUNICATIONS/MEMBER COMMENTS Councilmember Emerald commended the San Diego Police Department on their handling of "Occupy San Diego." REPORTS 4. FISCAL YEAR 2012 BUDGET AMENDMENT: INTERREGIONAL JUSTICE DATA SHARING (RECOMMEND) Upon a motion by Councilmember Emerald and a second by Councilmember Jones, the PSC recommended that the SANDAG Board of Directors approve an amendment to the FY 2012 Program Budget to increase funding by $1,086,000 from $1,367,368 to $2,453,368 for work element 3400800. 5. NEW ARJIS GRANT: SOUTHWEST OFFENDER REAL-TIME NOTIFICATION (APPROVE) Upon a motion by Supervisor Greg Cox (County of San Diego) and a second by Sheriff William D. Gore (San Diego County Sheriff), the PSC approved acceptance of a $275,000 grant from the Bureau of Justice Assistance to develop a multi-jurisdictional application, the Southwest Offender Real-Time Notification; and authorized the Executive Director to execute the associated grant agreement.

6. FISCAL YEAR 2012 BUDGET AMENDMENT: SENATE BILL 678 REVOCATION REDUCTION EVALUATION (APPROVE) Upon a motion by Councilmember Emerald and a second by Councilmember Jack Feller (North County Coastal), the PSC approved an amendment to the FY 2012 Program Budget to accept $121,955 in funding for new work element 2345900, Senate Bill 678 Revocation Reduction Evaluation. 7. FISCAL YEAR 2012 BUDGET AMENDMENT: COMMUNITY ASSESSMENT TEAM PLUS (APPROVE) Upon a motion by Sheriff Gore and a second by Vice Chair Cheryl Cox (South County), the PSC approved an amendment to the FY 2012 Program Budget for work element 2351200, Community Assessment Team Plus, to close out the expired grant and accept the new grant for $257,853, which extends into FY 2013. 8. PUBLIC SAFETY-RELATED GOALS FOR THE 2012 LEGISLATIVE PROGRAM (RECOMMEND) Upon a motion by Supervisor Cox and a second by Councilmember Jones, the PSC recommended that the Executive Committee include the proposed public safety-related goals discussed in this report in the 2012 Legislative Program. 9. CRIMINAL JUSTICE REALIGNMENT: SAN DIEGO COUNTY S PLAN FOR A NEW OFFENDER POPULATION (INFORMATION) Deputy Chief Kim Broderick (San Diego County Probation Department) and Commander Will Brown (San Diego County Sheriff s Department) presented an overview of the realignment implementation plan shifting responsibility from the state to counties for detention of non-violent, non-serious, non-sex offenders who would have gone to state prison previously, as well as supervision for other offenders who would have previously been supervised by parole. 10. UPCOMING MEETINGS (INFORMATION) The next meeting of the PSC is scheduled for Friday, November 18, 2011. 11. ADJOURNMENT The PSC meeting was adjourned at 2:01 p.m. 2

PUBLIC SAFETY COMMITTEE CONFIRMED ATTENDANCE October 21, 2011 JURISDICTION NAME MEMBER/ ALTERNATE East County Hon. Mark Lewis-Chair Member YES Hon. Jillian Hanson-Cox Alternate NO North County Coastal Hon. Jack Feller Member YES Hon. Kristin Gaspar Alternate NO South County Hon. Cheryl Cox-Vice Chair Member YES Hon. Rosalie Zarate Alternate YES North County Inland Hon. Rebecca Jones Member YES Hon. Steve Gronke Alternate NO City of San Diego Hon. Marti Emerald Member YES County of San Diego ATTEND YES/NO Hon. Todd Gloria Alternate YES Supervisor Greg Cox Member YES Chairman Bill Horn Alternate NO State Public Safety Chief Jim Abele Member NO Assistant Chief Esmeralda Falat Alternate NO County Chief John Bolduc Member NO Chiefs /Sheriff s Chief John L. Browning Member YES Association Chief Adolfo Gonzales Alternate NO Chief David Bejarano Alternate NO San Diego Police Department Chief William M. Lansdowne Member NO Ex. Assistant Chief David Ramirez Alternate YES County Sheriff Sheriff William D. Gore Member YES Undersheriff Jim Cooke Alternate NO Homeland Security Donna Faller Member YES Herman Reddick Alternate YES Regional Fire/Emergency Chief David Ott Member YES Medical Services Chief Tony Michel Alternate YES Attended By San Diego County District Attorney Bonnie Dumanis Member NO Paula Robinson Alternate YES Regional Transit Services Tom Zoll Member YES Bill Burke Alternate NO ADVISORY MEMBERS County Public Safety Mack Jenkins Member YES Kim Broderick Alternate YES Department of Defense Joseph Stuyvesant Member YES Colonel Nicholas Marano Alternate NO Federal Public Safety Keith Slotter Member NO Robert Howe Bill Sherman 1 st Alternate NO Michael J. Aguilar 2 nd Alternate NO Laura E. Duffy Member NO Blair Perez Steven Stafford 1 st Alternate NO John A. Garzon 2 nd Alternate NO Rick Abend Southern CA Tribal Chairmen s Stephanie Spencer Member YES Association (SCTCA) LaVonne Peck Alternate NO 3

San Diego Countywide Power Outage September 8, 2011 ~3:38pm San Diego County began experiencing widespread power outages. Between 3:50pm to 5:30pm, the OAEOC and 16 of the 18 incorporated city EOCs activated. 4:42pm County of San Diego Proclaims a Local Emergency Additional Proclamations: Chula Vista, National City, and San Marcos Joint Information Center (JIC) 4:50pm Initial Press Release 5:50pm 2 nd Press Release Announces unified 8pm Press Conference 9:35pm 3 rd Press Release School advisories, precautionary boil water notices, etc. 3:19am SDG&E reports power restored countywide Significant Events 2 1

Communications 911/Dispatch/800 MHz Radio Systems able to continue operations. Widespread traffic signal outages. Fuel Kinder Morgan pipeline lacked power to operate. Gas stations closed due to lack of electricity to operate pumps. Health Care Hospitals operated normally; increased volume at ERs. Water Water flow maintained by all regional water agencies. Wastewater All stations maintained operations except for two pump stations. Transportation Trolley inoperable; Train/Bus Service operational. Airport Planes continued to land but none were able to take off. Lifelines Emergency Coordination Group (LECG) 3 27 campaigns activated to alert the public and hosted lists. 551,000 contacts were attempted ~ 65% reached Hosted List Power Out AlertSanDiego Outdial Completed Successfully (%) Outdial Network Error (%) Outdial No Answer (%) Email Completed Successfully (%) SMS Completed Successfully (%) 90.64 96 78.4 Mapping Power Out 30 45 25 98 Hosted List Power 92.7 100 Restored Mapping Power Restored 59.9 19 22 100 Mapping 2007 San Diego County Firestorms (avg) 33 27 22 n/a n/a 4 2

Continued Training WebEOC EOC 101 EOC Position Specific Training Staffing and Workspace Technology and Communications Capabilities OAEOC Identified Trends for Improvement 5 3

CRISIS CALLS San Diego Association of Governments (SANDAG) Boyd Long Assistant Chief San Diego Police Department December 2011 Background Calls for persons in crisis have been increasing annually since 2008 Calls include: 11 45, 11 45T, 51 50, 51 50V, PERT & PERTR This only refers to calls dispatched as one or more of the listed codes The data does not capture the calls that are determined to be crisis related following the initial response 2 1

Background 14000 12000 10000 8000 6000 Crisis Calls 4000 2000 0 2008 2009 2010 2011 3 Background Crisis Calls by Patrol Division 6% 2% 6% 15% 4 2

Suicide Background 380 375 370 365 360 355 350 345 2007 2008 2009 2010 Source: SD County 2011 5 One Day Examples November 22, 2011: 1,321 calls for service dispatched in a 24 hour period. 11 calls for person(s) in crisis 2 of note: IH# P11110038036-Carroll Canyon NW IH# P11110038074-28 th Street over SR94 Resources deployed Officers/Emergency Negotiation Team (ENT)/Canine Time April 26, 2010 at 1042 hours 6 3

Department & Regional Resources Psychiatric Emergency Response Team (PERT), partnering mental health professional with law enforcement (regional) Homeless Outreach Team (HOT) Partnership with PERT and HHSA professional. Crisis Response Team Training PERT Academy (330) Serial Inebriate Program Chronic Alcoholics County of San Diego Suicide Prevention Campaign Department Procedure Changes 7 The Future Continue to send officers, dispatchers, probation and law enforcement personnel through the PERT Academy Continue building on relationship with County HHSA, County Mental Heath an LPS Hospital/ Facilities Develop a more robust relationship with National Alliance on Mental Illness and their over 20 partners Identify additional funding sources to increase the number of PERT Clinicians 8 4

Call Before Crisis One succinct message Educate the public about the resources available Encourage the public to make the call at the first sign of a problem Strengthen partnerships with other public and private agencies Lessen the stigma associated with mental illness 9 Questions? Boyd Long Assistant Chief San Diego Police Department (619) 531 2745 10 5

Homicides and Suicides in San Diego County The Medical Examiner Perspective Jonathan Lucas, M.D. Deputy Medical Examiner 1 The ME s Office: Facility County Operations Complex 5570 Overland Ave., Suite 101 2 1

Jurisdiction All sudden and unexpected deaths All deaths due to non natural means Deaths of public health concern Deaths occurring more than 3 weeks after being seen by a doctor 3 20,000 deaths/yr 3,000 cases/yr 4 2

Suicide 5 Suicides by Year, 1988 2011 (Incomplete 2011 data) 400 16 350 300 Number of Suicides 14 12 250 200 Rate per 100,000 10 8 150 6 100 4 50 2 0 0 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 N=8,187 (incomplete 2011 data) 6 3

400 Suicides by Method: 1988 2011 350 300 250 Other Hanging/Asphyxia Jump 200 150 OD/Poisoning 100 50 Firearms 0 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 N=8,187 (Incomplete 2011 data) 7 250 Suicide Method by Year: 1988 2011 200 150 Firearms 100 50 0 Hanging/Asphyxia OD/Poisoning Jump Other 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 N=8,187 (Incomplete 2011 data) 8 4

Suicide Rates by Age and Sex, 2010 80.0 73.4 70.0 Number of Decedents 60.0 50.0 40.0 30.0 20.0 10.0 0.0 N=372 *Rates not calculated for 5 or fewer cases Male Female Total 30.0 25.0 18.7 19.6 14.5 11.7 15.5 16.7 12.5 9.5 10.2 8.8 6.5 5.0 5.5 8.8 * 3.1 4.6 * * * 15 19 20 24 25 34 35 44 45 54 55 64 65 74 75 84 85+ Age Group 41.0 26.7 31.8 29.2 9 100% 90% 80% 70% 60% Relative Methods of Suicide by Gender, 1997 2011 Cumulative (Incomplete 2011 data) 124 Other 395 24 Cut/Stab 102 476 Hanging 459 Asphyxia 882 50% 40% 30% 20% 10% 253 259 OD/Poison Firearm 1781 0% Female Male 10 5

11 Homicide 12 6

300 Homicide Mechanism by Year: 1988 2011 (Incomplete 2011 data) 250 200 Cut/Stab 150 Asphyxia 100 50 Firearms 0 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 N=4,038 Excludes Legal Intervention 13 Relative Methods of Homicide by Gender, 1997 2011 Cumulative (Incomplete 2011 data) 100% 90% 80% 70% 60% 50% 40% 50 50 71 83 Other Asphyxia Cut/Stab Blunt Force 72 37 209 195 30% 767 20% 10% 157 Firearm 0% N=1,691 Excludes Legal Intervention Female Male 14 7

120 Male Homicides by Age Range: 2000 2011 N=1,015 100 80 60 25 34 y/o 40 15 24 y/o 20 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Unk 65+ 55 64 45 54 35 44 25 34 15 24 0 14 <1 yr 140 Female Homicides by Age Range: 2000 2011 N=317 120 100 80 60 40 20 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Excludes Legal Intervention. Incomplete 2011 data. Unk 65+ 55 64 45 54 35 44 25 34 15 24 1 14 <1 yr 15 20 Homicide by Age Range and Gender 2011 (Incomplete data) 18 16 14 12 10 8 6 4 2 Female Male 0 Excludes Legal Intervention <1 yr 0 14 15 24 25 34 35 44 45 54 55 64 65+ 16 8

17 Homicide/Suicide Events 18 9

Homicide Suicide Events by Year 10 9 1 8 2 2 1 7 1 6 2 5 4 1 8 2 8 2 1 3 Homicides 2 Homicides 1 Homicide 1 7 7 7 3 6 6 5 5 5 1 5 5 5 2 4 4 4 4 4 4 3 3 1 2 2 0 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2009 2010 2011 19 2001: 4 person incidents occurred in March then April 2011: 4 person incidents occurred in May then June 20 10

All Suicides: Suicide only versus Suicides in Homicide/Suicide Event 100% 90% Hispanic Hispanic 80% 70% 60% 50% 40% Caucasian Caucasian 30% 20% 10% 0% Black Black Asian Asian All Suicides H/S Suicides N=5,080 N=80 21 All Suicides: Suicide only versus Suicides in Homicide/Suicide Event 100% 90% 80% 70% 60% 50% Female Male 40% 30% 20% 10% 0% All Suicides H/S Suicides N=5,080 N=80 22 11

Homicide/Suicide Suicides by Age and Sex, 1999 2011 N=80 20 18 16 14 12 10 8 6 4 2 0 15 19 20 24 25 34 34 44 45 54 55 64 65 74 75 84 85+ Male Female Suicide Rates by Age and Sex, 2010 N=372 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 15 19 20 24 25 34 35 44 45 54 55 64 65 74 75 84 85+ Age Group 23 Take Home Messages Suicide rate has generally declined over last 20 years, but in last 5 years has generally increased (economy?) Group with highest rate of suicide is men 85 and older. Men tend to use more violent means of suicide compared to women (Gunshot wound, Motor vehicle crash). We are seeing a small increase in homicides this year compared to last year, primarily due to female homicides. However, we are still at record lows. 24 12

Take Home Messages Suicide rate has generally declined over last 20 years, but in last 5 years has generally increased (economy?) Group with highest rate of suicide is men 85 and older. Men tend to use more violent means of suicide compared to women (Gunshot wound, Motor vehicle crash). We are seeing a small increase in homicides this year compared to last year, primarily due to female homicides. However, we are still at record lows. 25 Take Home Messages Suicide rate has generally declined over last 20 years, but in last 5 years has generally increased (economy?) Group with highest rate of suicide is men 85 and older. Men tend to use more violent means of suicide compared to women (Gunshot wound, Motor vehicle crash). We are seeing a small increase in homicides this year compared to last year, primarily due to female homicides. However, we are still at record lows. 26 13

Take Home Messages Suicide rate has generally declined over last 20 years, but in last 5 years has generally increased (economy?) Group with highest rate of suicide is men 85 and older. Men tend to use more violent means of suicide compared to women (Gunshot wound, Motor vehicle crash). We are seeing a small increase in homicides this year compared to last year, primarily due to female homicides. However, we are still at record lows. 27 Take Home Messages 15 34 y/o males are still the largest group of homicide victims, but this group has seen a big reduction in last 8 years. Homicide/Suicide events are sporadic. 2011 has (so far) tied the highest number of events on record, but has the highest number of total fatalities (14 homicides, 9 suicides). Hispanic and Black, Males, and younger individuals are overrepresented as the suicide in homicide/suicides compared to all suicides. 28 14

Take Home Messages 15 34 y/o males are still the largest group of homicide victims, but this group has seen a big reduction in last 8 years. Homicide/Suicide events are sporadic. 2011 has (so far) tied the highest number of events on record, but has the highest number of total fatalities (14 homicides, 9 suicides). Hispanic and Black, Males, and younger individuals are overrepresented as the suicide in homicide/suicides compared to all suicides. 29 Take Home Messages 15 34 y/o males are still the largest group of homicide victims, but this group has seen a big reduction in last 8 years. Homicide/Suicide events are sporadic. 2011 has (so far) tied the highest number of events on record, but has the highest number of total fatalities (14 homicides, 9 suicides). Hispanic and Black, Males, and younger individuals are overrepresented as the suicide in homicide/suicides compared to all suicides. 30 15

Thank you Jonathan Lucas, M.D. Deputy Medical Examiner San Diego County Medical Examiner Office 858 694 3073 jonathan.lucas@sdcounty.ca.gov 31 16

Suicide Prevention in San Diego County OCTOBER 2011 December 9, 2011 Background Every 15 Minutes One Per Day 11 to 1 3.4% 2 1

Live Well, San Diego! Building Better Health by improving the health of residents and supporting healthy choices. Promoting Thriving Families by helping families becomes stable and independent. Fostering Safe communities where all individuals and families are connected, secure and protected. 3 High-Risk Populations Veterans Middle aged men Older adults (65+) Recently divorced or separated History of: Substance abuse Sexual abuse Previous suicide attempt Suicide in family Chronic mental health disorder Co-occurring disorders 4 2

San Diego County Initiatives It s Up to Us Media Campaign Mental Health Programs Suicide Prevention Action Plan & Suicide Prevention Council 5 It s Up to Us Media Campaign 6 3

SPEAK Suicide Prevention Education Awareness and Knowledge Program Serves students Education to school staff and families Reduce suicides and the negative impact of suicides in schools 7 Other San Diego County Activities Community presentations Prevention & Early Intervention Training and Technical Assistance Capacity Building Training focusing on community colleges and first responders 8 4

San Diego County Suicide Prevention Action Plan OCTOBER 2011 Development of the Suicide Prevention Action Plan 10 5

Suicide Prevention Action Plan Recommends specific strategies targeted at three major groups: The general public At-risk groups High-risk individuals that exhibit early signs of suicide Seeks to: Enhance efforts to increase understanding and awareness of suicide Decrease stigma associated with suicide Ultimately reduce the number of suicides in San Diego County 11 Suicide Prevention Council Vision, Mission, Goals Vision: Mission: Zero suicides in San Diego County To prevent suicide and its devastating consequences in San Diego County This can best be accomplished through. Enhancing collaborations to promote a suicide-free community Conducting needs assessments to identify gaps in suicide prevention services and supports Disseminating vital information on the signs of suicide and effective help-seeking Providing resources to those affected by suicide and suicidal behavior Advancing policies and practices that contribute to the prevention of suicide 12 6

Suicide Prevention Council Core Values The Suicide Prevention Council believes that these core values best support suicide prevention in San Diego County: A public health approach to prevention Collaboration and non-competitive partnerships Evidenced-based practices Cultural and linguistic sensitivity Coordinated and accessible services Support for individuals, families, and communities 13 What you can do Participate in the San Diego County Suicide Prevention Council Attend Question, Persuade and Refer (QPR) Suicide Prevention Trainings Link to www.up2sd.org from your website 14 7

What you can do Raise awareness of risk factors for suicide: Biopsychosocial Risk Factors Mental disorders Alcohol and other substance abuse Hopelessness Impulsive or aggressive tendencies History of trauma or abuse Some major physical illnesses Previous suicide attempt Family history of suicide Environmental Risk Factors Job or financial loss Relational or social loss Easy access to lethal means Local clusters of suicide that have a contagious influence Social-Cultural Risk Factors Lack of social support and sense of isolation Stigma associated with helpseeking behavior Barriers to accessing care Certain cultural and religious beliefs Exposure to, including through media, and influence of others who have died by suicide 15 What you can do Media training for law enforcement and other first responders Learn and encourage those in your organization to learn the warning signs for suicide 16 8

What you can do Spread the word about available resources for those at-risk of suicide and their friends and family: Access & Crisis Line: 800-479-3339 The It s Up to Us website: www.up2sd.org 2-1-1 17 Questions? Dr. Jennifer Schaffer Director, Behavioral Health Division County of San Diego Health and Human Services Agency (619)584-5023 Jennifer.schafer@sdcounty.ca.gov Holly Salazar Director of Strategic Outcomes Community Health Improvement Partners (CHIP) (858) 609-7966 hsalazar@sdchip.org www.sdchip.org/spap.aspx 18 9