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Violence: Homicide,  Assault, Suicide and Firearms

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Reduce homicides.

Target: 5.0 homicides per 100,000 population.
Baseline, 1996-1998: 8.8 homicides per 100,000 population (age adjusted to year 2000 U.S. standard population).
Target Setting Method: 43 percent improvement.

Reduce the suicide death rate.

Target: 8 suicide deaths per 100,000 population.
Baseline, 1996-1998: 11.8 suicides per 100,000 population (age adjusted to year 2000 U.S. standard population).
Target Setting Method: 32 percent improvement.

Reduce firearm-related deaths.

Target: Firearms-related Homicide – 5 per 100,000 population.
Firearm-related Suicide – 6 per 100,000 population.
Baseline, 1996-1998: (age adjusted to year 2000 U.S. standard population) Firearm-related Homicide – 5.8 per 100,000 population.
Firearm-related Suicide – 8.1 per 100,000 population.
Target Setting Method: Firearm-related Homicide – 14 percent improvement. Firearm-related Suicide – 26 percent improvement.

Reduce juvenile assault crime rate.

Developmental Objective, baseline data to be collected and analyzed in 2001.

Objectives/Targets
 

Injury -  Violence:
Homicide, Assault, Suicide and Firearms


     Violence is abusive or aggressive behavior imposed on a person or upon oneself. It may cause injury and even death. On an average day in the United States, 53 persons die from homicide and a minimum of 18,000 persons survive interpersonal assaults. Eighty-four persons complete suicide, and as many as 3,000 persons attempt suicide. Violent crime is associated with substance abuse.

Firearms
     Availability of firearms is associated with homicide, suicide and violent crimes. In the United States the number of crimes with weapons is dramatically higher than all other industrial nations. Homicides are most often committed with guns, especially handguns. Homicides of teens and young adults are much more likely to be committed with a gun than homicides of persons of other ages. Across the country, for every fatality caused by a firearm, approximately three more persons received non-fatal gunshot wounds.

Homicide and Assault
     Violence in the United States is pervasive. In North Carolina, an average of 745 homicides occur each year. Homicide is the second leading cause of death for persons aged 15 to 24 years and the leading cause of death for African American/Blacks in this age group. While homicide rates are dropping among all age groups, the decrease among persons ages 15 to 24 years is not as great. Of the homicides that occurred in 1998, firearms caused 68 percent. Homicide most often occurs as the result of arguments between friends and family members and not during the course of a crime. In fact, 85 percent of all the homicide victims knew their killers. The number of homicides of persons age 65 or over has been decreasing. Males age 65 or older are more likely than females of the same age to be homicide victims. Most of the offenders who commit eldercide are under age 50. Violence and homicide are associated with substance abuse. In national surveys, 33 percent of state prisoners and 22 percent of federal prisoners said they had committed their offense while under the influence of drugs. About 60 percent of mentally ill and 51 percent of other inmates in state prison were under the influence of alcohol or drugs at the time of their current offense.
 
Juvenile Crime and Assault

     In North Carolina, juvenile murder has decreased 17 percent, contrary to the media reports that focus on school homicide, which give the impression that juvenile violence has increased. However, children are committing a greater percentage of crime. Age-specific arrest rates for violent crime start to increase dramatically at about age 15, peak at age 19 and then begin to decline . This indicates that prevention efforts should be focused on changing the behavior of young persons. In North Carolina, a child age 16 is seen as an adult in the judicial system; children age 15 and younger are seen as juveniles. The Criminal Justice system is set up for adults that are over 20 years old. While the data suggest that persons, age 16-20, commit most of the violent crimes, the system does not have interventions to deal with this age group with the highest arrest rates. The current system was established in the early 1980s when fewer violent crimes were committed by persons over ages 20 and under.

Suicide
    More people die from suicide than from homicide. In North Carolina in 1998, there were 1.3 times as many suicides as homicides. Overall, suicide is the eighth leading cause of death for North Carolinians and is the third leading cause of death for young people ages 15-24. Nearly two of every three suicides in 1998 were committed with a firearm. Suicide rates increase with age and are highest among Americans age 65 years and older. Suicide rates among older adults are highest for those who are divorced or widowed. Research tells us that while older adults attempt suicide less frequently than other groups, they are more successful at completing the act. Youth use firearms for suicide attempts about 70 percent of the time. Alcohol consumption is associated with suicide and other suicide risk factors such as depression or other mental illnesses. Alcohol is not highly associated with suicide for North Carolina youth.
 

Disparities


Juvenile Crime and Assault

    
Homicide victimization is especially high among African American/Black and Hispanic/Latino youths. Males are more likely than females to be both victims and perpetrators of violent crime. Homicide rates are highest among minorities, persons living in large cities, and persons who live in communities with high rates of poverty and unemployment.

Suicide

    Elderly suicides are disproportionately White, and often among persons recently widowed. Suicides among young people are most frequent among White males. However, suicide is increasing among African-American males.
 

Determinants/Risk Factors


Juvenile Crime and Assault

     Poverty, discrimination, lack of education, family violence, lack of family support, unemployment, drugs and alcohol, young persons in contact with the Juvenile System (repeat offenders), low school performance, low employment opportunities, and disruptive school behavior

Suicide
Older Adults: Social isolation, chronic or terminal illness, lack of employment, substance abuse, depression, and mental illness

Youth: Access of firearms, depression and mental illness, and social estrangement

 

NC Data

Injury -  Violence: Homicide, Assault, Suicide and Firearms

 


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