Mental Health - Youth Non-Suicidal Self Injury

Why Is This Important?

Anxiety and depression, as well as a range of stressful life events, are correlated with non-suicidal self injury. Non-suicidal self injury is a strong predictor of suicidal behavior, including suicide attempts.

Definition

Percentage of students in grades 9-12 in a NM public school who reported hurting themselves without intending to die at least one time in the past 12 months. The NM Youth Risk and Resiliency Survey (YRRS) is administered in odd years and is part of the national Youth Risk Behavior Surveillance System (YRBSS), which is coordinated by the Centers for Disease Control and Prevention (CDC). Each state, territorial, tribal, and large urban school district participating in YRBSS employs a two-stage, cluster sample design to produce a representative sample of students in grades 9-12 in its jurisdiction. In the first sampling stage, in all except a few sites, schools are selected with probability proportional to school enrollment size. In the second sampling stage, intact classes of a required subject or intact classes during a required period (e.g., second period) are selected randomly. All students in sampled classes are eligible to participate. A weight is applied to each student record to adjust for student nonresponse and the distribution of students by grade, sex, and race/ethnicity in each jurisdiction.

Data Source

How the Measure is Calculated

How Are We Doing?

In 2015, 221.5% of NM high school students reported non-suicidal self injurious behavior in the past year.

What Is Being Done?

The NM Department of Health continues to analyze and share data, reports, and presentations with each year of completed YRRS surveys. School administrators and youth health advocates utilize this information to guide health promotion and treatment programs for youth in NM. Youth suicide prevention and intervention activities were initially funded by the NM Legislature in June 2005. Implementation of suicide prevention strategies statewide is a significant focus of the NM Department of Health's Office of School and Adolescent Health (OSAH). Suicide prevention activities include: 1) Providing funding for statewide crisis line response to people at risk for suicide. 2) Identifying and developing relationships with existing crisis line operators statewide to enhance statewide suicide crisis response capacity. 3) Raising awareness that suicide is a public health problem and supporting initiatives to decrease stigma surrounding mental health issues. 4) Ensuring screening, early identification, referral and follow-up for suicide risk through Student Health Questionnaires for each student who accesses school-based health centers (SBHC). 5) Offering intensive training and technical assistance for all school-based health centers surrounding identification of signs of suicide, suicide prevention, and crisis response planning. 6) Gatekeeper training for educators, Medical and Behavioral Health providers, community members and youth; Natural Helper Programs; implementation and support for Gay-Straight Alliances; intensive training for school nurses; and psychiatric consultation for school counselors and school-based health center providers. 7) Providing School Health Updates, Head to Toe Conference and other regional trainings to increase awareness and knowledge of the risk factors and warning signs of suicide among school counselors, school health personnel, and behavioral health providers on suicide, crisis response and grief and trauma support in the school setting.

Evidence-based Practices

For reviews of evidence-based practices, please see: -US Preventive Services Task Force: http://www.uspreventiveservicestaskforce.org/ -Centers for Disease Control and Prevention's Community Guide: http://www.thecommunityguide.org/index.html -Substance Abuse and Mental Health Services Administration's National Registry of Evidence-Based Programs and Practices: http://www.samhsa.gov/nrepp

Other Objectives

Mental Health Report Indicator

Available Services

If you or someone you know is in a life-threatening position, please call 911 To talk to a counselor or ask questions about treatment 24/7, call the New Mexico Crisis Line: 1-855-NMCRISIS (662-7474) If you or someone you know is considering suicide, please call one of the following hotlines to talk to someone: -New Mexico Crisis Line: 1-855-NMCRISIS (662-7474) -National Suicide Prevention Lifeline (http://www.suicidepreventionlifeline.org/): 1-800-273-TALK (8255). En Espaol: 1-888-628-9495 -Teen to Teen Peer Counseling Hotline: 1-877-YOUTHLINE (1-877-968-8454) -Native Youth Crisis Hotline: 1-877-209-1266 -Veterans Peer Support Line: 1-877-Vet2Vet (1-800-877-838-2838) -University of New Mexico Agora Crisis Line (http://www.unm.edu/~agora/): 505-277-3013 or 1-866-HELP-1-NM -Graduate Student Hotline: 1-800-GRADHLP (1-800-472-3457) -Postpartum Depression Hotline: 1-800-PPD-MOMS (1-800-773-6667) To see if you or your child attends a school with a school-based health center, please visit: http://www.nmasbhc.org/SBHC_Locator.html If you would like to seek treatment, please contact: -PullTogether.org (https://pulltogether.org): 1-800-691-9067 -New Mexico Children, Youth & Families Department (https://cyfd.org) at 1-505-827-8008 -The SKY Center (http://nmsip.org/): 1-505-473-6191 -SHARE New Mexico Resource Directory: https://www.sharenm.org/nm-resources -United Way Central New Mexico Referral Service (https://uwcnm.org/211): 505-245-1735 Resources for veterans and their families: https://www.mentalhealth.gov/get-help/veterans For contact information for your local New Mexico Core Service Agency, please visit: https://newmexico.networkofcare.org/mh/index.aspx

More Resources

For more information about the NM YRRS, please visit http://youthrisk.org/ For more information about the CDC YRBSS, please visit http://www.cdc.gov/HealthyYouth/yrbs/index.htm Centers for Disease Control and Prevention Suicide Prevention Facts and Resources: http://www.cdc.gov/ViolencePrevention/suicide/index.html Substance Abuse and Mental Health Services Administration (SAMHSA) Suicide Prevention Facts and Resources: http://www.samhsa.gov/suicide-prevention SAMHSA Tribal Training and Technical Assistance Center: http://www.samhsa.gov/prevention/suicide.aspx World Health Organization Suicide Prevention Facts and Resources: http://www.who.int/topics/suicide/en/ National Indian Child Welfare Association Youth Suicide Prevention Toolkit (http://www.nicwa.org/youthsuicidepreventiontoolkit/) SAMHSA Suicide Prevention Toolkit for High Schools (http://store.samhsa.gov/product/SMA12-4669) ZeroSuicide.org (https://zerosuicide.org) Columbia Suicide Screening Rating Scale (www.cssrs.columbia.edu) Honoring Native Life (honoringnativelife.org) Suicide Prevention Resource Center (www.sprc.org)

Health Program Information

The YRRS is a tool to assess the health risk behaviors and resiliency (protective) factors of NM high school and middle school students. The YRRS is part of the national CDC YRBSS, but the survey results have widespread benefits for NM at the state, county, and school district levels. Topic areas for the YRRS include risk behaviors related to alcohol and drug use, unintentional injury, violence, suicidal ideation and attempts, tobacco use, sexual activity, physical activity, and nutrition; resiliency (protective) factors such as relationships in the family, school, community, and with peers; and health status issues such as body weight and asthma. The YRRS is administered to a sample of high schools and middle schools in each school district in the fall of odd-numbered years. All data are self-reported by students who voluntarily complete the survey during one class period. NM Department of Health, Office of School and Adolescent Health Youth Suicide Prevention Program Coordinator: Nancy Kirkpatrick, 505-222-8683 NM Department of Health, Epidemiology and Response Division, Mental Health Epidemiologist: Dylan Pell, 505-476-1440, dylan.pell@state.nm.us