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Maryland Violent Death Reporting System (MVDRS): Using Data to Tell Victims’ Stories
Thomas Manion, M.A.Project Coordinator, MVDRS
Maryland Department of Health and Mental Hygiene
A “National” System for Violence Prevention
2002 – Centers for Disease Control and Prevention
• Public health approach to violence prevention
• National system with state-level components
• Five states funded initially (including Maryland)
Maryland’s System:MVDRS
• Maryland Department of Health and Mental Hygiene
• First Data Collection Year: 2003
• Data available through 2010
MVDRS Mission:1. Maintain detailed body of information on
Maryland violent deaths
2. Promote greater scientific understanding of violence
3. Encourage the development of effective violent death prevention and intervention strategies
What constitutes a violent death?
“A death resulting from the intentional use of physical force or power* against oneself, another person, or group.”
*Includes poisons/drugs
• Homicide
• Suicide
• Death of Undetermined Intent
• Accidental (ONLY if firearm-related)
Manners of Death Evaluated
As ruled by the Office of the Chief Medical Examiner for Maryland
Where does our data come from?
Medical Examiner Reports (OCME)
Police Reports (State and Local Law Enforcement)
Death Certificates (MD Vital Statistics)MVDR
S
Data Collected• Victim/Suspect demographics
• Victim/Suspect relationship (if applicable)• Victim’s marital status, education, current
occupation• Time, date, location of injury• Weapon and wound details
• Toxicology• Precipitating Circumstances
• Narratives
MVDRSDatabase
What sets MVDRS data apart?
• Unprecedented level of detail
• Precipitating circumstances
• In-depth narratives
Our Philosophy on Violent Death
1.) Every victim has a story
2.) Prevention should be grounded in scientific research
Stories
Trends
Prevention
Data
Limitations
• NO data on Maryland residents injured out of state
• Data Collection Timeline• 1-2 year lag between death and
inclusion in MVDRS
MVDRS Data Highlights*
2010*All rates are
cruderates per 100,000population
1,427 violent deaths = 24.7 per 100,000
• Male rate (39) more than triple the female rate (11.3)
• Age 25-29 had the highest age-specific rate (44.5)
Violent Death Overview
389 deaths = 6.7 per 100,000
Homicide Overview
• Nearly half of victims
were Baltimore
residents• Nearly 80% of
homicide victims were
black• Most common
location of injury was
a street/sidewalk/alley
(40.6%)
Homicide: Residential County
Most common precipitating circumstances:
• Argument/Conflict
• Precipitated by another crime
• Drug involvement
• Intimate partner violence
Homicide : Circumstantial Data
481 deaths = 8.3 per 100,000
• Age groups with the highest rates were 45-54 (13.7), 75-84 (11.2) and 55-64 (11.2)
• Harford County had the highest suicide rate (11.4)
• Veterans accounted for nearly 18% of suicides (all males)
Suicide Overview
Suicide: Injury Location
Suicide: Cause of Death
Most common precipitating circumstances:
• Current mental health diagnosis
• Disclosed intent/suicidal ideations
• Intimate partner problem
• Physical health problem
• Job problem
• Financial problem
Suicide: Circumstantial Data
• Only 55% of victims with a current mental health diagnosis were currently being treated
• Female victims were significantly more likely than males to have a history of suicide attempts (37.8% vs 18.6%)
• 35.7% of victims left a suicide note
Suicide: Circumstantial Data
Recent Publication
• Suicidology Online, vol. 3, pp. 131-137
• Comparison of Maryland suicide deaths by victim age
• Cumulative data 2003-2009
Recent Publication
Four Age Groups:
• Youth (19 and younger)
• Young Adult (20-34)
•Middle Aged (35-64)
• Elder (65 and older)
Conclusions
• MVDRS as a source of violent death data
• Circumstances, special populations
• Focused prevention efforts
• By Age?
Thomas ManionProject Coordinator
Maryland Violent Death Reporting System
Maryland Department of Health and Mental Hygiene
