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National
Violent
Death
Reporting
System
(NVDRS)
FY
2014
Background
Document
NVDRS
Data
Saves
Lives
Violence
is
not
inevitable
and
can
be
prevented.
The
National
Violent
Death
Reporting
System
(NVDRS)
is
a
state-‐
based
surveillance
system
developed
by
the
Centers
for
Disease
Control
and
Prevention,
National
Center
for
Injury
Prevention
and
Control
(CDC
Injury
Center).
NVDRS
collects
facts
from
different
sources
about
the
same
violent
death
to
provide
a
more
complete
picture
of
the
circumstances
of
the
event.
State
and
local
violence
prevention
practitioners
use
these
data
to
guide
their
prevention
programs,
policies,
and
practices
including:
• Identifying
common
circumstances
associated
with
violent
deaths
of
a
specific
type
(e.g.,
gang
violence)
or
a
specific
area
(e.g.,
a
cluster
of
suicides);
• Assisting
groups
in
selecting
and
targeting
violence
prevention
efforts;
• Supporting
evaluations
of
violence
prevention
activities;
and
• Improving
the
public’s
access
to
in-‐depth
information
on
violent
deaths.
Public
Health
Problem
Preventing
violence
is
a
critical
public
health
goal
because
violence
inflicts
a
substantial
toll
on
individuals,
families,
and
communities
throughout
the
United
States.
No
one
is
immune
to
violence.
It
affects
people
across
the
lifespan-‐from
infants
to
the
elderly.
CDC
Injury
Center
data
indicates:
• In
2010,
violence
claimed
more
than
55,000
American
lives,
translating
into
more
than
six
people
dying
each
hour
from
a
homicide
or
suicide.
• In
2010,
38,364
people
died
by
suicide.
• In
2010,
homicide
claimed
more
than
16,000
people
in
the
United
States.
• Violence-‐related
deaths,
assaults,
and
acts
of
self-‐harm
cost
the
United
States
an
estimated
$84.3
billion
in
medical
care
and
lost
productivity
every
year.
Strategies
that
Work
NVDRS
aids
in
violence
prevention
through
the
creation
of
a
reliable
violence
surveillance
system
synthesizing
multiple
data
sources
into
one
uniform
system,
which
can
be
used
to
inform
decision
makers
and
program
planners
about
the
magnitude,
trends,
and
characteristics
of
violent
deaths
so
appropriate
prevention
efforts
can
be
put
into
place.
It
also
facilitates
the
evaluation
of
state-‐based
prevention
programs
and
strategies.
Capturing
data
from
various
sources
allows
us
to:
link
records
on
violent
deaths
occurring
in
the
same
incident
to
help
identify
risk
factors
for
multiple
homicides
or
homicides-‐suicides,
provide
timely
preliminary
information
on
violent
deaths
(currently
data
is
not
available
until
2
years
after
death),
describe
in
detail
the
circumstances,
which
may
contribute
to
a
violent
death
such
as
job
loss,
physical
and
mental
health
problems,
family
and
other
stressors.
1
Unique
Role
of
the
CDC
Injury
Center’s
NVDRS
In
2002,
CDC’s
Injury
Center
received
funding
to
create
NVDRS.
It
is
a
state-‐based
surveillance
system
pooling
information
from
state
and
local
agencies,
medical
examiners,
coroners,
police,
crime
labs,
and
death
certificates
to
form
a
more
complete
picture
of
the
circumstances
surrounding
violent
deaths.
NVDRS
uses
state-‐level
data
to
describe
the
“who,
when,
where
and
how”
leading
to
better
understanding
of
the
“why”
in
violent
deaths,
unintentional
firearm
injury
deaths,
and
deaths
of
undetermined
intent.
NVDRS
is
unique
in
that
no
other
data
system
combines
information
from
various
data
sources
to
provide
a
complete
picture
of
violent
deaths.
NVDRS
is
currently
supported
in
18
states.
Federal
Partnerships
CDC’s
Injury
Center
is
collaborating
with
the
Department
of
Defense
(DOD)
to
link
information
from
NVDRS
with
information
from
DOD
data
systems.
The
integrated
analysis
found
intimate
partner
problems
and
military-‐
related
stress,
particularly
job
stress,
was
common
among
decedents.
Many
decedents
were
also
identified
as
having
suicidal
ideation,
a
sad
or
depressed
mood,
or
a
recent
crisis
before
death.
Focusing
efforts
to
prevent
these
forms
of
stress
might
reduce
suicides
among
soldiers.
Collaborations
between
the
CDC
Injury
Center
and
DOD
are
ongoing.
NVDRS
in
Action
Currently,
18
states
participate
in
NVDRS:
Alaska,
Colorado,
Georgia,
Kentucky,
Maryland,
Massachusetts,
Michigan,
New
Jersey,
New
Mexico,
North
Carolina,
Ohio,
Oklahoma,
Oregon,
Rhode
Island,
South
Carolina,
Utah,
Virginia
and
Wisconsin.
Sixteen
states
have
collected
information
on
violent
deaths
from
at
least
2005
to
2010,
while
2
states,
Michigan
and
Ohio,
began
reporting
information
on
violent
deaths
in
2010
when
additional
resources
were
added
to
the
program.
The
CDC
Injury
Center
distributes
information
from
NVDRS
at
the
state
and
national
level
in
summary
reports,
public
websites
(see
http://www.cdc.gov/injury/wisqars/nvdrs.html
for
national
data),
and
topic
specific
reports
as
well,
as
responding
to
data
requests
by
the
public.
A
major
current
focus
of
NVDRS
is
transitioning
data
collection
from
state-‐based
databases
to
a
web-‐based
platform
in
FY2013.
Currently,
NVDRS
collects
information
through
18
state-‐maintained
databases.
In
addition
to
requiring
states
to
maintain
the
system
and
upgrades,
the
current
system
restricts
the
use
of
the
program
to
computers
with
the
NVDRS
software
and
results
in
unique
state
technical
and
data
problems,
which
need
to
be
addressed
on
a
case-‐by-‐case
basis.
The
goals
of
the
new
web-‐based
platform
are
to:
• Increase
access
to
people
entering
data
by
allowing
authorized
users
to
access
the
system
from
any
computer
with
Internet
access.
This
will
allow
current
NVDRS
states
to
enter
data
from
different
locations
and
enable
newly
funded
states
to
easily,
quickly,
and
efficiently
be
added
to
NVDRS;
• Increase
reliability
and
security
by
centrally
maintaining,
monitoring,
and
updating
the
system.
This
means
all
states
will
be
using
the
same
program
at
all
times;
• Decrease
overall
maintenance
costs
by
hosting
and
maintaining
the
system
nationally
instead
of
in
each
state.
2
NVDRS
Program
Successes
NVDRS
informs
national
and
state
violence
prevention
efforts.
The
18
NVDRS
states
use
the
surveillance
data
to
respond
to
the
unique
circumstances
and
patterns
of
violent
deaths
in
their
states.
For
instance,
NVDRS
states
are
able
to
investigate
whether
violent
death
circumstances
vary
across
local
communities
by
examining
violent
deaths
by
county
or
zip
code.
This
allows
states
to
target
prevention
activities
and
tailor
them
to
the
unique
needs
of
their
local
community.
At
the
national
level,
NVDRS
data
can
be
used
to
better
understand
general
patterns
in
violent
deaths
and
emerging
multi-‐state
trends.
Highlighted
below
are
recent
specific
examples
of
where
NVDRS
data
has
supported
efforts
to
prevent
violence:
NVDRS
Data
Supporting
State
Suicide
Prevention
Efforts
South
Carolina
South
Carolina,
in
partnership
with
the
South
Carolina
Mental
Health
Association,
utilized
state
NVDRS
data
to
describe
the
problem
of
youth
suicide,
identify
target
communities,
and
successfully
apply
to
the
Substance
Abuse
and
Mental
Health
Services
Administration
(SAMHSA)
for
a
suicide
prevention
grant.
The
grant
provided
evidenced-‐based
gatekeeper
training
to
schools,
institutions
of
higher
education,
local
offices
of
public
welfare
and
juvenile
justice,
pediatricians’
offices,
faith-‐based
and
community
organizations,
and
to
foster
and
adoptive
parents.
Currently,
South
Carolina’s
NVDRS
data
is
being
used
to
assess
and
update
South
Carolina’s
suicide
prevention
plan.
Utah
In
Utah,
NVDRS
data
enabled
the
state-‐wide
task
force
to
identify
trends
and
risk
factors
for
prescription
drug-‐related
suicides.
As
a
result,
a
number
of
prevention
strategies
are
currently
underway
including
training
on
prescribing
practices
and
better
access
for
medical
providers
to
a
controlled
substances
database.
Oregon
NVDRS
data
helped
Oregon
to
develop
and
target
suicide
prevention
programs
for
older
adults.
Almost
50%
of
men
and
60%
of
women
65
years
of
age
or
older
who
died
by
suicide
were
reported
to
have
a
depressed
mood
before
death.
However,
only
a
small
proportion
were
receiving
treatment
for
their
depression
when
they
died,
suggesting
screening
and
treatment
for
depression
might
have
saved
lives.
In
response
to
these
findings,
Oregon
recently
developed
a
state
Older
Adult
Suicide
Prevention
Plan
recommends
primary
care
be
better
integrated
with
mental
health
services
so
suicidal
behavior
and
ideation
is
diagnosed
and
older
adults
receive
appropriate
treatment.
The
plan
is
currently
being
implemented
in
Oregon.
Rhode
Island
Rhode
Island
NVDRS
data
identified
the
importance
of
creating
suicide
prevention
programs
targeting
35
to
54
year
olds.
Although
a
substantial
percent
of
suicides
in
Rhode
Island
were
found
to
be
among
this
age
group,
most
suicide
prevention
efforts
did
not
target
them.
This
data,
along
with
suicide
attempt
data,
were
presented
to
the
Rhode
Island
Injury
Community
Planning
Group’s
Suicide
Prevention
Subcommittee.
Responding
to
this
information,
the
subcommittee
recently
launched
new
prevention
efforts
targeting
working-‐age
adults.
New
Jersey
New
Jersey
NVDRS
suicide
data
has
been
used
to
help
task
forces
plan
responses
to
youth
and
police
suicides.
In
addition,
the
data
has
recently
supported
suicide
prevention
efforts
by
the
Governor’s
Council
through
raising
awareness
and
reducing
stigma
about
mental
health
problems.
3
New
Mexico
New
Mexico
NVDRS
suicide
data
is
currently
supporting
the
writing
of
a
comprehensive
state
suicide
prevention
plan.
The
suicide
prevention
plan
will
be
a
requirement
for
the
combined
New
Mexico
Substance
Abuse
Prevention
and
Treatment
and
Community
Mental
Health
Block
Grant
application
to
SAMHSA.
NVDRS
Data
Increasing
Understanding
of
Suicides
among
Current
or
Former
Military
A
number
of
NVDRS
states
are
using
data
to
investigate
military
suicide
deaths.
• New
Jersey
is
using
data
collected
via
NVDRS
to
create
a
description
of
suicides
among
current
or
former
military
personnel
in
the
state,
which
will
be
used
to
inform
prevention
efforts.
• Colorado
is
utilizing
NVDRS
data
to
work
with
the
Denver
Veteran’s
Affairs
Medical
Center
to
develop
a
clearer
picture
on
suicides
among
current
or
former
military
personnel
in
the
state.
• Kentucky’s
NVDRS
data
was
used
in
a
recently
funded
National
Institutes
of
Health
(NIH)
grant
entitled
“Suicide
Bereavement
in
Military
and
their
Families”.
NVDRS
Data
Supporting
Homicide
Prevention
• From
2004-‐2007,
intimate
partner
homicides
accounted
for
approximately
16%
of
all
homicides
in
Oklahoma.
Efforts
to
reduce
these
homicides,
however,
could
not
be
evaluated
without
homicide
data
including
victim-‐suspect
relationship.
Collaborating
with
Arizona
State
University
and
Johns
Hopkins
University,
Oklahoma
NVDRS
intimate
partner
homicide
data
helped
to
secure
a
National
Institute
of
Justice
(NIJ)
grant.
The
grant
is
being
used
to
implement
and
evaluate
a
new
strategy
for
responding
to
domestic
violence
calls.
Specifically,
police
officers
responding
to
these
calls
conduct
a
brief
11-‐item
lethality
assessment
to
determine
if
the
victim
is
at
high
risk
for
homicide.
If
they
determine
the
victim
is
at
high
risk,
immediate
coordination
with
the
local
domestic
violence
service
provider
will
occur.
• CDC’s
Injury
Center
analyzed
gang
homicide
data
in
five
large
cities
from
2003–2008
using
NVDRS
data.
The
proportion
of
gang
homicides
resulting
from
the
drug
trade
or
other
crimes
in
progress
was
consistently
low,
ranging
from
zero
to
25%
across
the
five
cities.
Also,
findings
from
this
report
suggest
many
gang
homicides
are
quick,
retaliatory
reactions
to
ongoing
gang-‐related
conflict.
This
highlights
the
need
to
prevent
gang
involvement
and
to
increase
youths'
capacity
to
resolve
conflict
nonviolently.
NVDRS
Data
Informing
Local
Communities
about
Violence
• Virginia
and
North
Carolina
NVDRS
have
recently
published
reports
analyzing
violence
by
each
county
in
their
state.
This
information
helps
local
communities
better
understand
and
respond
to
the
problems
of
violence
they
face.
• New
Jersey
currently
geographically
maps
violent
death
to
better
understand
trends
and
patterns
in
violence.
For
instance,
geographic
analyses
revealed
suicide
rates
in
New
Jersey
were
highest
in
rural
areas.
This
information
is
being
used
to
tailor
targeted
suicide
prevention
initiatives
in
New
Jersey.
Future
Goals
To
continue
to
strengthen
and
expand
the
NVDRS
program,
future
goals
include:
• Expanding
the
NVDRS
system
to
all
50
states.
Currently,
NVDRS
data
cannot
be
generalized
to
national
trends
because
data
from
the
current
18
states
are
not
nationally
representative.
With
additional
funding,
the
NVDRS
system
could
be
expanded
to
cover
more
states
and
provide
more
data.
Unfunded
states
will
continue
to
lag
behind
in
their
violence
prevention
efforts.
• Ensuring
NVDRS
data
supports
and
translates
into
violence
prevention
activities
by
Ø Increasing
dissemination
and
use
of
NVDRS
data
at
the
national
level;
and
4
•
Ø Providing
technical
assistance
to
funded
states
to
help
them
monitor
and
report
their
state
data.
Linking
NVDRS
data
with
other
data
sources,
such
as
child
fatality
review
reports
and
adult
protective
services
reports.
5
| File Type | application/pdf |
| File Title | Microsoft Word - Att.B_15-Before-Health%20Departments-NVDRS_2013.12.12.docx |
| Author | Deliya B |
| File Modified | 2014-02-06 |
| File Created | 2014-02-06 |