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Reduce emergency department visits for nonfatal intentional self-harm injuries — IVP‑19 Data Methodology and Measurement

About the National Data

Data

Baseline: 151.3 emergency department visits for nonfatal intentional self-harm injuries per 100,000 population aged 10 years and over occurred in 2017

Target: 117.9 per 100,000

Numerator
Number of initial hospital emergency department visits for nonfatal intentional self-harm injuries for persons aged 10 years and over.
Denominator
Number of persons aged 10 years and over.
Target-setting method
Minimal statistical significance
Target-setting method details
Minimal statistical significance, assuming the same standard error for the target as for the baseline.
Target-setting method justification
Trend data were evaluated for this objective, but it was not possible to project a target because the trend was moving away from the desired direction. The standard error was used to calculate a target based on minimal statistical significance, assuming the same standard error for the target as for the baseline. This method was used because it was a statistically significant improvement from the baseline.

Methodology

Methodology notes

A nonfatal intentional self-harm injury is defined as an injury or poisoning resulting from a deliberate violent act inflicted on oneself with the intent to take one's own life or with the intent to harm oneself. Both confirmed and suspected intentional self-harm is included. NEISS uses external cause of injury codes and follows guidelines consistent with coding guidelines in the ICD 9-CM. NEISS coders are given extensive training and report any self-harm injury cases in the emergency department record. A detailed description of the methods for coding nonfatal injuries has been published elsewhere. Data by race are not reported because multiple race data are not typically available from the emergency department records. Emergency department visit rates are calculated using the new bridged-race postcensal population estimates of the resident population of the United States for the data year involved. Population counts enumerated as of April 1st are used for census years (e.g., 2010). Population estimates as of July 1st are used for all other years. Intercensal population estimates are used in rate calculations for the years between censuses (e.g., 1991–1999, 2001–2009). Please note that postcensal population estimates for years after the last census are updated annually, which means that rates prior to the update may be different.

History

Comparable HP2020 objective
Modified, which includes core objectives that are continuing from Healthy People 2020 but underwent a change in measurement.
Changes between HP2020 and HP2030
This objective differs from Healthy People objective IVP-41 in that objective IVP-41 tracked nonfatal intentional self-harm injuries among persons of all ages while this objective tracks nonfatal intentional self-harm injuries among persons aged 10 years and over.