Provo-Orem, UT

Deaths reported to DAWN Drug misuse 52 Suicide 2 Metro area population, 2003 406,851 Population covered by DAWN 406,851 Percent of population covered by DAWN 100%

94
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 77.8%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 9 41 --0 Deaths --0 0 0

2 1
PROVO

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (2) 1. Juab County, UT 2. Utah County, UT Drug misuse Deaths Rate1 52 127.8 0 0.0 52 130.6 Suicide Deaths Rate1 2 4.9 0 0.0 2 5.0
1 Deaths

All other accidental 18.5%

Suicide 3.7%

Total population 406,851 8,792 398,059

Top 5 drugs involved: Drug misuse deaths, 2003
60 50 40 30 20 10 0 Opiates/opioids Benzodiazepines Antidepressants Misc. anxiolytics, sedatives, and hypnotics 20 15 50 Multi-drug deaths Single-drug deaths

per 1,000,000 population.

14

12 Cocaine

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
400 324.1 Deaths per 1,000,000 population
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 52 -52 52 4 0 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths -0 --0 --

300 203.3 163.8

200

Drug-related deaths by drug category, 2003
100 92.5 23.4 0 Male Female Under 21 21 to 34 35 to 54
Illicit drugs (all case types) Drug misuse Deaths 52 7 12 -7 0 0 0 15 4 20 14 50 8 12 38 -0 -0 11 Singledrug deaths ---------------------Suicide Deaths ---------------------Singledrug deaths 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Singledrug deaths --------

0.0 55 and over

Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Deaths 23 12 -7 0 0 0

Death rates by gender and age: Suicide, 2003
400

Deaths per 1,000,000 population

300

200

8

--

100 5.0 0 Male 4.9 Female 25.9 0.0 Under 21 0.0 21 to 34 35 to 54 0.0 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Provo-Orem, UT

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

95

Salt Lake City, UT
Deaths reported to DAWN Drug misuse 184 Suicide 33

96
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 71.9%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Deaths 55 106 9 14 0 Deaths 4 23 4 -0

1
SALT LAKE CITY

2

3

Metro area population, 2003 1,005,232 Population covered by DAWN 1,005,232 Percent of population covered by DAWN 100%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (3) 1. Salt Lake County, UT* 2. Summit County, UT 3. Tooele County, UT Drug misuse Deaths Rate1 184 183.0 175 189.3 4 121.1 5 104.2 Suicide Deaths Rate1 33 32.8 30 32.5 2 60.6 1 20.8
1 Deaths

Suicide 15.2% Overmedication 1.4% All other accidental 11.5%

Total population 1,005,232 924,247 33,020 47,965

Suicide Health care facility Home Public place Other Not documented

Top 5 drugs involved: Drug misuse deaths, 2003
150 125 100 75 50 25 0 Opiates/opioids Antidepressants Cocaine Misc. anxiolytics, sedatives, and hypnotics Benzodiazepines 65 65 44 38 148 Multi-drug deaths Single-drug deaths

* Indicates area featured in Spotlight section.

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
20 15 10 5 0 Opiates/opioids Misc. anxiolytics, sedatives, and hypnotics Antidepressants Misc. analgesics/ combinations Alcohol 13 13 12 Multi-drug deaths Single-drug deaths 10 10

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
500 405.3

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 183 7 183 179 25 -Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 31 0 31 30 -20

Deaths per 1,000,000 population

400

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

300 212.0 200 153.9

255.3

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug misuse Deaths 184 33 65 8 38 -0 -65 8 38 44 148 22 50 99 -0 18 12 26 Singledrug deaths 11 0 -0 0 0 0 0 0 0 0 -8 4 --0 0 -0 0 Suicide Deaths 33 10 4 0 4 0 0 -12 5 9 13 13 0 -13 0 0 10 0 4 Singledrug deaths 5 0 -0 0 0 0 0 0 0 0 --0 0 -0 0 -0 0

100 27.6 0 Male Female Under 21 21 to 34 35 to 54 41.8 55 and over
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Deaths 110 69 8 42 -0 --

Singledrug deaths 6 -0 0 0 0 0

Death rates by gender and age: Suicide, 2003
500

400

300

22

4

200

100 35.7 0 Male 30.0 Female 42.6 5.5 Under 21 21 to 34

60.6

34.8 55 and over

35 to 54

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Salt Lake City, UT

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

97

San Diego-Carlsbad-San Marcos, CA
Deaths reported to DAWN Drug misuse 352 Suicide 86 Metro area population, 2003 2,930,886 Population covered by DAWN 2,930,886 Percent of population covered by DAWN 100%

98
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Suicide 19.6% Could not be determined 3.4% Overmedication 5.0% Homicide by drugs 0.2%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 81 164 51 56 0 Deaths 17 44 10 15 0

1
SAN DIEGO

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (1) 1. San Diego County, CA Drug misuse Deaths Rate1 352 120.1 352 120.1 Suicide Deaths Rate1 86 29.3 86 29.3
1 Deaths

All other accidental 71.7%

Total population 2,930,886 2,930,886

Top 5 drugs involved: Drug misuse deaths, 2003
200 150 100 50 0 Opiates/opioids Stimulants Alcohol Benzodiazepines Antidepressants 108 94 92 194 Multi-drug deaths Single-drug deaths 75

per 1,000,000 population.

Top 5 drugs involved: Suicide deaths, 2003
40

32
30 20 10

29

27 21

Multi-drug deaths Single-drug deaths 16

0

Antidepressants

Benzodiazepines

Opiates/opioids

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
300 260.8 Deaths per 1,000,000 population 250 200 150 111.4 100 50 7.8 0 Male Female Under 21 21 to 34 35 to 54 55 and over 73.6 90.3
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 269 47 267 253 104 34 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 57 0 56 57 6 30

167.5

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 352 94 52 -108 -0 -75 28 92 32 194 62 23 124 7 -24 8 12 Singledrug deaths 100 -16 0 41 0 0 0 4 5 --28 17 -8 0 0 -0 0

Suicide Deaths 86 21 4 0 11 -0 0 32 13 29 16 27 0 0 27 -0 11 6 -Singledrug deaths 29 -0 0 0 -0 0 5 4 -4 5 0 0 5 0 0 0 -0

Deaths 226 56 -119 5 0 --

Singledrug deaths 75 16 0 41 -0 0

Death rates by gender and age: Suicide, 2003
300 250 200 150 100 50 0 41.4 17.6 Male Female 4.5 Under 21 21 to 34 35 to 54 55 and over 26.7 43.1 51.6

Deaths per 1,000,000 population

62

17

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

San Diego-Carlsbad-San Marcos, CA

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

99

San Francisco-Oakland-Fremont, CA
3 2
SAN FRANCISCO

100
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths reported to DAWN Drug misuse 91 Suicide 17 Metro area population, 2003 4,157,377 Population covered by DAWN 943,529 Percent of population covered by DAWN 23%

Deaths by case type, 2003
Could not be determined 26.9% Suicide 15.7% Overmedication 4.6%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 18 45 17 11 0 Deaths -8 -4 0

4 1 5

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (2) 1. Alameda County, CA 2. Contra Costa County, CA 3. Marin County, CA 4. San Francisco County, CA 5. San Mateo County, CA Drug misuse Deaths Rate1 91 96.4 Suicide Deaths Rate1 17 18.0 Total population 943,529 1,461,030 1,001,136 246,073 751,682 697,456

All other accidental 52.8%

Top 5 drugs involved: Drug misuse deaths, 2003
50
40 30 20 10

33 58

134.1 83.2

2 15
1 Deaths

8.1 21.5

48

Multi-drug deaths Single-drug deaths 27 26 22 20

Shaded areas did not participate in DAWN this year.

per 1,000,000 population.

0

Opiates/opioids

Cocaine

Alcohol

Antidepressants

Stimulants

Top 5 drugs involved: Suicide deaths, 2003
15 10

Multi-drug deaths Single-drug deaths 7 7 5 5 5

5

0

Opiates/opioids

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

Antidepressants

Cocaine

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 172.7 Deaths per 1,000,000 population
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 76 -76 75 43 11 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 9 0 9 8 5 9

150

131.7 99.2 76.8 62.4

100

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug misuse Deaths 91 26 27 -20 -0 0 22 6 17 6 48 8 7 39 0 0 15 --Singledrug deaths 15 -8 0 -0 0 0 0 0 0 0 --0 -0 0 -0 0 Suicide Deaths 17 7 5 0 4 0 0 0 5 --5 7 0 0 7 0 0 4 -0 Singledrug deaths ---------------------Singledrug deaths 12 9 0 -0 0 0

50 12.4 0 Male Female Under 21 21 to 34 35 to 54 55 and over
Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Deaths 57 32 -24 -0 0

Death rates by gender and age: Suicide, 2003
200

Deaths per 1,000,000 population

150

100

8

--

50 21.6 0 Male 14.6 0.0 Female Under 21 21 to 34 35 to 54 55 and over 22.0 25.6 24.0

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

San Francisco-Oakland-Fremont, CA

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

101

Seattle-Tacoma-Bellevue, WA
3
Deaths reported to DAWN Drug misuse 219 Suicide 43 Metro area population, 2003 3,141,777 Population covered by DAWN 2,400,820 Percent of population covered by DAWN 76%

102
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 11.8% Suicide 16.4% Overmedication 1.1%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 27 143 12 37 0 Deaths 5 31 -6 0

SEATTLE

1

2

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (2) 1. King County, WA* 2. Pierce County, WA 3. Snohomish County, WA* Drug misuse Deaths Rate1 219 91.2 154 87.4 65 101.7 Suicide Deaths Rate1 43 17.9 28 15.9 15
1 Deaths

23.5

Total population 2,400,820 1,761,411 740,957 639,409

All other accidental 70.6%

Top 5 drugs involved: Drug misuse deaths, 2003
200 150 100

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

per 1,000,000 population.

165

Multi-drug deaths Single-drug deaths 86

65

50 0 Opiates/opioids Antidepressants Cocaine

52

48

Benzodiazepines

Alcohol

Top 5 drugs involved: Suicide deaths, 2003
30 20 10

27 17 13 11

Multi-drug deaths Single-drug deaths

9

0

Antidepressants

Opiates/opioids

Alcohol

Misc. anxiolytics, sedatives, and hypnotics

Benzodiazepines

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 182.0

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 217 0 217 217 8 -Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 43 0 43 43 ---

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

150 113.1 100 69.6 50 7.5 0 Male Female Under 21 21 to 34 35 to 54 55 and over 39.7 102.5

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 219 48 65 0 26 4 0 -86 10 52 38 165 19 67 99 5 -8 22 14 Singledrug deaths 44 0 8 0 8 -0 ---0 -17 -6 8 0 0 -0 0

Suicide Deaths 43 13 -0 -0 0 0 27 -9 11 17 --16 0 4 7 -5 Singledrug deaths 4 0 0 0 0 0 0 0 -0 0 0 0 0 0 0 0 0 0 -0

Deaths 107 68 0 29 4 0 --

Singledrug deaths 21 8 0 8 -0 --

Death rates by gender and age: Suicide, 2003
200

150

100

20

--

50 23.4 0 12.4 Female 3.0 Under 21 13.5 21 to 34

31.6

21.0 55 and over

Male

35 to 54

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Seattle-Tacoma-Bellevue, WA

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

103

St. Louis, MO-IL
11 2 12 14 10 16 4 13 5 6
ST. LOUIS

104
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths reported to DAWN Drug misuse 195 Suicide 59

Deaths by case type, 2003
Suicide 23.2% Could not be determined 5.9% Overmedication 5.1% Homicide by drugs 0.4%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 81 67 14 33 0 Deaths 14 38 -6 0

1 3

15 9

8

7

Metro area population, 2003 2,735,927 Population covered by DAWN 2,299,516 Percent of population covered by DAWN 84%

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (8) 1. Bond County, IL 2. Calhoun County, IL 3. Clinton County, IL 4. Jersey County, IL 5. Macoupin County, IL 6. Madison County, IL 7. Monroe County, IL 8. St. Clair County, IL 9. Franklin County, MO 10. Jefferson County, MO 11. Lincoln County, MO 12. St. Charles County, MO 13. St. Louis City, MO* 14. St. Louis County, MO* 15. Warren County, MO 16. Washington County, MO Drug misuse Deaths Rate1 195 84.8 Suicide Deaths Rate1 59 25.7 Total population 2,299,516 17,941 5,069 36,135 22,188 49,055 261,689 29,723 258,606 96,905 206,786 44,207 311,531 332,223 1,013,123 26,862 23,884

All other accidental 65.4%

Top 5 drugs involved: Drug misuse deaths, 2003
125 100 75

0

0.0

1

27.7

113 78 54 21 Opiates/opioids Cocaine Alcohol Benzodiazepines

Multi-drug deaths Single-drug deaths

9 6 13 4 13 88 62

34.8 61.9 62.9 90.5 41.7 264.9 61.2

0 1 4 0 7 14 32

0.0 10.3 19.3 0.0 22.5 42.1 31.6

50 25 0

12 Misc. analgesics/ combinations

Top 5 drugs involved: Suicide deaths, 2003
25
20 15 10 5

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

1 Deaths

per 1,000,000 population.

22

22

20 13

Multi-drug deaths Single-drug deaths

5

0

Opiates/opioids

Antidepressants

Alcohol

Misc. analgesics/ combinations

Benzodiazepines

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
200 166.4 Deaths per 1,000,000 population
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 182 -181 144 43 15 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 53 0 53 51 4 7

150 124.0 100 121.9

Drug-related deaths by drug category, 2003
50 48.5 18.5 0 Male Female Under 21 21 to 34 35 to 54 29.5
Drug category Illicit drugs (all case types) Deaths 128 83 9 11 0 -0 Singledrug deaths 64 41 0 6 0 -0 Drug misuse Deaths 195 54 78 9 9 0 -0 10 -21 -113 40 24 61 0 -12 --Singledrug deaths 93 5 38 0 5 0 -0 -0 0 0 38 16 9 13 0 0 -0 0 Suicide Deaths 59 20 5 0 -0 0 0 22 5 5 4 22 0 -20 -0 13 0 0 Singledrug deaths 28 --0 -0 0 0 7 0 --5 0 -4 0 0 4 0 0

55 and over

Death rates by gender and age: Suicide, 2003
200

ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Deaths per 1,000,000 population

150

100 52.6 30.8 20.9 Female 4.3 Under 21 26.3 16.8 35 to 54 55 and over

40

16

50

0

Male

21 to 34

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

St. Louis, MO-IL

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

105

Washington-Arlington-Alexandria, DC-VA-MD-WV
4 20 9 19 8 WASHINGTON, DC 14 11 1 6 12 10 7 15 16 2 3 18 17 13 5
Deaths reported to DAWN Drug misuse 303 Suicide 36 Metro area population, 2003 5,057,414 Population covered by DAWN 4,774,745 Percent of population covered by DAWN 94%

106
D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Deaths by case type, 2003
Could not be determined 28.0% Suicide 10.6% Overmedication 1.2%

Place of death, 2003
Drug misuse Health care facility Home Public place Other Not documented Suicide Health care facility Home Public place Other Not documented Deaths 112 145 11 35 0 Deaths 8 24 0 4 0

Metro area overview: Deaths and population by county, 2003
Metro area component Total participating (14) 1. District of Columbia* 2. Calvert County, MD 3. Charles County, MD 4. Frederick County, MD 5. Montgomery County, MD 6. Prince George’s County, MD 7. Alexandria City, VA 8. Arlington County, VA 9. Clarke County, VA 10. Fairfax County, VA 11. Falls Church City, VA 12. Fauquier County, VA 13. Fredericksburg City, VA 14. Loudoun County, VA 15. Manassas City , VA 16. Prince William County, VA 17. Spotsylvania County, VA 18. Stafford County, VA 19. Warren County, VA 20. Jefferson County, WV Drug misuse Deaths Rate1 303 63.5 147 260.9 5 59.4 10 75.2 11 51.5 32 34.8 41 48.9 2 15.5 6 31.9 27 1 27.0 95.4 Suicide Deaths Rate1 36 7.5 8 14.2 0 0.0 1 7.5 0 0.0 4 4.4 1 1.2 7 54.3 2 10.6 11 0 11.0 0.0 Total population 4,774,745 563,384 84,110 133,049 213,662 918,881 838,716 128,923 187,873 13,364 1,000,405 10,485 61,137 20,189 221,746 37,166 325,324 107,838 111,021 33,871 46,270

All other accidental 60.2%

Top 5 drugs involved: Drug misuse deaths, 2003
250 200 150 100

203 142 106 61

Multi-drug deaths Single-drug deaths

50 0 Opiates/opioids Cocaine Alcohol Antidepressants

30 Misc. anxiolytics, sedatives, and hypnotics

3 9 8 1

13.5 242.2 24.6 9.0

1 0 1 0

4.5 0.0 3.1 0.0

Top 5 drugs involved: Suicide deaths, 2003
20 15 10 6 5 0 Antidepressants Opiates/opioids Misc. anxiolytics, sedatives, and hypnotics Alcohol Misc. analgesics/ combinations 18 14 14 12 Multi-drug deaths Single-drug deaths

Shaded areas did not participate in DAWN this year. * Indicates area featured in Spotlight section.

1 Deaths

per 1,000,000 population.

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

Death rates by gender and age: Drug misuse, 2003
150 125 100 75 50 25 7.3 0 Male Female Under 21 21 to 34 35 to 54 55 and over 39.5 40.4 28.2 88.9 144.4

Causes of death, 2003
Drug misuse Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 297 -297 285 18 7 Suicide Any drug-related cause Abuse Drug or alcohol Toxic effects Body systems (includes infections) Accidents and injuries Deaths 32 0 32 32 -7

Deaths per 1,000,000 population

Deaths per 1,000,000 population

D A W N , 2 0 0 3 : A R E A P R O F I L E S O F D R U G - R E L A T E D M O R T A L I T Y

Drug-related deaths by drug category, 2003
Illicit drugs (all case types) Drug category ALL DRUGS Alcohol2 Cocaine Marijuana Stimulants Club drugs3 Hallucinogens4 Inhalants Antidepressants Antipsychotics Benzodiazepines Misc. anxiolytics, sedatives, and hypnotics Opiates/opioids Heroin (specified) Methadone All other opiates/opioids Nonsteroidal anti-inflammatory agents Salicylates/combinations Misc. analgesics/combinations Anticonvulsants Muscle relaxants
2 Includes 3 Includes

Drug misuse Deaths 303 106 142 --0 7 -61 7 26 30 203 7 47 170 0 -29 -7 Singledrug deaths 82 6 49 0 0 0 -0 -0 0 0 23 0 7 16 0 -0 0 0

Suicide Deaths 36 12 0 0 0 --0 18 4 -14 14 0 4 11 0 0 6 4 -Singledrug deaths 7 -0 0 0 0 -0 0 0 ---0 0 -0 0 0 -0

Deaths 152 142 ---8 --

Singledrug deaths 51 49 0 0 0 -0

Death rates by gender and age: Suicide, 2003
150 125 100 75 50 25 8.2 0 Male 6.9 Female 2.2 Under 21

7

0

9.8 21 to 34

9.6 35 to 54

9.8 55 and over

alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.

Washington-Arlington-Alexandria, DC-VA-MD-WV

-- Indicates a number less than 4 has been suppressed. SOURCE: Office of Applied Studies, SAMHSA, Drug Abuse Warning Network 2003 (09/2004 update).

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