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Adolescent Suicide Attempt Data System

Purpose

Oregon hospitals are required by law to report adolescent suicide attempts to the Oregon Public Health Division.  These reports are used to:

  • Estimate the magnitude of suicide attempts among Oregon adolescents and monitor possible increases, decreases and trends.
  • Understand factors associated with suicide and suicide attempts among adolescents. 
  • Increase public awareness and develop programs that support suicide prevention. 

 

Reporting Protocol

By law, Oregon hospitals are required to report adolescent suicide attempts to the Oregon Public Health Division. These reports are used to:

1. Estimate the magnitude of suicide attempts among Oregon adolescents and monitor possible increases, decreases and trends.

2. Understand factors associated with suicide and suicide attempts among adolescents.

3. Increase public awareness and develop programs that support suicide prevention.

The Reporting Protocol (pdf) outlines the definitions and procedures that should be used for reporting.

 
Forms

For each attempt, a reporting facility must submit the following form to the Injury Prevention Program: Adolescent Suicide Attempt Report Form (pdf).
 
For facilities where no attempts have occurred within a reporting period (month), the following form must be submitted to the Injury Prevention Program: ASADS Zero Attempts Form (pdf).
 
Forms should be submitted by the 15th day of each month, for events that occurred in the previous month (for no attempts, submit zero attempts form).

 
Please fax forms to (971) 673-0990.  Fax is confidential and secure.

 
Although fax forms are preferred, forms can be mailed to:

     Adolescent Suicide Attempt Data System
     Injury and Violence Prevention Program
     800 NE Oregon Street, Suite 772
     Portland, OR 97232

The Injury and Violence Prevention Program does not provide postage-paid return envelopes.


Annual Data Reports

Additional reports and plans are posted on the Injury and Fatality Data State Plans and Reports page