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<span style="color:white;background:#5F497A">Fatality Review Team News</span></span><span style="font-size:18.0pt;color:white;background:#5F497A"> September 30 – October 4, 2019</span><span style="mso-fareast-language:JA"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:12.0pt"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><a href="#Crossroads">Pediatric Mental Health Care in the Emergency Dept</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="mso-fareast-language:JA"><a href="#CDC">CDC: Prevent Adverse Childhood Experiences (ACEs)</a><span class="MsoHyperlink"><o:p></o:p></span></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="mso-fareast-language:JA"><a href="#NCFRP">National Fatality Review Case Reporting System</a><o:p></o:p></span></p>
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<p class="MsoNormal"> <a name="Crossroads"></a><a name="top"></a><o:p></o:p></p>
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<h1 style="margin:0in;margin-bottom:.0001pt"><strong><span style="font-size:22.5pt;font-family:"Arial","sans-serif";color:#005D98">Critical Crossroads: Pediatric Mental Health Care in the Emergency Department</span></strong><o:p></o:p></h1>
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<strong><span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#005D98">Critical Crossroads Toolkit Benefits Hospitals</span></strong><span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232"><o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:11.25pt;margin-left:0in">
<span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232">The
<a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNzI2Ljg1MDk3NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNzI2Ljg1MDk3NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNjc4MDM2OSZlbWFpbGlkPWxsdWR3aWdAaHJzYS5nb3YmdXNlcmlkPWxsdWR3aWdAaHJzYS5nb3YmdGFyZ2V0aWQ9JmZsPSZtdmlkPSZleHRyYT0mJiY=&&&103&&&https://www.hrsa.gov/sites/default/files/hrsa/critical-crossroads/critical-crossroads-tool.pdf" target="_blank">
<span style="color:#0E689B">Critical Crossroads</span></a> toolkit is a new resource to help hospital emergency departments better manage and coordinate care for children and adolescents in mental health crisis.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232">You can tailor the resources to your specific needs, patient population, and community.<o:p></o:p></span></p>
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<span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232">During the webinar, you will learn why we developed the toolkit and how to use it. Presenters include:<o:p></o:p></span></p>
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<li class="MsoNormal" style="color:#323232;margin-bottom:5.25pt;mso-list:l4 level1 lfo1">
<span style="font-size:10.5pt;font-family:"Arial","sans-serif"">Michael D. Warren, MD, MPH, FAAP, HRSA Associate Administrator for Maternal and Child Health<o:p></o:p></span></li><li class="MsoNormal" style="color:#323232;margin-bottom:5.25pt;mso-list:l4 level1 lfo1">
<span style="font-size:10.5pt;font-family:"Arial","sans-serif"">Tom Morris, MPA, HRSA Associate Administrator for Rural Health Policy<o:p></o:p></span></li></ul>
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<strong><span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#005D98">Can you use the Critical Crossroads toolkit?</span></strong><span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232"><o:p></o:p></span></p>
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<span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232">Anyone who establishes policies and protocols in emergency departments can use this toolkit. This includes:<o:p></o:p></span></p>
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<span style="font-size:10.5pt;font-family:"Arial","sans-serif"">hospital administrators<o:p></o:p></span></li><li class="MsoNormal" style="color:#323232;margin-bottom:5.25pt;mso-list:l3 level1 lfo2">
<span style="font-size:10.5pt;font-family:"Arial","sans-serif"">social workers<o:p></o:p></span></li><li class="MsoNormal" style="color:#323232;margin-bottom:5.25pt;mso-list:l3 level1 lfo2">
<span style="font-size:10.5pt;font-family:"Arial","sans-serif"">pediatric care coordinators<o:p></o:p></span></li><li class="MsoNormal" style="color:#323232;margin-bottom:5.25pt;mso-list:l3 level1 lfo2">
<span style="font-size:10.5pt;font-family:"Arial","sans-serif"">physicians and nurses<o:p></o:p></span></li><li class="MsoNormal" style="color:#323232;margin-bottom:5.25pt;mso-list:l3 level1 lfo2">
<span style="font-size:10.5pt;font-family:"Arial","sans-serif"">mental health providers<o:p></o:p></span></li></ul>
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<span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232"><a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwNzI2Ljg1MDk3NTEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwNzI2Ljg1MDk3NTEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNjc4MDM2OSZlbWFpbGlkPWxsdWR3aWdAaHJzYS5nb3YmdXNlcmlkPWxsdWR3aWdAaHJzYS5nb3YmdGFyZ2V0aWQ9JmZsPSZtdmlkPSZleHRyYT0mJiY=&&&104&&&https://www.hrsa.gov/sites/default/files/hrsa/critical-crossroads/critical-crossroads-tool.pdf" target="_blank"><strong><i><span style="font-family:"Arial","sans-serif";color:#005D98">Download
the </span></i></strong><em><b><span style="font-family:"Arial","sans-serif";color:#005D98">Critical Crossroads toolkit</span></b></em><strong><span style="font-family:"Arial","sans-serif";color:#005D98"> </span></strong></a><o:p></o:p></span></p>
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<strong><i><span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#005D98">Critical Crossroads is a product of a partnership between HRSA's Maternal and Child Health Bureau - Emergency Medical Services for Children Program and Federal Office of
Rural Health Policy.</span></i></strong><span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#323232"> <o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif""><img border="0" width="701" height="47" id="_x0000_i1056" src="cid:image002.gif@01D579D7.82224070" alt="Centers for Disease Control and Prevention. Your online source for credible health information."> </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-family:"Arial","sans-serif""><img border="0" width="750" height="97" id="_x0000_i1055" src="cid:image028.jpg@01D579D8.82A50F90" alt="http://res.subscribe.cdc.gov/res/cdc_mkt_prod1/6ec2c39705c654b6bbadb97ef6a9e34d780964966a9c6d6d7e819d05c6f8ec2f.jpg"></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:18.0pt;font-family:"Arial","sans-serif"">Prevent Adverse Childhood Experiences (ACEs)</span></b><span style="font-family:"Arial","sans-serif""><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><i><span style="font-size:16.5pt;font-family:"Arial","sans-serif"">Implement Strategies to Prevent ACEs with CDC's Latest Resource</span></i><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">CDC released <a href="https://t.emailupdates.cdc.gov/r/?id=h372a517,30ea69a,30e817f">
<i>Preventing Adverse Childhood Experiences (ACEs):Leveraging the Best Available Evidence</i></a> to help states and communities prioritize efforts to prevent ACEs.<br>
<br>
This resource features six strategies to prevent ACEs drawn from the <a href="https://t.emailupdates.cdc.gov/r/?id=h372a517,30ea69a,30e8180">
<i>CDC Technical Packages to Prevent Violence</i></a>: <o:p></o:p></span></p>
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<li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3">
<span style="font-family:"Arial","sans-serif"">Strengthen economic supports for families
<o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3">
<span style="font-family:"Arial","sans-serif"">Promote social norms that protect against violence and adversity<o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3">
<span style="font-family:"Arial","sans-serif"">Ensure a strong start for children helping to pave the way for them to reach their full potential<o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3">
<span style="font-family:"Arial","sans-serif"">Teach skills to help parents and youth handle stress, manage emotions, and tackle everyday challenges<o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3">
<span style="font-family:"Arial","sans-serif"">Connect youth to caring adults and activities<o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l1 level1 lfo3">
<span style="font-family:"Arial","sans-serif"">Intervene to lessen immediate and long-term harms<o:p></o:p></span></li></ul>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">These strategies focus on changing norms, environments, and behaviors in ways that can prevent ACEs from happening in the first place as well as to lessen their harms when they do occur. The
strategies are intended to work in combination and reinforce each other to achieve the greatest impact.</span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-family:"Arial","sans-serif""><img border="0" width="250" height="320" id="_x0000_i1054" src="cid:image029.jpg@01D579D8.82A50F90" alt="http://res.subscribe.cdc.gov/res/cdc_mkt_prod1/3ea913817912ba2e2995b698bc3a3be5ca4d9a428a875ea1838f2789e37fe2c2.jpg"></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:15.0pt;font-family:"Arial","sans-serif";color:#771D7D">Spread the Word</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-family:"Arial","sans-serif""><img border="0" width="40" height="43" id="_x0000_i1053" src="cid:image030.png@01D579D8.82A50F90" alt="http://res.subscribe.cdc.gov/res/cdc_mkt_prod1/ea69cc1ecc14399e44b6a0074c111013d1eae5f596f8bd997a8b2836f4792797.png"></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">Adverse Childhood Experiences are preventable, not inevitable. Get the strategies needed to help stop ACEs from happening in your community. Check out new report: Preventing Adverse Childhood
Experiences (ACEs): Leveraging the Best Available Evidence. <a href="https://t.emailupdates.cdc.gov/r/?id=h372a517,30ea69a,30e8181">
go.usa.gov/xVdMt</a> </span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="font-family:"Arial","sans-serif""><img border="0" width="40" height="47" id="_x0000_i1052" src="cid:image031.png@01D579D8.82A50F90" alt="http://res.subscribe.cdc.gov/res/cdc_mkt_prod1/f9237a6cc8e07cf345b5bd4b40658cfe649869e4bb83612e9113f0308ea1d34f.png"></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">Adverse Childhood Experiences are preventable, not inevitable. Check out new report on stopping ACEs from happening in the first place — Preventing Adverse Childhood Experiences (ACEs): Leveraging
the Best Available Evidence. #VetoViolence <a href="https://t.emailupdates.cdc.gov/r/?id=h372a517,30ea69a,30e8182">
go.usa.gov/xVdMt</a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:15.0pt;font-family:"Arial","sans-serif";color:#771D7D">Learn More</span></b><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
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<span style="font-family:"Arial","sans-serif""><a href="https://t.emailupdates.cdc.gov/r/?id=h372a517,30ea69a,30e8183">CDC’s Technical Packages for Violence Prevention</a><o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo4">
<span style="font-family:"Arial","sans-serif""><a href="https://t.emailupdates.cdc.gov/r/?id=h372a517,30ea69a,30e8184">Implementing the Technical Packages with Violence Prevention in Practice</a>
<o:p></o:p></span></li><li class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo4">
<span style="font-family:"Arial","sans-serif""><a href="https://t.emailupdates.cdc.gov/r/?id=h372a517,30ea69a,30e8185">CDC’s Division of Violence Prevention</a></span><span style="font-size:12.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></li></ul>
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<b><span style="font-size:15.0pt;font-family:"Century Gothic","sans-serif";color:white">Centers for Disease Control and Prevention</span></b><span style="font-family:"Arial","sans-serif";color:white"><o:p></o:p></span></p>
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<span style="font-size:9.0pt;font-family:"Century Gothic","sans-serif";color:white">1600 Clifton Rd Atlanta, GA 30333 1-800-CDC-INFO (800-232-4636) TTY: 888-232-6348</span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:white"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:13.5pt;font-family:"Arial","sans-serif";color:#DE792C">Data Tip: Plea<a name="NCFRP"></a>se check your bookmarks for National Fatality Review Case Reporting System!<o:p></o:p></span></b></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">Please note that
<a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOeOHY-JYodYDt5bnn1xw3uB1gsOt7fsuZHqBR1yEUFxt0e47FIAP47dlr4sUjbJyHS0TtZg3mn0ZT3ef97pRla_yM_X6zA8pOg==&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<span style="color:#3562BF">https://www.cdrdata.org</span></a> has become <a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOeOHY-JYodYDBUxFP2J-fYEfT93DnIIu4xmCW9Kge7A7umXpsXLwcXdGQrP9FGyfZLrCaNI83ZEWavgiyT_VCwJyKf_TCpjXiQ==&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<span style="color:#3562BF">https://data.ncfrp.org</span></a>. If you have the data entry site bookmarked, please check to make sure it says
<a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOeOHY-JYodYDBUxFP2J-fYEfT93DnIIu4xmCW9Kge7A7umXpsXLwcXdGQrP9FGyfZLrCaNI83ZEWavgiyT_VCwJyKf_TCpjXiQ==&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<span style="color:#3562BF">https://data.ncfrp.org</span></a></span><span style="font-family:"Arial","sans-serif";color:#294B93">.</span><span style="font-family:"Arial","sans-serif";color:black"> If you are still using cdrdata.org, it will no longer work as
of February 2020.</span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:13.5pt;font-family:"Arial","sans-serif";color:#DE792C">Youth firearm suicide study published in Journal of Behavioral Medicine<o:p></o:p></span></b></p>
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<img border="0" width="15" height="1" id="Picture_x0020_26" src="cid:image015.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<img border="0" width="1" height="5" id="Picture_x0020_25" src="cid:image016.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<img border="0" width="5" height="1" id="Picture_x0020_24" src="cid:image017.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial","sans-serif";color:black">"<a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOeOHY-JYodYDutTmpsSLZl2zTLN6CbFRJc1n4Z3aQldWG8NqavDajkueaPagx5_oWp4zoKibqOx41Xei5vnoV8_EYNu2ClI883PKcHzr-n4g-u4j6IoDzqcj4GXZ5wVP7c4zJHJ9gyOytr3PLwY7JPo=&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank"><b>Firearm
Suicide among Youth in the United States, 2004-2015</b></a></span><b><i><span style="font-family:"Arial","sans-serif";color:#3562BF">"</span></i></b><b><i><span style="font-family:"Arial","sans-serif";color:black">
</span></i></b><span style="font-family:"Arial","sans-serif";color:black">was published in the
<i>Journal of Behavioral Medicine</i> on August 1st. Patricia Schnitzer, Heather Dykstra, Theodore Trigylidas, and Richard Lichenstein were contributing authors. The study examined child death review data in the National Fatality Review-Case Reporting System
(NFR-CRS) of firearm suicide deaths of children ages 10-18 where the suicide-specific section in the case report tool was complete, providing rich contextual information for analysis.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">Of the 1388 suicide deaths included in the sample, 36% of the children had talked about, threatened, or attempted suicide prior to their death; these cases were categorized as at
"greater risk" for suicide.<b> The study concluded that firearms used by children in this "greater risk" category were less likely to be stored in a locked location than firearms used by children who had not previously talked about, threatened or attempted
suicide.</b> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">Access to firearms is a significant preventable risk factor for youth suicide, and this important study maximizes the use of CDR data to more effectively inform the field of injury
prevention professionals about levels of risk and exposure to unsecured firearms. Congratulations!</span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:13.5pt;font-family:"Arial","sans-serif";color:#DE792C">Data Quality Summary Reports coming in September<o:p></o:p></span></b></p>
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<p class="MsoNormal" style="text-align:justify"><b><span style="font-family:"Arial","sans-serif";color:black">The National Center will release the 4th annual Data Quality Summary Reports in September, featuring data on deaths that occurred in 2017 and are entered
into the National Fatality Review-Case Reporting System (NFR-CRS).</span></b><span style="font-family:"Arial","sans-serif";color:black">
<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial","sans-serif";color:black">This report, prepared for each state that records 30 or more deaths occurring during the report year, shows the percent of missing and unknown data for
the CDR priority variables for monitoring data quality. This year the report has been updated, with input from the Data Quality Workgroup, in an effort to make it more user-friendly. These updates include the addition of timeliness variables as well as several
new tables that display the data in various ways (e.g., percent missing and unknown combined, or Core variables only.)<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">Dawn Porter (pictured), Arkansas' Infant and Child Death Review Program Coordinator, has used her data quality summary to build data collection and data entry capacity among her
local coordinators. She has focused her training efforts on the Core "High 5" and "Low 5" variables--the five variables for which there are the highest and lowest rates of missing and unknown responses in the National Fatality Review-Case Reporting System
(NFR-CRS). Recognizing it takes a significant investment of time and effort to help build data capacity, she expressed the value of doing so:
<b>"If you don't have the data, you can't make recommendations because you don't know all the circumstances."</b>
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">The first Data Quality Summary Reports were provided for cases of fatalities that occurred in 2014 and were distributed in 2016.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">Arkansas has seen great success since beginning this focused work, including significant decreases in the rates of missing data on specific Core variables (see image below). In
2014, 73% of the Arkansas' cases had missing data for the variable assessing child's health insurance; two years later, it was only missing in 1% of the cases. Porter is pleased, but still sees room for improvement. Lack of investigations, or challenges accessing
records still make it difficult for teams to get all the information they want. She continues to encourage teams to build relationships to break down barriers to effective data collection, recognizing quality data drives effective prevention.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">If your state program is interested in ways to improve your data quality, please contact us at</span><span style="font-family:"Arial","sans-serif";color:#3562BF">
</span><span style="font-family:"Arial","sans-serif";color:black"><a href="mailto:info@ncfrp.org" target="_blank"><span style="color:#3562BF">info@ncfrp.org</span></a></span><span style="font-family:"Arial","sans-serif";color:#3562BF">;</span><span style="font-family:"Arial","sans-serif";color:black">
we are happy to help you consider ways to improve fatality review data to drive effective prevention.</span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:13.5pt;font-family:"Arial","sans-serif";color:#DE792C">National Center releases<i> Improving Racial Equity in Fatality Review</i>
<o:p></o:p></span></b></p>
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<img border="0" width="15" height="1" id="Picture_x0020_18" src="cid:image015.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<img border="0" width="1" height="5" id="Picture_x0020_17" src="cid:image016.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<img border="0" width="5" height="1" id="Picture_x0020_16" src="cid:image017.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">Fatality review methodologies offer unique strategies for analyses of individual and community factors that significantly affect health disparities, including community members'
experiences of racism. Acknowledging this, the National Center released <a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOeOHY-JYodYD5alqBJg69iiM3C2HQUSBM8EL4wGyJIn0gtrCNQONNF_GhE9W-JpusqFx5mZnTXuhDuZbh5kx_BJiaHDyJ3iJ9vLJdQNLkV4AA78EShG9BPdsSALm7NtvZaEj_E-zlnFQW1tHxeexhNbRrROOrGwdcEs7O5WLU-Ms&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<b><i><span style="color:#3562BF">Improving Racial Equity in Fatality Review</span></i></b></a><i>
</i>in August. It is intended to provide guidance for fatality review teams:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:30.0pt;text-indent:-12.0pt;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial","sans-serif";color:black">On team composition and education to new and existing teams to help members understand implicit bias and other equity issues.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:30.0pt;text-indent:-12.0pt;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial","sans-serif";color:black">On gathering the right records to help teams understand mothers'/families' experiences of racism, the impacts of other social determinants of health, and how those experiences
may have impacted maternal and child outcomes.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:30.0pt;text-indent:-12.0pt;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:black"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial","sans-serif";color:black">On ensuring that--once teams have their findings--they are making and implementing meaningful recommendations that effectively address disparities and the social determinants
of health.<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">The National Center is excited to help teams build capacity to address systemic racism and promote health equity through the fatality review process.</span><span style="font-size:12.0pt;font-family:"Arial","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:13.5pt;font-family:"Arial","sans-serif";color:#DE792C">National Center promotes video training module series for fatality review<o:p></o:p></span></b></p>
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<img border="0" width="15" height="1" id="Picture_x0020_14" src="cid:image015.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<img border="0" width="5" height="1" id="Picture_x0020_12" src="cid:image017.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<img border="0" width="1" height="5" id="Picture_x0020_11" src="cid:image016.png@01D579D7.82224070" alt="https://imgssl.constantcontact.com/letters/images/sys/S.gif"><span style="font-size:12.0pt"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">The National Center is excited to highlight a series of
<a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOSkF7kEQMCceNGTfkn1RX6zGPVT5l0o9KX4PfavF5sibMamUjSX___BYnPwS8Bzys-9PETYctL0N7HNsyPAXGxCCFdURUExXZ-LLUK9gsSm9YC53p7mdB1Bg6DfinjIBXQkdh-ngtpD9AJdlBnxgGqo=&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<span style="color:#3562BF">video modules </span></a>created to support the work of FIMR and CDR teams. All under one hour in length, the 13 modules are available on the
<a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOUjA6aw4gLIlwAC-PyXmxbU8HrIyUK43mtbGFgSOGJEKXiCeg6rXKD3_q_9vjYy8g0vnBWKOdU6cgjT11qJEpAQ=&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<span style="color:#3562BF">National Center website.</span></a> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">Half of the modules are focused on fatality review
<b>process topics</b> such as: <i>CDR 101; FIMR 101; National Fatality Review-Case Reporting System;
</i>and <i>Maternal Interviews.</i> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">The other half focus on
<b>best practice topics</b> such as: <i>Building, Maintaining, and Sustaining FIMR Teams; Collaborating Across Review Systems;
</i>and<i> Partnering for Prevention. <o:p></o:p></i></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:black">The modules were designed to support the work of fatality review teams, leaders, and their partners. They are ideal to include as part of an onboarding process for new coordinators
or team members, when rolling out a newly-adopted process such as maternal interviews, or joining the National Fatality Review-Case Reporting System.
<a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOSkF7kEQMCceNGTfkn1RX6zGPVT5l0o9KX4PfavF5sibMamUjSX___BYnPwS8Bzys-9PETYctL0N7HNsyPAXGxCCFdURUExXZ-LLUK9gsSm9YC53p7mdB1Bg6DfinjIBXQkdh-ngtpD9AJdlBnxgGqo=&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<span style="color:#3562BF">Click here to access the module series</span></a></span><span style="font-family:"Arial","sans-serif";color:#3562BF">.</span><span style="font-family:"Arial","sans-serif";color:black"> Happy viewing!<o:p></o:p></span></p>
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<p class="MsoNormal"><b><span style="font-size:13.5pt;font-family:"Arial","sans-serif";color:#DE792C">Violence prevention resource released</span></b><b><span style="font-size:13.5pt;font-family:"Arial","sans-serif""><o:p></o:p></span></b></p>
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<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">The CDC Division of Violence Prevention released
<a href="http://r20.rs6.net/tn.jsp?f=001lDYOgZQvAGQ_3SeJG0BWFOGRgDhIqMHC0fklef5c43BDj96T57fBOeOHY-JYodYDW6fWhsusoiq44nM6FVMzKKfPuapwEOVhdAOWYvPbDfDibsHo8BTqyku2qFMz2t9cNrYshRH4u81GB3GFTzFwYf-6BXbPIFU4wL9FaDGz23m57Udu83yPATFoH8cCco-TO8Lor2XG9JA=&c=6nBKsN837oRlP91hkA5Czk2gP9kNZPqw03YOAXzapPlj9TbsjI3d8Q==&ch=DXgnukiasAado1O12Ll6Qd7foz18Lk_NCa0pRNgMRKr7b2pl3kaUKA==" target="_blank">
<i><span style="color:#3562BF">Select, Adapt, Evaluate! How to Use Essential Elements to Inform Your Prevention Approaches</span></i></a> in August. The tool helps state and local partner with the implementation of prevention approaches based on the best available
evidence.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">Because each community and state is unique, practitioners must decide how to balance the benefits of certain prevention programs with the reality of their local contexts. This tool was developed
to support this important decision-making process. <i>Select, Adapt, and Evaluate!
</i>explains how evidence-informed approaches work and suggests ways to effectively select, deliver, adapt, and evaluate evidence-based programs, or promising or emerging approaches.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif""><o:p> </o:p></span></p>
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