St. Louis, MO-IL

Drug misuse deaths reported to DAWN	209
Suicide deaths reported to DAWN	47
Metro area population, 2004	2,787,701
Population covered by DAWN	2,345,212
Percent of population covered by DAWN	84%

Metro area overview: Deaths and population by county, 2004

Metro area component	Drug misuse		Suicide		Total population
	Deaths	Rate1	Deaths	Rate1
§ Area did not participate in DAWN this year. * Indicates area featured in Spotlight section. 1 Deaths per 1,000,000 population.
Total participating (9)	209	89.1	47	20.0	2,345,212
1. Bond County, IL§					17,980
2. Calhoun County, IL§					5,190
3. Clinton County, IL	2	55.5	0	0.0	36,065
4. Jersey County, IL	0	0.0	0	0.0	22,320
5. Macoupin County, IL§					49,067
6. Madison County, IL§					264,350
7. Monroe County, IL§					30,491
8. St. Clair County, IL	12	46.3	0	0.0	259,132
9. Crawford County, MO§					23,647
10. Franklin County, MO	5	50.9	1	10.2	98,234
11. Jefferson County, MO	14	66.5	4	19.0	210,397
12. Lincoln County, MO	0	0.0	0	0.0	45,816
13. St. Charles County, MO	19	59.2	11	34.3	320,734
14. St. Louis City, MO*	73	212.7	8	23.3	343,279
15. St. Louis County, MO*	84	83.2	23	22.8	1,009,235
16. Warren County, MO§					27,809
17. Washington County, MO§					23,955

Deaths by case type, 2004

Suicide	18.4%
Overmedication	14.1%
Homicide	0.4%
All other accidental	59.8%
Could not be determined	7.4%

Place of death, 2004

Drug misuse	Deaths
Health care facility	97
Home	75
Public place	10
Other	27
Not documented	0

Suicide	Deaths
Health care facility	19
Home	22
Public place	4
Other	--
Not documented	0

Top 5 drugs involved: Drug misuse deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Opiates/opioids	37	93	130
Alcohol	6	73	79
Cocaine	33	44	77
Benzodiazepines	0	19	19
Antidepressants	1	15	16

Top 5 drugs involved: Suicide deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Alcohol	1	20	21
Opiates/opioids	2	15	17
Antidepressants	4	12	16
Benzodiazepines	2	7	9
Misc. analgesics/combinations	1	7	8

Death rates by gender and age: Drug misuse, 2004

Gender	Deaths per 1,000,000 population
Male	136.8
Female	44.3

Age	Deaths per 1,000,000 population
Under 21	24.9
21 to 34	122.7
35 to 54	173.6
55 and over	30.2

Death rates by gender and age: Suicide, 2004

Gender	Deaths per 1,000,000 population
Male	19.4
Female	20.5

Age	Deaths per 1,000,000 population
Under 21	4.4
21 to 34	21.2
35 to 54	40.6
55 and over	11.3

Causes of death, 2004

Drug misuse	Deaths
Any drug-related cause	196
– Abuse	--
– Drug or alcohol	196
– Toxic effects	168
Body systems (includes infections)	38
Accidents and injuries	15

Suicide	Deaths
Any drug-related cause	41
– Abuse	0
– Drug or alcohol	41
– Toxic effects	41
Body systems (includes infections)	0
Accidents and injuries	6

Drug-related deaths by drug category, 2003-2004

Drug category	Drug misuse			Suicide
	Deaths, 2003	Deaths, 2004	Single-drug deaths, 2004	Deaths, 2003	Deaths, 2004	Single-drug deaths, 2004
2 Includes alcohol in combination with other drugs (all ages) and alcohol alone in decedents under age 21. 3 Includes MDMA (Ecstasy), GHB, flunitrazepam (Rohypnol), and ketamine. 4 Includes PCP, LSD, and miscellaneous hallucinogens.
ALL DRUGS		209	86		47	12
Alcohol2		79	6		21	--
Cocaine		77	33		7	0
Marijuana		5	0		0	0
Stimulants		8	6		0	0
Club drugs3		0	0		0	0
Hallucinogens4		0	0		0	0
Inhalants		--	--		0	0
Antidepressants		16	--		16	4
Antipsychotics		0	0		4	0
Benzodiazepines		19	0		9	--
Misc. anxiolytics, sedatives, and hypnotics		--	0		4	0
Opiates/opioids		130	37		17	--
– Heroin (specified)		55	17		0	0
– Methadone		15	5		--	--
– All other opiates/opioids		66	15		16	--
Nonsteroidal anti-inflammatory agents		0	0		0	0
Salicylates/combinations		--	--		--	0
Misc. analgesics/combinations		11	0		8	--
Anticonvulsants		0	0		--	--
Muscle relaxants		--	0		--	0