Detroit-Warren-Livonia, MI

Drug misuse deaths reported to DAWN	644
Suicide deaths reported to DAWN	51
Metro area population, 2004	4,493,165
Population covered by DAWN	4,223,117
Percent of population covered by DAWN	94%

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 (4)	644	152.5	51	12.1	4,223,117
1. Lapeer County, MI§					92,510
2. Livingston County, MI§					177,538
3. Macomb County, MI*	110	133.7	9	10.9	822,660
4. Oakland County, MI*	120	98.9	28	23.1	1,213,339
5. St. Clair County, MI	13	76.1	1	5.9	170,916
6. Wayne County, MI*	401	198.9	13	6.4	2,016,202

Deaths by case type, 2004

Suicide	7.3%
Overmedication	13.1%
Homicide	0.0%
All other accidental	51.7%
Could not be determined	27.9%

Place of death, 2004

Drug misuse	Deaths
Health care facility	201
Home	320
Public place	16
Other	105
Not documented	--

Suicide	Deaths
Health care facility	14
Home	27
Public place	--
Other	7
Not documented	0

Top 5 drugs involved: Drug misuse deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Opiates/opioids	20	493	513
Cocaine	45	277	322
Benzodiazepines	0	194	194
Alcohol	0	157	157
Antidepressants	3	139	142

Top 5 drugs involved: Suicide deaths, 2004

Drug category	Single-drug deaths	Multi-drug deaths	Total
Opiates/opioids	1	20	21
Antidepressants	0	19	19
Benzodiazepines	1	16	17
Alcohol	0	17	17
Marijuana	3	6	9

Death rates by gender and age: Drug misuse, 2004

Gender	Deaths per 1,000,000 population
Male	214.4
Female	94.1

Age	Deaths per 1,000,000 population
Under 21	16.1
21 to 34	176.7
35 to 54	346.6
55 and over	46.2

Death rates by gender and age: Suicide, 2004

Gender	Deaths per 1,000,000 population
Male	16.1
Female	8.3

Age	Deaths per 1,000,000 population
Under 21	1.6
21 to 34	14.6
35 to 54	24.8
55 and over	6.4

Causes of death, 2004

Drug misuse	Deaths
Any drug-related cause	620
– Abuse	251
– Drug or alcohol	619
– Toxic effects	346
Body systems (includes infections)	62
Accidents and injuries	17

Suicide	Deaths
Any drug-related cause	39
– Abuse	0
– Drug or alcohol	39
– Toxic effects	39
Body systems (includes infections)	--
Accidents and injuries	11

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	546	644	75	53	51	9
Alcohol2	156	157	0	20	17	0
Cocaine	289	322	45	6	9	4
Marijuana	37	46	--	--	9	--
Stimulants	4	4	0	--	0	0
Club drugs3	0	--	0	0	0	0
Hallucinogens4	0	0	0	0	0	0
Inhalants	0	4	0	--	0	0
Antidepressants	109	142	--	20	19	0
Antipsychotics	25	35	--	6	8	0
Benzodiazepines	144	194	0	23	17	--
Misc. anxiolytics, sedatives, and hypnotics	88	117	0	15	7	0
Opiates/opioids	418	513	20	35	21	--
– Heroin (specified)	72	194	--	0	0	0
– Methadone	75	82	5	--	--	0
– All other opiates/opioids (not heroin or methadone)	348	419	12	35	19	--
Nonsteroidal anti-inflammatory agents	--	--	0	0	0	0
Salicylates/combinations	--	--	--	--	--	0
Misc. analgesics/combinations	20	30	0	8	6	0
Anticonvulsants	10	12	0	--	--	0
Muscle relaxants	35	45	--	--	5	0