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19 attempts, history of depression or other mental illness, alcohol or drug abuse, family history of suicide or violence, physical illness, and feeling alone24. 51% of female and 39% of male Orange County suicide victims were characterized as being currently depressed when they completed suicide, as shown in figure 13. Among survey respondents 3 out of 10 have been told by a doctor, nurse, or other health professional that they have had depression or anxiety. 54% of female and 46% of male suicide victims was characterized as having a current mental health problem. Females (23%) are more likely to attempt suicide when compared to males (16%); however, males are more likely to complete suicide than females, as shown by figure 14. 1 out of 8 survey respondents stated that there have been days in the past month when feeling sad or worried have kept them from going about their normal routine. Substance Use/Abuse Fewer adolescents in Orange County are using alcohol products or smoking cigarettes; however, there is a marked increase in overall tobacco use among this group, primarily driven by the use of electronic cigarettes and other novel tobacco products. Adult smoking appears to be stable, but alcohol use is increasing. Alcohol – Alcoholism is a medical disease that (1) involves periodic or constant impaired control over drinking; (2) preoccupation with alcohol; (3) use and abuse of alcohol in spite of adverse consequences; and (4) distorted thinking, especially denial. Alcoholism stems from genetic, environmental, and psychosocial factors. Alcohol abuse is the intentional overuse of alcohol (to the point of drunkenness) that includes occasional and celebratory over-drinking. Overuse of alcohol is considered to be more than 3-4 drinks per occasion for women and more than 4-5 drinks per occasion for men. Figure 13: Figure 14: