Male drugs-related deaths in the fortnight after release from prison: Scotland, 1996-99
Male drugs-related deaths in the fortnight after release from prison: Scotland, 1996-99
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DOI：
10.1046/j.1360-0443.2003.00264.x
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发表时间：
2003-02-01
期刊：
影响因子：
6
通讯作者：
Hutchinson, SJ
中科院分区：
文献类型：
--
作者：
Bird, SM;Hutchinson, SJ
目的评估1996- 1999年在苏格兰，15-35岁的男性在14天以上监禁后获释，在获释后2周内与毒品有关的死亡率是否高于随后10周：高于其他原因的预期死亡率;如果前两周与毒品有关的死亡人数是监狱自杀人数的三倍，囚犯数据库对死亡。设置苏格兰的男性监狱和青少年罪犯的机构在7月至12月1996-99; 19 486指数释放后14天以上的监禁。测量与毒品有关的死亡的相对风险在释放后的前2周（34例死亡）与随后的10周（23）。与预期相关的其他死亡原因（21）。释放后前两周内与毒品有关的死亡人数与监狱中自杀人数之比（12）。（95% CI：3.3-16.3）比其他自由时间高，比监狱自杀高2.8倍（95% CI：1.5-3.5），年龄在15-35岁之间，被监禁14天以上的男性。我们估计每200名从14天以上监禁中释放的成年男性注射者在释放后2周内有1例药物相关死亡。非药物相关的死亡在12周后释放的4.9倍（95%CI：2.8-7.0）预期的4.3死亡。需要在监狱采取干预措施，以大幅减少最近释放的与毒品有关的死亡。
Aims To assess if 15-35-year-old males released after 14+ days' imprisonment in Scotland, 1996-99, had a higher drugs-related death rate in 2 weeks after release than during subsequent 10 weeks: higher than expected death rate front other causes; and if drugs-related deaths in the first fortnight were three times as many as prison suicides.Design Confidential linkage of ex-prisoner database against deaths.Setting Scotland's male prisons and young offenders' institutions during July to December 1996-99; 19 486 index releases after 14+ days' incarceration.Measurements Relative risk of drugs-related death in the first 2 weeks after release (34 deaths) versus subsequent 10 weeks (23). Other causes of death (21) relative to expectation. Drugs-related deaths in first 2 weeks after release relative to suicides in prison (12).Findings Drugs-related mortality in 1996-99 was seven times higher (95% CI: 3.3-16.3) in the 2 weeks after release than at other times at liberty and 2.8 times higher than prison suicides (95% CI: 1.5-3.5) by males aged 15-35 years who had been incarcerated for 14+ days. We estimated one drugs-related death in the 2 weeks after release per 200 adult male injectors released from 14+ days' incarceration. Non-drugs-related deaths in the 12 weeks after release were 4.9 times (95% CI: 2.8-7.0) the 4.3 deaths expected.Conclusion Investment in, and evaluation of. prison-based interventions is needed to reduce substantially recently released drugs-related deaths.