Suicide in recently released prisoners: a population-based cohort study
Suicide in recently released prisoners: a population-based cohort study
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DOI：
10.1016/s0140-6736(06)69002-8
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发表时间：
2006-07-08
期刊：
影响因子：
168.9
通讯作者：
Shaw, Jenny
中科院分区：
文献类型：
--
作者：
Pratt, Daniel;Piper, Mary;Shaw, Jenny
研究背景对羁押期间自杀的研究已经有了一些，但对出狱后自杀的研究却很少。我们进行了一项以人口为基础的队列研究，调查自杀率在最近释放的囚犯在England and Wales.Methods我们使用的数据库的国家机密调查自杀和杀人的人与精神疾病的英格兰和威尔士，以确定所有个人谁死于自杀或谁收到了一个开放的裁决，在验尸官的死因调查2000年和2002年之间。这些记录与内政部登记册相关联，以确定英格兰和威尔士监狱释放后1年内所有此类死亡的人。我们比较了自杀率每10万人年，在这些释放的囚犯在一般人群中使用的间接年龄标准化死亡率ratio.Findings我们确定了382自杀事件发生在244988个人在1年内从监狱释放的自杀率为156每10万人年。79人（21%）在获释后的28天内自杀。在所有年龄组中，最近获释的囚犯的自杀率都高于一般人口。近期获释囚犯的整体年龄标准化死亡比率，男性为8.3（95%CI 7.5-9.3），女性为35.8（25.4-50.2）。释义近期获释囚犯自杀的风险比一般人高得多，尤其是在获释后的头几个星期。最近获释的囚犯自杀的风险接近出院的精神病患者。与监狱、缓刑、卫生和社会服务部门共同承担责任，在为这一高危群体提供服务方面制定更多的合作做法。
Background Several studies have been undertaken on suicide in custody, but few on suicide after the release from prison. We undertook a population-based cohort study to investigate suicide rates in recently released prisoners in England and Wales.Methods We used the database of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness for England and Wales to identify all individuals who died by suicide or who received an open verdict at the coroner's inquest between 2000 and 2002. These records were linked to a Home Office register to identify all such deaths in people within 1 year of release from prison in England and Wales. We compared suicide rates per 100000 person-years in these released prisoners with rates in the general population by using the indirectly age-standardised mortality ratio.Findings We identified 382 suicides occurring in 244988 individuals within 1 year of release from prison; a suicide rate of 156 per 100 000 person-years. 79 (21%) suicides occurred within the first 28 days after release. In all age groups, suicide rates were higher in recently released prisoners than in the general population. The overall age-standardised mortality ratio for recently released prisoners was 8.3 (95% Cl 7.5-9.3) for men and 35.8 (25.4-50.2) for women.Interpretation Recently released prisoners are at a much greater risk of suicide than the general population, especially in the first few weeks after release. The risk of suicide in recently released prisoners is approaching that seen in discharged psychiatric patients. A shared responsibility ties with the prison, probation, health, and social services to develop more collaborative practices in providing services for this high-risk group.