INVESTIGATING MORTALITY AMONG EX-PRISONERS IN QUEENSLAND: A DATA LINKAGE STUDY

调查昆士兰州刑满释放人员的死亡率：数据关联研究

• 批准号: nhmrc : 456109
• 负责人: Prof Gail Williams
• 金额: $ 47.8万
• 依托单位: Macfarlane Burnet Institute for Medical Research and Public Health
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2007
• 资助国家: 澳大利亚
• 起止时间: 2007-01-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/investigating-mortality-ex-linkage-study/81765
• 关键词: INVESTIGATING; MORTALITY; AMONG; EX; PRISONERS

NOTE: At the time of submitting the NOI for this project we had not yet received feedback from a submission to a parallel NHMRC funding round concerned with social disadvantage. We have since received very positive reviews for the trial foreshadowed in our NOI, and consistent with the recommendations of one reviewer, we have modified our application to complement the proposed trial by conducting a record linkage study. The content area and ethical issues associated with the proposed project remain largely unchanged. Studies in Australia and elsewhere have identified a heightened risk of death among ex-prisoners, with drug overdose, suicide and 'accidents' three major causes. Many deaths occur soon after release. Although the high incidence of 'overdose' among ex-prisoners is often attributed to reduced tolerance,most fatal drug overdoses are due to the combined effects of multiple drugs. A detailed understanding of deaths among ex-prisoners is a prerequisite for evidence-based preventive strategies. The proposed study will: (a) Link the identities of prisoners released from custody in QLD between 1994 and 2006, with the National Death Index (NDI). The linked database will permit exploration of the incidence, timing, causes and risk factors for death among ex-prisoners. (b) Compare correctional records of deceased ex-prisoners and a random sample of ex-prisoners known to be alive, focussing on suspected risk factors including criminal history, behaviour in custody, health status, psychosocial adjustment, socio-economic status, and history and treatment for drug use. This will allow more detailed analysis of risk factors for death post-release. (c) Conduct in-depth analysis of causes of death among ex-prisoners, using the National Coroners Information System (NCIS). Information regarding cause and context of death will be coded by a research assistant and analysed to identify group differences (e.g., between ATSI and non-ATSI ex-prisoners).

注意事项：在提交该项目的NOI时，我们尚未收到有关社会弱势群体的平行NHMRC融资回合的反馈意见。从那以后，我们收到了非常积极的评价，因为我们的NOI预示了试验，并与一位评审员的建议一致，我们修改了我们的申请，通过进行记录链接研究来补充拟议的试验。与拟议项目相关的内容领域和道德问题基本保持不变。澳大利亚和其他地方的研究发现，前囚犯的死亡风险增加，药物过量，自杀和“事故”三大原因。许多人在获释后不久就死亡。虽然前囚犯中“过量”的高发生率通常归因于耐受性降低，但大多数致命的药物过量是由于多种药物的综合作用。详细了解刑满释放人员的死亡情况是循证预防战略的先决条件。拟议的研究将：（a）将1994年至2006年期间昆士兰州释放的囚犯的身份与全国死亡指数联系起来。连接的数据库将允许探索前囚犯死亡的发生率、时间、原因和风险因素。(b)比较已故前囚犯的矫正记录和已知活着的前囚犯的随机样本，重点关注可疑的风险因素，包括犯罪史，拘留行为，健康状况，心理社会调整，社会经济地位以及吸毒史和治疗。这将有助于对释放后死亡的风险因素进行更详细的分析。(c)使用国家验尸官信息系统（NCIS）对刑满释放人员的死亡原因进行深入分析。研究助理将对死亡原因和背景相关信息进行编码，并进行分析，以确定组间差异（例如，（非ATSI前囚犯）。