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Related Experiment Video

Updated: Mar 9, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Death After Jail Release.

Byron Alex¹, David B Weiss¹, Fatos Kaba¹

¹1 New York City Department of Health and Mental Hygiene, New York, NY, USA.

Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care

|January 3, 2017

Summary

This summary is machine-generated.

Individuals recently released from jail face a higher risk of death, with opioid overdose being the leading cause within six weeks post-release. Improving jail health care through data matching is crucial for reducing mortality.

Keywords:

all-cause mortality correctional health opioid treatment program postrelease mortality

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Area of Science:

Public Health
Epidemiology
Correctional Medicine

Background:

The period immediately following release from incarceration is associated with elevated mortality risk.
Understanding the causes and rates of postrelease death is critical for public health interventions.

Purpose of the Study:

To investigate the mortality rates and causes of death among individuals within six weeks of release from New York City jails.
To assess the feasibility and utility of matching electronic health records with vital statistics for postrelease mortality surveillance.

Main Methods:

Electronic health records of individuals incarcerated in New York City jails (2011-2012) were matched with vital statistics records.
In-jail and 6-week postrelease mortality rates were calculated.
Causes of death for individuals who died within six weeks of release were analyzed.

Main Results:

The 6-week postrelease mortality rate was 5.89 per 1,000 person-years, significantly higher than the in-jail rate (1.39 per 1,000 person-years).
Opioid overdose was the most frequent cause of death (37.3%) within six weeks of release, followed by chronic disease (25.4%) and assaultive trauma (20.3%).

Conclusions:

Postrelease mortality, particularly due to overdose, represents a significant public health concern.
Linking correctional health data with vital statistics is a valuable strategy for identifying high-risk populations and informing quality improvement in jail healthcare delivery.