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Associations Between Parole, Probation, Arrest, and Self-reported Suicide Attempts
William C Bryson1,2, Jennifer Piel3,4, Stephen Thielke3,5
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA. william.bryson@va.gov.
Recent arrests are linked to a higher risk of suicide attempts in adults. This finding highlights the need for increased screening and interventions for individuals with recent criminal justice involvement, particularly arrests.
Area of Science:
- Public Health
- Criminology
- Mental Health Research
Background:
- Criminal justice involvement is a significant public health concern.
- Understanding the specific risks associated with different types of criminal justice contact is crucial for targeted interventions.
- Previous research has not fully elucidated the distinct associations between arrest, parole, and probation and suicide attempts.
Purpose of the Study:
- To estimate the associations between recent community criminal justice (CJ) involvement (arrest, parole, probation) and suicide attempts.
- To account for the overlapping nature of these CJ involvement categories.
- To identify which specific types of CJ involvement are most strongly associated with increased suicide attempt risk.
Main Methods:
- Analysis of data from the 2008-2014 National Surveys on Drug Use and Health (NSDUH).
- Inclusion of adults aged 18+ with self-reported suicide attempts in the past 12 months.
- Matched controls (no recent CJ involvement) were compared to participants with recent parole, probation, and/or arrest, using logistic regression to control for overlaps and covariates.
Main Results:
- The 12-month prevalence of suicide attempts was significantly higher for individuals with recent parole (3.2%), probation (2.7%), and arrest (3.3%) compared to matched controls (1.0%).
- After controlling for overlaps and covariates, only recent arrest remained significantly associated with suicide attempts (RR=1.80).
- Neither parole (RR=1.00) nor probation (RR=0.81) showed a significant association with suicide attempts in the adjusted models.
Conclusions:
- Recent arrest is a significant risk factor for suicide attempts among adults.
- Parole and probation, in this study's context, were not independently associated with increased suicide attempt risk after accounting for arrest and other factors.
- Findings suggest that recent arrest may serve as an indicator for elevated suicide risk, necessitating enhanced screening and intervention strategies within the criminal justice system.
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