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Postrelease Risk of Overdose and All-Cause Death Among Persons Released From Jail or Prison: Minnesota, March
Katherine Hill1, Peter J Bodurtha1, Tyler N A Winkelman1
1Katherine Hill is with the Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT. Peter J. Bodurtha and Tyler N. A. Winkelman are with the eHealth, Homelessness, and Criminal Justice Lab, Hennepin Healthcare Research Institute, Minneapolis, MN. Tyler N. A. Winkelman is also with the Department of Medicine, Hennepin Healthcare Research Institute. Benjamin A. Howell is with General Internal Medicine, SEICHE Center for Health and Justice, and Yale Program in Addiction Medicine, Yale School of Medicine, New Haven, CT.
Abstract:
Objectives. To determine mortality risk among those recently released from a Minnesota jail or prison. Methods. Using linked prison, jail, and death records, our retrospective cohort study followed 99 065 people who were released from Minnesota jails and prisons between March 1, 2020, and December 31, 2021. We explored differences between jail and prison exposures regarding mortality using standardized mortality ratios. Results. Adjusting for age and gender, we estimated that the rate of overdose death for people released from jail was 15.5 times that of the Minnesota general population. Overdose death rates for people released from prison were even higher at 28.3 times the rate of the Minnesota general population. Conclusions. Drug overdose was the leading cause of death for people reentering their communities from both jail and prison in Minnesota-with opioids being the leading cause of overdoses. Overdose death relative to the general population was double the estimates from earlier studies among people leaving prison. Providing seamless access to medications for opioid use disorder during and after incarceration is important to lower the risk of death following release. (Am J Public Health. 2024;114(9):913-922. https://doi.org/10.2105/AJPH.2024.307723).
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