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Suicide in U.S. Immigration and Customs Enforcement Detention: Retrospective Analysis of Deaths in Custody, 2018-2025
Alicia I Rolin1, Aaron Hemphill2, Jermaine Blakley2
1Division of Emergency Medicine, Children's National Hospital, Washington, DC.
Objective:
Recent studies suggest rising suicide rates among people detained by U.S. Immigration and Customs Enforcement (ICE). The authors sought to characterize suicide deaths in ICE detention.
Methods:
The authors conducted a retrospective analysis of publicly available ICE detainee death reviews (DDRs). Each report was systematically reviewed for demographic and clinical information. The primary outcome was cause of death; secondary measures included symptoms, delays in care, and health care services provided.
Results:
According to 69 DDRs, 12 (17%) individuals died by suicide, all of whom were men (mean age=38.6 years) who died by hanging. Compared with individuals who died of general medical causes, those who died by suicide were more likely to have had psychiatric symptoms, had documented behavioral concerns, and refused mental health care (p≤0.001).
Conclusions:
This analysis highlights major deficiencies in mental health care in ICE facilities, emphasizing the need for improved oversight, timely interventions, and accountability to prevent deaths in ICE custody.
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