在英格兰和威尔士的男性囚犯中自杀, 1978-2003年
Seena Fazel1, Ram Benning, John Danesh
1Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK. seena.fazel@psychiatry.oxford.ac.uk
Lancet (London, England)
|October 11, 2005
概括
英格兰和威尔士的男性囚犯自杀率是普通人口的五倍. 这种监狱自杀率一直在增加,特别是在年轻男性中,突显了迫切需要更好的预防策略.
科学领域:
- 犯罪学 犯罪学
- 公共卫生 公共卫生
- 法医精神病学 法医精神病学
背景情况:
- 监狱系统内的自杀率越来越令人担忧.
- 之前的数据并没有准确量化监禁人员与普通人口相比的过度自杀风险.
研究的目的:
- 可靠量化英格兰和威尔士男性囚犯中过度自杀风险的可靠量化.
- 为了分析25年来监狱自杀的趋势.
主要方法:
- 在英格兰和威尔士 (1978-2003) 的1312名男性囚犯自杀的比较分析与一般男性人口自杀率.
- 根据狭窄的年龄段对数据进行分层,以确定特定的风险群体.
主要成果:
- 男性囚犯的自杀风险增加了五倍 (标准化死亡率 (SMR) = 5.1).
- 在15-17岁的男性囚犯中观察到特别高的过度风险 (SMR = 18).
- 在研究期间,男性囚犯中自杀的比例过多显示出日益增长的趋势.
结论:
- 与普通人口相比,男性囚犯面临的自杀风险明显增加.
- 监狱内自杀预防策略的紧急和实质性改进是必要的.
- 青少年男性囚犯代表了一个关键的高风险群体,需要有针对性的干预措施.
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