最近获释囚犯的自杀:基于人口的队列研究
Daniel Pratt1, Mary Piper, Louis Appleby
1Centre for Suicide Prevention, University of Manchester, Manchester M13 9PL, UK.
Lancet (London, England)
|July 11, 2006
概括
最近被释放的囚犯面临着明显更高的自杀风险,特别是在释放后的第一个月内. 这凸显了改善对这一弱势群体的支持服务的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 心理健康研究 心理健康研究
背景情况:
- 关于最近从监狱释放的个人中自杀率的研究有限.
- 拘留中自杀是众所周知的问题,但释放后的风险需要进一步调查.
研究的目的:
- 为了调查英格兰和威尔士在监狱释放一年内自杀率的个人.
- 为了比较最近被释放的囚犯与普通人口的自杀风险.
主要方法:
- 一项以人口为基础的队列研究,利用来自国家自杀和精神疾病患者谋杀的机密调查的数据.
- 将自杀和公开的判决记录 (2000-2002) 与内政部释放囚犯登记册联系起来.
- 间接计算年龄标准化死亡率以比较群体之间的死亡率.
主要成果:
- 在释放一年内,在244,988个人中发现了382起自杀案,每10万人年中有156人自杀.
- 很大一部分 (21%) 的自杀发生在释放后28天内.
- 与普通人口相比,最近获释的囚犯的自杀率明显高 (男性:8.3,女性:35.8).
结论:
- 最近被释放的囚犯表现出明显增加的自杀风险,特别是在释放后的最初几周.
- 这个群体的自杀风险与出院精神病患者的自杀风险相当.
- 监狱,缓刑,卫生和社会服务部门之间的协作努力对于开发有效的支持系统至关重要.
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